Hepatocellular carcinoma in an urbanised black community. A changing pattern.

A C Paterson, C Isaacson
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引用次数: 2

Abstract

Hepatocellular carcinoma has been extensively studied in Southern Africa, and particularly its relationship to hepatitis B virus infection. Most of this work involved rural Black populations. In this study the impact of urbanization on this relationship is investigated. The material is derived from the laboratory records at Baragwanath Hospital which serves the Black urban community of Soweto, Cases autopsied during the periods 1956-1960 and 1976-1980 have been examined with regard to age, sex, underlying cirrhosis and presence of HBsAg in the non-tumour liver. In addition, all biopsies from 1955 to 1980 have been analysed with respect to age and sex. There is evidence of a significant increase in overall average age and in the proportion of female cases, while the percentage of HBsAg positive cases has fallen. Possible causes for these findings are considered.

城市化黑人社区的肝细胞癌。不断变化的模式。
在南部非洲,肝细胞癌已被广泛研究,特别是其与乙型肝炎病毒感染的关系。这些工作大多涉及农村的黑人人口。本研究探讨了城市化对这一关系的影响。材料来源于为索韦托黑人城市社区服务的Baragwanath医院的实验室记录,1956-1960年和1976-1980年期间解剖的病例在年龄、性别、潜在肝硬化和非肿瘤肝脏中HBsAg的存在方面进行了检查。此外,还对1955年至1980年的所有活组织检查进行了年龄和性别分析。有证据表明,总体平均年龄和女性病例比例显著增加,而HBsAg阳性病例的百分比有所下降。考虑了这些发现的可能原因。
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