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Clinical characteristics of patients who developed hepatocellular carcinoma after hepatitis C virus eradication with interferon therapy: current status in Japan.
- Source :
-
Internal medicine (Tokyo, Japan) [Intern Med] 2013; Vol. 52 (24), pp. 2701-6. - Publication Year :
- 2013
-
Abstract
- Objective: We attempted to elucidate the clinical features of chronic hepatitis C patients who develop hepatocellular carcinoma (HCC) after achieving a sustained viral response (SVR) to interferon (IFN) therapy.<br />Methods: The clinical features of 130 patients at 19 hospitals who developed HCC after obtaining an SVR were retrospectively reviewed.<br />Results: Overall, 107 (82%) of the 130 patients were men, with 92 (71%) being ≥60 years of age and 76, 38 and 16 developing HCC within 5, 5-10 and 10-16.9 years after IFN therapy, respectively. Before receiving IFN therapy, 92 (71%) patients had cirrhosis and/or a low platelet count (<15×10(4) cells/μL). Lower albumin (<3.9 g/dL) and higher alpha fetoprotein (AFP) (≥10 ng/mL) levels were identified in a multivariate analysis to be independent variables of the development of HCC within five years after IFN therapy. Among 4,542 SVR patients, HCC occurred in 109 (2.4%) during a 5.5-year follow-up period, thus resulting in an occurrence rate of 4.6% for men and 0.6% for women.<br />Conclusion: SVR patients with lower albumin or higher AFP levels require careful assessments to prevent early HCC development after IFN therapy. HCC occurrence within >10 years of IFN therapy is not uncommon, and the risk factors remain uncertain, thus suggesting that all SVR patients should undergo long-term follow-up examinations for HCC development.
- Subjects :
- Adult
Aged
Antiviral Agents therapeutic use
Carcinoma, Hepatocellular diagnosis
Carcinoma, Hepatocellular epidemiology
Female
Follow-Up Studies
Hepatitis C, Chronic diagnosis
Hepatitis C, Chronic epidemiology
Humans
Interferons therapeutic use
Japan epidemiology
Liver Neoplasms diagnosis
Liver Neoplasms epidemiology
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Viral Load drug effects
Antiviral Agents adverse effects
Carcinoma, Hepatocellular chemically induced
Hepatitis C, Chronic drug therapy
Interferons adverse effects
Liver Neoplasms chemically induced
Subjects
Details
- Language :
- English
- ISSN :
- 1349-7235
- Volume :
- 52
- Issue :
- 24
- Database :
- MEDLINE
- Journal :
- Internal medicine (Tokyo, Japan)
- Publication Type :
- Academic Journal
- Accession number :
- 24334571
- Full Text :
- https://doi.org/10.2169/internalmedicine.52.1180