A Comprehensive Review of Etiological Factors and Preventive Strategies for Hepatocellular Carcinoma
DOI:
https://doi.org/10.22270/ajprd.v13i4.1606Abstract
Hepatocellular carcinoma (HCC), the most common primary malignancy of the liver, constitutes a significant global health challenge. It predominantly develops in the context of chronic liver disease and cirrhosis. This review outlines the principle etiological factors associated with HCC pathogenesis, including chronic infection with hepatitis B and C viruses, excessive alcohol consumption, metabolic syndrome, and exposure to environmental toxins such as aflatoxins. In addition, it examines evidence-based preventive strategies aimed at reducing HCC incidence and mortality. These include vaccination against hepatitis B, antiviral treatment for chronic hepatitis infections, lifestyle modifications targeting obesity and alcohol use, and implementation of surveillance programs in high-risk populations. A comprehensive understanding of these risk factors and preventive approaches is critical for effective disease control and improved patient outcomes.
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References
Balogh, J., Victor, D., Asham, E. H., Burroughs, S. G., Boktour, M., Saharia, A., … Monsour, H. P. (2016). Hepatocellular carcinoma: a review. Journal of Hepatocellular Carcinoma, 3, 41–53. https://doi.org/10.2147/JHC.S61146
Ju Dong Yang, Lewis R Roberts Nature reviews Gastroenterology & hepatology 7 (8), 448458, 2010.
Katherine A McGlynn, Jessica L Petrick, Hashem B El‐SeragHepatology 73, 4-13, 2021.
Wojciech Blonski, David S Kotlyar, Kimberly A Forde World journal of gastroenterology: WJG 16 (29), 3603, 2010.
Daniel Motola-Kuba, Daniel Zamora-Valdés, Misael Uribe, Nahum Méndez-Sánchez Annals of hepatology 5 (1), 16-24, 2006.
Catherine de Martel, Delphine Maucort‐Boulch, Martyn Plummer, Silvia Franceschi Hepatology 62 (4), 1190-1200, 2015.
Daniel Motola-Kuba, Daniel Zamora-Valdés, Misael Uribe, Nahum Méndez-Sánchez Annals of hepatology 5 (1), 16-24, 2006.
Maryann E Smela, Michelle L Hamm, Paul T Henderson, Constance M Harris, Thomas M Harris, John M Essigmann Proceedings of the National Academy of Sciences 99 (10), 66556660, 2002.
Ju Dong Yang, Lewis R Roberts Nature reviews Gastroenterology & hepatology 7 (8), 448458, 2010.
Ming Ren Toh, Evelyn Yi Ting Wong, Sunny Hei Wong, Alvin Wei Tian Ng, Lit-Hsin Loo, Pierce Kah-Hoe Chow, Joanne Ngeow Gastroenterology 164 (5), 766-782, 2023.
Michael C Kew Liver cancer 3 (1), 31-40, 2014.
Amit Kumar Singh, Ramesh Kumar, Abhay K Pande Current chemical genomics and translational medicine 12, 9, 2018.
Chen Shen, Xin Jiang, Mei Li, Yao Luo Cancers 15 (2), 533, 2023.
MC Kew Journal of viral hepatitis 20 (3), 149-157, 2013.
Page Axley, Zunirah Ahmed, Sujan Ravi, Ashwani K Singal Journal of clinical and translational hepatology 6 (1), 79, 2017.
Maurizio Pompili, Francesco Ardito, Enrico Brunetti, Giuseppe Cabibbo, Fabrizio Calliada,
Umberto Cillo, Ilario de Sio, Rita Golfieri, Mauro Grova, Salvatore Gruttadauria, Maria
Guido, Massimo Iavarone, Tommaso Manciulli, Duilio Pagano, Irene Pettinari, Francesco Santopaolo, Maurizio Soresi, Agostino Colli Digestive and Liver Disease 54 (11), 14691478, 2022.
RawdaNaamnehElzenaty, Therina Du Toit, Christa E Flück Best Practice & Research Clinical Endocrinology & Metabolism 36 (4), 101665, 2022.
Katrine Lydolph See, Morten See, Christian Gluud Liver 12 (2), 73-79, 1992.
Isabella Angeli-Pahim, Anastasia Chambers, Sergio Duarte, Ali Zarrinpar Cancers 15 (22), 5378, 2023.
NatchayaPolpichai, SakditadSaowapa, PojsakornDanpanichkul, Shu-Yen Chan, Leandro Sierra, Johanna Blagoie, ChitchaiRattananukrom, PimsiriSripongpun, ApichatKaewdech Journal of Clinical Medicine 13 (22), 6770, 2024.
Christopher P Wild, Andrew J Hall Mutation Research/Reviews in Mutation Research 462 (2-3), 381-393, 2000.
Silvia Franceschi, Syed Ahsan Raza Cancer letters 286 (1), 5-8, 2009.
Taiwan, a country with a high prevalence of chronic HBV, instituted a nationwide HBV vaccination program in 1984 for all citizens ranging from neonates to adults.BolinNiu, HieWon Hann Updates in Liver Cancer 13, 2017.
Ju Dong Yang, Pierre Hainaut, Gregory J Gores, Amina Amadou, Amelie Plymoth, Lewis R Roberts Nature reviews Gastroenterology & hepatology 16 (10), 589-604, 2019.
Tao Lu, Wai-Kay Seto, Ran-Xu Zhu, Ching-Lung Lai, Man-Fung Yuen World journal of gastroenterology: WJG 19 (47), 8887, 2013.
Vincent Wai-Sun Wong, Henry Lik-Yuen Chan Annals of Hepatology 11 (3), 284-293, 2012.
Anna SF Lok Gastroenterology 127 (5), S303-S309, 2004.
Ju Dong Yang, Pierre Hainaut, Gregory J Gores, Amina Amadou, Amelie Plymoth, Lewis R Roberts Nature reviews Gastroenterology & hepatology 16 (10), 589-604, 2019.
M Omata, H Yoshida Scandinavian Journal of Gastroenterology 38 (237), 47-51, 2003.
Teresa L Wright Hepatology Research 37, S294-S298, 2007.
Yin Zongyi, Li Xiaowu Cancer letters 470, 8-17, 2020.
Caryn L Elsegood, Janina EE Tirnitz‐Parker, John K Olynyk, George CT Yeoh Clinical & translational immunology 6 (11), e161, 2017.
Tamer A Addissouky, Ibrahim El Tantawy El Sayed, Majeed MA Ali, Yuliang Wang, Ayman El Baz, Ahmed A Khalil, Naglaa Elarabany Egyptian Liver Journal 14 (1), 2, 2024.
Michael P Johnston, Salim I Khakoo World journal of gastroenterology 25 (24), 2977, 2019.
Epidemiology of Hepatocellular Carcinoma in India – An Updated Review for 2024 Author links open overlay panel Suprabhat Giri, Ankita Singh Journal of Clinical and Experimental Hepatology Volume 14, Issue 6, November-December 2024, 101447.
Valerio Barghini, Debora Donnini, Alessandro Uzzau, Giorgio Soardo Hepatocellular Carcinoma-Future Outlook, 2013.
Miral Sadaria Grandhi, Amy K Kim, Sean M Ronnekleiv-Kelly, Ihab R Kamel, Mounes A Ghasebeh, Timothy M Pawlik Surgical Oncology 25 (2), 74-85, 2016.
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