Liver cell cancer surveillance practice in Nigeria: Pitfalls and future prospects.

IF 2.5 Q2 GASTROENTEROLOGY & HEPATOLOGY World Journal of Hepatology Pub Date : 2024-10-27 DOI:10.4254/wjh.v16.i10.1132
Yusuf Musa, Ijeoma M Ifeorah, Abubakar Sadiq Maiyaki, Rahama Mohammad Almustapha, Yussuf Abdulkadir Maisuna, Habib Tijjani Saleh, Abdulmumini Yakubu
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Abstract

Hepatocellular carcinoma (HCC) is a disease of public health concern in Nigeria, with chronic hepatitis B and C infections contributing most to the disease burden. Despite the increasing incidence of HCC, surveillance practices for early diagnosis and possible cure are not deeply rooted in the country. This article aims to review the current status of HCC surveillance in Nigeria, stressing the encounters, breaches, and potential prospects. Several factors, such as limited tools for screening and diagnostics, insufficient infrastructure, and low cognizance among the doctors, and the general public affect the surveillance practices for HCC in Nigeria. Moreover, the lack of standardized guidelines and protocols for HCC surveillance further intensifies the suboptimal diagnosis and treatment. Nevertheless, there are opportunities for refining surveillance practices in the country. This would be achieved through boosted public health sensitization campaigns, integrating HCC screening into routine clinical services, and leveraging technological developments for early detection and monitoring. Furthermore, collaboration between government agencies, healthcare providers, and international organizations can facilitate the development of comprehensive HCC surveillance programs personalized to the Nigerian setting. Thus, HCC surveillance practice faces substantial challenges. By addressing the drawbacks and leveraging prospects, Nigeria can improve HCC surveillance, with subsequent improved outcomes for individuals at risk of developing the disease.

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尼日利亚的肝细胞癌监测实践:陷阱与未来展望。
肝细胞癌(HCC)是尼日利亚的一种公共卫生疾病,慢性乙型肝炎和丙型肝炎感染是造成疾病负担的主要原因。尽管 HCC 的发病率在不断上升,但为早期诊断和可能的治愈而进行的监测工作在尼日利亚并没有深入人心。本文旨在回顾尼日利亚 HCC 监测的现状,强调遇到的问题、存在的不足以及潜在的前景。一些因素,如筛查和诊断工具有限、基础设施不足、医生和公众的认知度较低等,影响了尼日利亚对 HCC 的监测实践。此外,缺乏 HCC 监测的标准化指南和规程也进一步加剧了诊断和治疗的不理想状况。尽管如此,尼日利亚仍有改进监测方法的机会。这可以通过加强公共卫生宣传活动、将 HCC 筛查纳入常规临床服务以及利用技术发展进行早期检测和监控来实现。此外,政府机构、医疗服务提供者和国际组织之间的合作也有助于制定适合尼日利亚国情的综合性 HCC 监测计划。因此,HCC 监测实践面临着巨大的挑战。通过克服弊端和利用前景,尼日利亚可以改善对 HCC 的监测,从而改善高危人群的预后。
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来源期刊
World Journal of Hepatology
World Journal of Hepatology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.10
自引率
4.20%
发文量
172
期刊最新文献
Chronic hepatitis B: Prevent, diagnose, and treat before the point of no return. Complement activation targeted inhibitor C2-FH ameliorates acetaminophen-induced liver injury in mice. Hepatitis B surface antigen-negative but hepatitis B envelope antigen-positive false occult hepatitis B virus infection: A case report. Liver cell cancer surveillance practice in Nigeria: Pitfalls and future prospects. Pathogenesis and research progress of nonalcoholic fatty liver disease/nonalcoholic steatohepatitis.
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