Pitfalls in surveillance for hepatocellular carcinoma: How successful is it in the real world?

Surveillance for hepatocellular carcinoma (HCC) with ultrasound in high-risk populations is generally believed to improve opportunities for treatment. However, tumors are still missed due to various factors. This study explores success versus failure of HCC surveillance. This is a retrospective stud...

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Veröffentlicht in:	Clinical and molecular hepatology 2017, 23(3), , pp.239-248
Hauptverfasser:	Wong, Linda L, Reyes, Ruel J, Kwee, Sandi A, Hernandez, Brenda Y, Kalathil, Sumodh C, Tsai, Naoky C
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Age Factors Aged Aged, 80 and over alpha-Fetoproteins - analysis Ascites Body Mass Index Carcinoma Carcinoma, Hepatocellular - complications Carcinoma, Hepatocellular - diagnostic imaging Carcinoma, Hepatocellular - pathology Creatinine Diabetes Early Detection of Cancer Ethnicity Female Hepatitis B Hepatitis C Hepatocellular Humans Hyperlipidemia Hyperlipidemias - complications Islands Liver cancer Liver cirrhosis Liver Cirrhosis - complications Liver diseases Liver Neoplasms - diagnostic imaging Liver Neoplasms - pathology Magnetic Resonance Imaging Male Medical history Medical imaging Medical referrals Middle Aged Original Pacific Islander people Patients Performance evaluation Physicians Population Surveillance Retrospective Studies Risk Factors Smoking - epidemiology Surveillance Tumors Ultrasonic imaging Ultrasonography 내과학
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Zusammenfassung:	Surveillance for hepatocellular carcinoma (HCC) with ultrasound in high-risk populations is generally believed to improve opportunities for treatment. However, tumors are still missed due to various factors. This study explores success versus failure of HCC surveillance. This is a retrospective study of 1,125 HCC cases. Categories considered for successful detection were largest tumor ≤3.0 cm, single tumors ≤3.0 cm and ≤2.0 cm, and adherence to Milan criteria. Examined factors were age
ISSN:	2287-2728 2287-285X
DOI:	10.3350/cmh.2017.0008