Development of Hepatocellular Carcinoma in a Patient with Chronic Hepatitis C 21 Years after Achieving a Sustained Virological Response to Interferon Therapy.

Case Reports in Hepatology Pub Date : 2020-10-14 eCollection Date: 2020-01-01 DOI:10.1155/2020/8824974
Tasuku Hara, Tomoya Ohara, Masashi Taniguchi, Toshiaki Sakai, Kohei Oka, Naoto Iwai, Toshifumi Tsuji, Takashi Okuda, Toshiyuki Komaki, Junichi Sakagami, Keizo Kagawa
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引用次数: 1

Abstract

A 77-year-old man with chronic hepatitis C (CH-C) infection, who achieved a sustained virological response (SVR) to interferon (IFN) therapy, was followed up regularly. Before IFN therapy, he did not have metabolic diseases, and the histological diagnosis of his chronic hepatitis was stage-3 fibrosis. After achieving SVR, the fibrosis-4 (FIB-4) index level dropped once but gradually increased. 21 years after SVR, hepatocellular carcinoma (HCC) was diagnosed by dynamic computed tomography. The HCC was 12 mm in diameter. The HCC was treated with radiofrequency ablation. CH-C patients with advanced fibrosis require long-term follow-up, even after achieving SVR.

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慢性丙型肝炎患者在干扰素治疗取得持续病毒学应答21年后发生肝细胞癌
一名77岁的慢性丙型肝炎(CH-C)感染男性患者对干扰素(IFN)治疗取得持续病毒学应答(SVR),并定期随访。在IFN治疗前,他没有代谢性疾病,慢性肝炎的组织学诊断为3期纤维化。达到SVR后,纤维化-4 (FIB-4)指数水平下降一次后逐渐升高。SVR后21年,动态计算机断层扫描诊断为肝细胞癌(HCC)。肝细胞癌直径为12mm。肝细胞癌行射频消融治疗。CH-C晚期纤维化患者需要长期随访,即使在达到SVR后也是如此。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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