Neoplastic Effects of Endogenous Alcohol in Carcinogenesis Process of Hepatocarcinoma

Q4 Medicine
A. Udristioiu, Adina Martin, Liviu Martin, Alexandru Giubelan, Daniela Udristioiu, D. Malaescu, P. Daniela, Delia Nica-Badea, D. Ungureanu
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Abstract

Introduction: Based on the grim statistics, the mortality of alcoholic liver disease was in last years the high in the undeveloped countries but and in developed countries in the statistic compared with last years. Aim: Scope of this work was to discover the patients diagnosed with alcoholic cirrhosis which in time was transformed in Hepatocellular Carcinoma, (HCT) by continue abuse alcohol and which presented, at a previous medical control, with the diagnosis of steatohepatitis after the chronic abuse of alcohol. Methodology: The retrospective study consisted of 180 patients, adult men (mean age 55 years) and females (mean age = 48) hospitalized and investigated for alcoholic liver diseases. From total cases investigated, 54 cases (30% from of cases admitted in hospital, meaning 27 men and 17 women), which were diagnosed with alcoholic liver cirrhosis in last 5-7 years but in next medical controls were discovered liver cancers in the 6.1% percent. Results: The majority of patients with uncompensated liver cirrhosis, (70%), have had elevated AST in average 66 U/L value, (N= 5-38U/L). Also, they have had an AST/ALT ratio 1.36, (N = 1.33) and ratio TGP/TGO = 0.95. In the liver carcinogenesis process the report AST/ALT increased in 2.64 value and ratio TGP/TGO decreased in 0.67 value. Conclusions: The active and rational lifestyle is an essential element in preventing the process of carcinogenesis. Liver disease it's not just how much you drink, but how and when you drink. The treatment of severe alcoholic hepatitis will be necessary in all alcoholic liver diseases centers to prevent hepatic cancer disease.
内源性酒精在肝癌癌变过程中的肿瘤作用
引言:根据严峻的统计数据,近年来,酒精性肝病的死亡率在不发达国家较高,但在发达国家与去年相比有所下降。目的:本研究的范围是发现被诊断为酒精性肝硬化的患者,这些患者因持续滥用酒精而及时转化为肝细胞癌(HCT),并在既往医学对照中表现为慢性滥用酒精后诊断为脂肪性肝炎。方法:回顾性研究包括180例因酒精性肝病住院的成年男性(平均年龄55岁)和女性(平均年龄48岁)。在调查的全部病例中,54例(占住院病例的30%,即27名男性和17名女性)在过去5-7年中被诊断为酒精性肝硬化,但在接下来的医学对照中发现肝癌的比例为6.1%。结果:绝大多数(70%)无代偿性肝硬化患者AST平均升高66 U/L (N= 5 ~ 38u /L)。AST/ALT比值为1.36 (N = 1.33), TGP/TGO比值为0.95。在肝癌发生过程中,AST/ALT报告值升高2.64,TGP/TGO报告值降低0.67。结论:积极合理的生活方式是预防肿瘤发生的重要因素。肝病不仅仅是你喝了多少,而是你怎么喝,什么时候喝。在所有酒精性肝病中心,严重酒精性肝炎的治疗都是必要的,以防止肝癌的发生。
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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CiteScore
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