Petchclai B, Srivatanakul P, Puntanee K, Hiranras S, Chiewsilp P, Kunakorn M, Liemsuwan C
Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1992 Jan;75 Suppl 1:168-71.
HCC is the most cancer among Thai men. It is not known if HCV plays an oncogenic role in HCC in this country where HBV is endemic. Anti-HCV and HBsAg were assayed in 154 sera from HCC and 3,387 voluntary blood donors. The prevalence of anti-HCV in HCC (8.4%) was significantly higher than blood donors (1.38%). The prevalence of HBsAg in HCC (61%) was also significantly higher than blood donors (5.28%). The prevalence of anti-HCV in HCC was lower than that of Spain, Italy, Africa and Taiwan. Anti-HCV was found associated with a small portion of patients with HCC while HBV was found closely associated with the larger proportion of HCC. HCV in normal Thais was as common as those in southern Europe and HCV was found associated with HCC. However, HBV remains the major etiological factor of HCC in Thailand.
肝癌是泰国男性中最常见的癌症。在乙肝为地方病的这个国家,尚不清楚丙肝病毒在肝癌中是否发挥致癌作用。对154例肝癌患者的血清和3387名自愿献血者的血清进行了丙肝抗体和乙肝表面抗原检测。肝癌患者中丙肝抗体的流行率(8.4%)显著高于献血者(1.38%)。肝癌患者中乙肝表面抗原的流行率(61%)也显著高于献血者(5.28%)。肝癌患者中丙肝抗体的流行率低于西班牙、意大利、非洲和台湾地区。发现一小部分肝癌患者与丙肝抗体有关,而发现较大比例的肝癌患者与乙肝密切相关。正常泰国人中丙肝病毒的流行情况与南欧一样普遍,且发现丙肝病毒与肝癌有关。然而,乙肝仍然是泰国肝癌的主要病因。