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1975 - 1988年比亚韦斯托克人群中的原发性肝细胞癌与乙型肝炎病毒感染的关系

[Primary liver cell carcinoma among the population of Białystok in 1975-1988 in relation to hepatitis B virus infection].

作者信息

Boroń P, Boroń-Kaczmarska A, Nowak H, Flisiak R, Cylwik B

机构信息

Klinika Chorób, Zakaźnych Akademii, Medycznej w Białymstoku.

出版信息

Przegl Epidemiol. 1990;44(3):165-71.

PMID:1964741
Abstract

In presented study, retrospective epidemiological analysis was performed in 84 patients dead due primary hepatocellular carcinoma, selected from among 17,973 persons dead in Białystok hospitals from 1975 till 1988. In the part from among these patients was estimated prevalence of serological markers of Hepatitis B virus infection, as a potential oncogenic factor. Analysis of this carcinoma diagnosis frequency in particular years showed rising tendency: from 1975 till 1979 number of PHC diagnosis was from 0 to 5 a year, whereas in 1988 it was 13. Percentage of necropsy diagnosed PHC was similar and increased to over 1% of all necropsies in 1988. Mean age of patients dead due PHC was 65, and 71.4% were men. Serological markers of HBV infection were observed in 50% and HBsAg in 34.6% from among PHC-dead patients. These percentage values were significantly higher, than observed in control group of Białystok population, which indicate possibility of association between HBV infection and PHC development.

摘要

在本研究中,对1975年至1988年期间在比亚韦斯托克医院死亡的17973人中挑选出的84例因原发性肝细胞癌死亡的患者进行了回顾性流行病学分析。在这些患者中,评估了作为潜在致癌因素的乙型肝炎病毒感染血清学标志物的流行情况。对特定年份这种癌症诊断频率的分析显示出上升趋势:1975年至1979年,每年原发性肝癌的诊断病例数从0例到5例,而1988年为13例。尸检诊断的原发性肝癌百分比相似,在1988年增加到所有尸检的1%以上。因原发性肝癌死亡的患者平均年龄为65岁,男性占71.4%。在因原发性肝癌死亡的患者中,50%观察到乙型肝炎病毒感染的血清学标志物,34.6%观察到乙肝表面抗原。这些百分比值明显高于在比亚韦斯托克人群对照组中观察到的数值,这表明乙型肝炎病毒感染与原发性肝癌发生之间可能存在关联。

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