Document Detail


Hepatocellular carcinoma: increasing incidence and optimized management
MedLine Citation:
PMID:  19541440     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hepatocellular carcinoma is the main type of primary liver cancer. It is a major complication of chronic liver diseases, mainly cirrhosis. High increase in incidence and mortality has been observed in industrialized countries for about 30 years, as well as major improvement in the understanding of carcinogenesis and diagnostic and therapeutic management of patients: ultrasonographic screening of patients with cirrhosis, noninvasive (probabilistic) diagnosis mainly based on imaging procedures, improvement of liver transplantation results, development of tumor destruction using percutaneous radiofrequency, and more recently slight but significant increase in survival in patients treated with sorafenib. Nevertheless, some progress is still needed in order to improve significantly the incidence and the mortality of patients with hepatocellular carcinoma: widespread and improvement of ultrasonographic screening in patients with cirrhosis, effective chemoprevention, expanded indications of liver transplantation, prevention and treatment of cancer recurrences after surgical resection or radiofrequency, and methodological improvement in assessment of new treatments.
Authors:
J-C Trinchet
Publication Detail:
Type:  English Abstract; Journal Article     Date:  2009-06-21
Journal Detail:
Title:  Gastroentérologie clinique et biologique     Volume:  33     ISSN:  2210-7401     ISO Abbreviation:  Gastroenterol. Clin. Biol.     Publication Date:    2009 Aug-Sep
Date Detail:
Created Date:  2009-09-21     Completed Date:  2010-02-02     Revised Date:  2010-08-17    
Medline Journal Info:
Nlm Unique ID:  7704825     Medline TA:  Gastroenterol Clin Biol     Country:  France    
Other Details:
Languages:  fre     Pagination:  830-9     Citation Subset:  IM    
Affiliation:
Service d'Hépatogastroentérologie, Hôpital Jean-Verdier, Assistance publique-Hôpitaux de Paris, 93143 Bondy cedex, France. jean-claude.trinchet@jvr.aphp.fr
Vernacular Title:
Carcinome hépatocellulaire: une incidence croissante, une prise en charge << optimisée >>.
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MeSH Terms
Descriptor/Qualifier:
Carcinoma, Hepatocellular* / diagnosis,  epidemiology,  therapy
Humans
Incidence
Liver Neoplasms* / diagnosis,  epidemiology,  therapy

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