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引用次数: 0

摘要

肝癌是全球最常见的死亡原因之一,男性的发病率高于女性。肝癌发病率以东亚和亚太地区最高,其他地区呈逐渐上升趋势。肝癌的危险因素主要有慢性HBV和HCV感染、酗酒、肥胖、黄曲霉毒素暴露、糖尿病等代谢性疾病。此外,有证据表明,饮食在肝癌的发展中起着重要作用。原发性肝癌以肝细胞癌(HCC)居多,其余为肝内胆管癌(ICC)。影像学和实验室检查是HCC的有效诊断方法。肝切除术是肝癌的首选治疗方法,其次是肝移植、局部消融、化疗、靶向治疗、放疗、免疫治疗和自然复合治疗。监测慢性丙型肝炎和肝硬化的高危人群可以促进HCC患者更好的长期预后。本文对肝癌的病因、诊断和治疗进行分析,为今后的研究提供研究视角。
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Risk factors and management strategies of liver cancer
Liver cancer is one of the most common causes of global death, with a higher incidence in men than women. The morbidity of liver cancer is highest in East Asia and the Asia-Pacific region, and it is increasing gradually in other regions. The risk factors for liver cancer mainly include chronic HBV and HCV infection, alcoholism, obesity, aflatoxin exposure, diabetes, and other metabolic diseases. In addition, there is evidence that diet plays an important role in the development of liver cancer. Most of the primary liver cancer is hepatocellular carcinoma (HCC), while the rest is intrahepatic cholangiocarcinoma (ICC). Imaging and laboratory tests are effective diagnostic methods for HCC. Hepatectomy is the most preferred treatment for liver cancer, followed by liver transplantation, local ablation, chemotherapy, targeted therapy, radiotherapy, immunotherapy, and natural compound therapy. Monitoring high-risk individuals with chronic hepatitis C and cirrhosis could facilitate better long-term outcomes for HCC patients. This paper analyzes the etiology, diagnosis, and treatment of liver cancer to provide the research perspective for future studies.
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