Analysis of 69 Hepatocellular Carcinoma Cases from the National Center for Pathology in Mongolia : A Comprehensive Study of Samples Collected Nationwide.

IF 0.7 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Orgil Jargalsaikhan, Wenhua Shao, Mayuko Ichimura-Shimizu, Soichiro Ishimaru, Takaaki Koma, Masako Nomaguchi, Battogtokh Chimeddorj, Khongorzul Batchuluun, Ganzorig Batbaatar, Gankhuu Gankhuyag, Saruul Gerelchuluun, Minoru Irahara, Masashi Akaike, Koichi Tsuneyama
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Abstract

The high rate of chronic hepatitis, including hepatitis B, C and D, in Mongolia creates a large health burden of advanced liver disease. This includes liver failure and the highest incidence rate of hepatocellular carcinoma (HCC) worldwide. In the present study, we histopathologically examined 69 recent cases of HCC from the Mongolian National Center for Pathology, which collects specimens from across the country. The background liver histology of HCC exhibited a bimodal distribution, with one peak corresponding to advanced liver fibrosis and another to mild liver fibrosis. The fibrosis severity negatively correlated with age. Additionally, the frequency of poorly differentiated tumors was significantly higher in the HCC with early stage of fibrosis. A comparison of the pathological characteristics of HCC in urban and rural areas showed that poorly differentiated tumors were highly prevalent in urban areas. The characteristics of HCC in Mongolia are different from those in other countries, suggesting that the causes of liver disease are not only related to viruses but also other factors that depend on the region. This study will provide insight into what research is needed next for liver cancer control in Mongolia. J. Med. Invest. 72 : 47-53, February, 2025.

蒙古国家病理中心69例肝细胞癌病例分析:全国样本综合研究
蒙古慢性肝炎(包括乙型、丙型和丁型肝炎)的高发病率造成了严重的晚期肝病健康负担。这包括肝衰竭和世界范围内发病率最高的肝细胞癌(HCC)。在本研究中,我们对来自蒙古国家病理中心的69例HCC进行了组织病理学检查,该中心收集了来自全国各地的标本。HCC的肝脏组织学表现为双峰分布,一个峰对应晚期肝纤维化,另一个峰对应轻度肝纤维化。纤维化严重程度与年龄呈负相关。此外,HCC伴早期纤维化的低分化肿瘤发生率明显较高。通过对城市和农村HCC病理特征的比较发现,低分化肿瘤在城市地区非常普遍。蒙古国HCC的特点与其他国家不同,提示肝脏疾病的病因不仅与病毒有关,还与其他取决于地区的因素有关。这项研究将为蒙古下一步需要进行的肝癌控制研究提供见解。中华医学杂志,2015年2月。
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来源期刊
JOURNAL OF MEDICAL INVESTIGATION
JOURNAL OF MEDICAL INVESTIGATION MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
1.20
自引率
0.00%
发文量
55
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