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非酒精性脂肪性肝病相关肝癌:特殊特征与挑战

MASLD-Related Hepatocarcinoma: Special Features and Challenges.

作者信息

Yagüe-Caballero Carmen, Casas-Deza Diego, Pascual-Oliver Andrea, Espina-Cadena Silvia, Arbones-Mainar Jose M, Bernal-Monterde Vanesa

机构信息

Gastroenterology Department, Miguel Servet University Hospital, 50009 Zaragoza, Spain.

Adipocyte and Fat Biology Laboratory (AdipoFat), Translational Research Unit, Miguel Servet University Hospital, 50009 Zaragoza, Spain.

出版信息

J Clin Med. 2024 Aug 8;13(16):4657. doi: 10.3390/jcm13164657.

DOI:10.3390/jcm13164657
PMID:39200802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11354930/
Abstract

Metabolic-associated steatohepatitis liver disease (MASLD) currently impacts a quarter of the global population, and its incidence is expected to increase in the future. As a result, hepatocellular carcinoma associated with MASLD is also on the rise. Notably, this carcinoma does not always develop alongside liver cirrhosis, often leading to a more advanced stage at diagnosis. The challenge lies in accurately identifying patients who are at a higher risk to tailor screening processes effectively. Additionally, several therapeutic approaches are being explored to prevent hepatocellular carcinoma, although there are no universally accepted guidelines yet.

摘要

代谢相关脂肪性肝炎(MASLD)目前影响着全球四分之一的人口,并且预计其发病率在未来还会上升。因此,与MASLD相关的肝细胞癌也在增加。值得注意的是,这种癌症并不总是与肝硬化同时发生,常常导致在诊断时处于更晚期阶段。挑战在于准确识别出高风险患者,以便有效地调整筛查流程。此外,尽管尚未有普遍接受的指南,但正在探索几种预防肝细胞癌的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a57/11354930/b8b0799000fb/jcm-13-04657-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a57/11354930/b8b0799000fb/jcm-13-04657-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a57/11354930/b8b0799000fb/jcm-13-04657-g001.jpg

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Acta Diabetol. 2024 Nov;61(11):1339-1361. doi: 10.1007/s00592-024-02335-9. Epub 2024 Jul 20.
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Long-term Risks of Cirrhosis and Hepatocellular Carcinoma Across Steatotic Liver Disease Subtypes.非酒精性脂肪性肝病各亚型患者的肝硬化和肝细胞癌长期风险
Am J Gastroenterol. 2024 Nov 1;119(11):2241-2250. doi: 10.14309/ajg.0000000000002778. Epub 2024 Mar 7.
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The Growing Landscape of NAFLD-Associated Hepatocellular Carcinoma and Its Impact in Surveillance.
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GE Port J Gastroenterol. 2023 Aug 2;31(1):14-23. doi: 10.1159/000531397. eCollection 2024 Feb.
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