Screening for hepatocellular carcinoma: patient selection and perspectives

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ID: 6635
2017
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Abstract
Screening for hepatocellular carcinoma: patient selection and perspectives Waleed Fateen, Stephen D Ryder NIHR Biomedical Research Unit in Gastrointestinal and Liver Diseases, Nottingham University Hospitals NHS Trust, The University of Nottingham, Nottingham, UK Abstract: Hepatocellular carcinoma (HCC) develops on the background of liver cirrhosis often from multiple, simultaneous factors. The diagnosis of a single small HCC comes with good prognosis and provides a potential for cure. In contrast, the diagnosis of multifocal, large HCC has high mortality and poor prognosis. Unfortunately, the majority of HCC is diagnosed at such late stages. A surveillance program endorsed by regional liver societies involves six-monthly ultrasound surveillance of at-risk patients. This had been in action for the last two decades. It has led to marked increase in the proportion of patients presenting with small unifocal nodules found on surveillance. The development of tools to enhance our ability in optimizing available surveillance is likely to improve the prognosis of patients with HCC. In this review, we discuss the difficulties in utilizing HCC surveillance and possible means of improvement. Keywords: hepatocellular carcinoma, surveillance, screening, risk stratification 
Reference Key
waleed2017screeningjournal Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Waleed Fateen;Stephen D Ryder and
Journal journal of hepatocellular carcinoma
Year 2017
DOI
10.2147/JHC.S105777
URL
Keywords Keywords not found

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