“…RAS mutations did not seem to play an important role in HCC carcinogenesis in Black Africans (Leon and Kew, 1995). Even though the mutations of RAS family genes are infrequent in Asian population (1.7-5.6% K-RAS, 0% B-RAF, 0-71% H-RAS (Harvey rats sarcoma), 0% N-RAS (rats sarcoma neuroblastoma homolog)) (Hou et al, 2014;Taketomi et al, 2013;Zuo et al, 2012;Sui et al, 2012), mutation rate seems to be higher in Western population (2-16% K-RAS, 0-23% B-RAF, 14% N-RAS) (Janku et al, 2014;Stork et al, 1991;Colombino et al, 2012;Tannapfel et al, 2003). One of the highest rate of K-RAS mutation (42%) has been described in Western workers exposed to vinyl chloride, which seems to have a direct toxic effect in the hepatocytes (Weihrauch et al, 2001).…”