Panda Dipanjan
Department of Medical Oncology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi 110014, India.
J Clin Exp Hepatol. 2014 Aug;4(Suppl 3):S43-9. doi: 10.1016/j.jceh.2014.03.044. Epub 2014 May 25.
Hepatocellular carcinoma is a common malignancy and one of the important public health problems in India. The surveillance of hepatocellular carcinoma (HCC) is an established approach to detect early cancers in patients with defined risks. However, there are still controversies and issues to be addressed regarding the optimal surveillance methods and interval. The current level of awareness among physicians in India about surveillance is low and the need and most cost effective surveillance strategy in developing country like ours is unclear. This article has tried to discuss these issues in their appropriate perspective. To address this complicated issue, a multicenter randomized prospective study however may be required.
肝细胞癌是一种常见的恶性肿瘤,也是印度重要的公共卫生问题之一。肝细胞癌(HCC)的监测是在具有明确风险的患者中检测早期癌症的既定方法。然而,关于最佳监测方法和间隔时间仍存在争议和问题有待解决。印度医生目前对监测的认识水平较低,在像我们这样的发展中国家,需求和最具成本效益的监测策略尚不清楚。本文试图从适当的角度讨论这些问题。然而,为了解决这个复杂的问题,可能需要进行一项多中心随机前瞻性研究。