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通过直接抗病毒药物(DAA)治疗实现病毒清除后发生肝细胞癌的风险。

Risk of hepatocellular carcinoma after viral clearance achieved by DAA treatment.

作者信息

Maekawa Shinya, Takano Shinichi, Enomoto Nobuyuki

机构信息

Department of Gastroenterology and Hepatology, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan.

Department of Gastroenterology and Hepatology, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan.

出版信息

J Formos Med Assoc. 2024 Nov;123(11):1124-1130. doi: 10.1016/j.jfma.2024.01.015. Epub 2024 Jan 19.

Abstract

The advent of direct-acting antiviral (DAA) therapy has revolutionized hepatitis C virus (HCV) treatment, enabling most HCV-infected patients to achieve a sustained viral response (SVR) easily and safely in a short period. On the other hand, it is gradually being recognized that a significant proportion of patients are still at risk of developing de novo and recurrent hepatocellular carcinoma (HCC), even after HCV elimination, and therefore, elucidation of the risk of de novo and recurrent HCC, investigation of its molecular basis, and construction of accurate prediction models are emerging as new important clinical topics. In this review, we present recent advances regarding these issues.

摘要

直接作用抗病毒药物(DAA)疗法的出现彻底改变了丙型肝炎病毒(HCV)的治疗方式,使大多数HCV感染患者能够在短时间内轻松、安全地实现持续病毒学应答(SVR)。另一方面,人们逐渐认识到,即使在HCV清除后,仍有相当一部分患者存在发生新发和复发性肝细胞癌(HCC)的风险,因此,阐明新发和复发性HCC的风险、研究其分子基础以及构建准确的预测模型正成为新的重要临床课题。在本综述中,我们介绍了有关这些问题的最新进展。

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