目的:探讨原发性肝癌(PHC)患者乙肝病毒感染与血清甲胎蛋白(AFP)的关系。方法:应用EL ISA及放射免疫技术分别测定135例PHC患者HBV-M及AFP。结果:PHC患者感染模式分析中,HBV感染121例(89.6%),感染模式HB sA g、HB eA b、HB cA b 3项阳性...目的:探讨原发性肝癌(PHC)患者乙肝病毒感染与血清甲胎蛋白(AFP)的关系。方法:应用EL ISA及放射免疫技术分别测定135例PHC患者HBV-M及AFP。结果:PHC患者感染模式分析中,HBV感染121例(89.6%),感染模式HB sA g、HB eA b、HB cA b 3项阳性(小三阳)为68例(50.4%)。135例PHC患者中,HBV-M阳性者AFP升高比例明显高于HBV-M阴性者(P<0.01)。结论:HBV是原发性肝癌发生的重要病因,在PHC患者中AFP升高与HBV感染有关。展开更多
Hepatocellular carcinoma (HCC) is the most frequent primary liver cancer with a high mortality rate. While chronic hepatitis B virus (HBV) and hepatitis C virus (HCV) infections represent the leading risk factors worl...Hepatocellular carcinoma (HCC) is the most frequent primary liver cancer with a high mortality rate. While chronic hepatitis B virus (HBV) and hepatitis C virus (HCV) infections represent the leading risk factors worldwide, the spreading of metabolic disorders, such as diabetes, obesity and non-alcoholic fatty liver disease (NAFLD) justifies the increasing attention on their oncogenic mechanisms. This review discusses about the main pathogenic mechanisms implicated in occurrence of HCC in presence of viral and metabolic diseases. Additionally, it points to the importance of clinical surveillance for those patients considered at risk of HCC and highlights the strategical role of serum markers, such as alfa-fetoprotein (αFP) and Protein Induced by Vitamin K Absence or Antagonist II (PIVKA-II), which, in association to a strictly instrumental follow-up, contribute to the early detection of hepatic nodules with a better prognosis for affected patients.展开更多
文摘目的:探讨原发性肝癌(PHC)患者乙肝病毒感染与血清甲胎蛋白(AFP)的关系。方法:应用EL ISA及放射免疫技术分别测定135例PHC患者HBV-M及AFP。结果:PHC患者感染模式分析中,HBV感染121例(89.6%),感染模式HB sA g、HB eA b、HB cA b 3项阳性(小三阳)为68例(50.4%)。135例PHC患者中,HBV-M阳性者AFP升高比例明显高于HBV-M阴性者(P<0.01)。结论:HBV是原发性肝癌发生的重要病因,在PHC患者中AFP升高与HBV感染有关。
文摘Hepatocellular carcinoma (HCC) is the most frequent primary liver cancer with a high mortality rate. While chronic hepatitis B virus (HBV) and hepatitis C virus (HCV) infections represent the leading risk factors worldwide, the spreading of metabolic disorders, such as diabetes, obesity and non-alcoholic fatty liver disease (NAFLD) justifies the increasing attention on their oncogenic mechanisms. This review discusses about the main pathogenic mechanisms implicated in occurrence of HCC in presence of viral and metabolic diseases. Additionally, it points to the importance of clinical surveillance for those patients considered at risk of HCC and highlights the strategical role of serum markers, such as alfa-fetoprotein (αFP) and Protein Induced by Vitamin K Absence or Antagonist II (PIVKA-II), which, in association to a strictly instrumental follow-up, contribute to the early detection of hepatic nodules with a better prognosis for affected patients.