肝细胞癌:预防、诊断和治疗。

IF 2.9 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Medical Principles and Practice Pub Date : 2024-01-01 Epub Date: 2024-05-21 DOI:10.1159/000539349
Fei Feng, Yue Zhao
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引用次数: 0

摘要

肝细胞癌(HCC)是全球发病率最高的肝癌,对健康造成了巨大的负担。HCC 的形成受多种风险因素的影响,包括乙型肝炎和丙型肝炎感染、过度饮酒、非酒精性脂肪性肝炎(NASH)以及性别、种族和年龄等人口统计学变量。虽然 HCC 的确切病因尚不完全清楚,但 HCC 的形成是一个多步骤的过程,由病毒感染、肝细胞致癌突变以及酒精性肝硬化和 NASH 等慢性肝病相互作用造成。疾病分期对 HCC 的预后有很大影响,5 年生存率从早期病例的 36% 到晚期转移性病例的 13% 不等。因此,通过实施监测计划和针对高危人群引入低成本筛查措施(如超声波成像和血液检测),具有挽救生命和提高社会经济效益的巨大潜力。治疗 HCC 的方法包括手术、肝移植、放射治疗、化疗、靶向治疗和免疫治疗。尽管治疗手段不断进步,但晚期 HCC 的治疗仍然是一项挑战。通过在预防、早期检测和治疗开发方面的不断努力,晚期 HCC 的预后可得到极大改善。这些努力最终将改善患者的预后,增加长期生存的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hepatocellular Carcinoma: Prevention, Diagnosis, and Treatment.

Hepatocellular carcinoma (HCC), the most prevalent form of liver cancer globally, poses a substantial health burden. Influenced by risk factors such as hepatitis B or C virus infections, chronic consumption of alcohol, and metabolic dysfunction, its exact etiology likely involves a complex interplay between viral infection, hepatocyte mutations, and chronic liver diseases like cirrhosis and metabolic dysfunction-associated steatohepatitis, and demographic variables like sex, race, and age. Disease stage significantly impacts the prognosis of HCC. There is significant potential for life-saving and socioeconomic benefits through the implementation of surveillance programs and the introduction of low-cost screening measures for high-risk groups; these screening measures include ultrasound imaging and blood tests. Treatment options for HCC encompass liver resection, transplantation, transarterial chemoembolization, radiation therapy, chemotherapy, targeted therapy, and immunotherapy. Despite therapeutic advances, treating advanced HCC remains challenging, emphasizing the need for continued efforts in prevention, early detection, and development of treatments to improve prognosis and long-term survival.

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来源期刊
Medical Principles and Practice
Medical Principles and Practice 医学-医学:内科
CiteScore
6.10
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: ''Medical Principles and Practice'', as the journal of the Health Sciences Centre, Kuwait University, aims to be a publication of international repute that will be a medium for dissemination and exchange of scientific knowledge in the health sciences.
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