Zamor Philippe J, deLemos Andrew S, Russo Mark W
Division of Hepatology, Carolinas Medical Center, Charlotte, USA.
J Gastrointest Oncol. 2017 Apr;8(2):229-242. doi: 10.21037/jgo.2017.03.14.
Chronic hepatitis B virus (HBV) and chronic hepatitis C virus (HCV) are associated with hepatic fibrosis and development of hepatocellular carcinoma (HCC). There are differences and variation with the incidence of HCC worldwide. Additionally, HCC develops via different pathways with these viral hepatitides. This review outlines the various mechanisms and pathophysiology that contributes to this process. There will also be a review on the recommended screening for HCC. Treatment considerations, which are different for these viruses, will be outlined in this review.
慢性乙型肝炎病毒(HBV)和慢性丙型肝炎病毒(HCV)与肝纤维化及肝细胞癌(HCC)的发生相关。全球范围内HCC的发病率存在差异和变化。此外,HCC通过这些病毒性肝炎的不同途径发展而来。本综述概述了促成这一过程的各种机制和病理生理学。还将对推荐的HCC筛查进行综述。本综述将概述针对这些病毒的不同治疗考量。