2019
DOI: 10.5005/jp-journals-10018-1292
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Hepatocellular Carcinoma in Asia: A Challenging Situation

Abstract: Amongst the primary tumors of the liver, hepatocellular carcinoma (HCC) is the most common. It is also one of the most prevalent types of cancers in Asia. Mostly, HCC occurs on a background of chronic liver disease and liver cirrhosis; however, de novo HCCs can also arise in apparently normal looking livers on imaging. There are multiple risk factors for HCC, including hepatitis B and C infections, diabetes mellitus, alcohol, and nonalcoholic steatohepatitis. Other common risk factors which are known to be inv… Show more

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Cited by 34 publications
(26 citation statements)
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“…Hepatocellular carcinoma (HCC) is the sixth most common cancer globally and the third leading cause of death related to cancer in Asia 1 . Curative treatments are only feasible in the early stages of HCC, however, the limitations of current surveillance methods lead to a high proportion of HCC being detected at late stages 2 .…”
Section: Introductionmentioning
confidence: 99%
“…Hepatocellular carcinoma (HCC) is the sixth most common cancer globally and the third leading cause of death related to cancer in Asia 1 . Curative treatments are only feasible in the early stages of HCC, however, the limitations of current surveillance methods lead to a high proportion of HCC being detected at late stages 2 .…”
Section: Introductionmentioning
confidence: 99%
“…A male predominance of HBV-related HCC is prevalent, in common with other regions in the world. As a risk factor for the development of HBV-related HCC, aflatoxin can induce early development of HBV-related HCC in some Asian populations [94] . Another notable finding is the development of progressive liver disease, including HCC, in HBeAg-negative chronic HBV-infected patients.…”
Section: Target Populationmentioning
confidence: 99%
“…Intensive work has been conducted to identify HCC risk factors (eg, Hepatitis virus infections, non-alcoholic fatty liver disease and obesity, smoking and alcohol as well as the genetic background) and to implement preventive measurements. 2 At present, despite considerable progress in HCC prevention, diagnosis and intervention, only 20% of the patients survive more than one year after diagnosis. 3 A number of serological biomarkers have been widely used in diagnosis of HCC, [4][5][6] such as alpha-fetoprotein (AFP), alpha-L-fucosidase (AFU), gamma-glutamyl transferase (GGT), des-gamma-carboxy prothrombin (DCP), glypican-3 (GPC3) and golgi glycoprotein 73 (GP73).…”
Section: Introductionmentioning
confidence: 99%