Research advances in risk factors for hepatocellular carcinoma in chronic hepatitis C patients with sustained virologic response
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摘要: 目前普遍认为慢性丙型肝炎患者接受干扰素联合利巴韦林治疗方案获得持续病毒学应答等同于治愈,但临床上可观察到部分患者在获得持续病毒学应答后发生了肝细胞癌(HCC)。归纳并分析了近些年关于慢性丙型肝炎患者在获得持续病毒学应答后发生HCC的相关研究,总结了可能与HCC发生相关的危险因素。分析表明如男性、高龄、肝硬化、糖尿病等危险因素可能与HCC发生相关,但仍有为数不少的危险因素有待进一步研究。Abstract: Nowadays it is generally believed that chronic hepatitis C patients who are treated with interferon combined with ribavirin and achieve sustained virologic response are considered cured, but in clinical practice, some patients develop hepatocellular carcinoma (HCC) after achieving sustained virologic response.This article summarizes and analyzes the studies on chronic hepatitis C patients who developed HCC after achieving sustained virologic response and identifies the risk factors for the development of HCC.It has been proved that some of the risk factors, such as male sex, age, liver cirrhosis, and diabetes, may be related to the development of HCC, but a lot of risk factors still await for further investigation.
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Key words:
- hepatitis C /
- chronic /
- sustained virologic response /
- carcinoma
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