Family history influences the early onset of hepatocellular carcinoma

AIM: To evaluate the relationship between a positive family history of primary liver cancer and hepatocellular carcinoma (HCC) development in Korean HCC patients. METHODS: We studied a total of 2242 patients diagnosed with HCC between January 1990 and July 2008, whose family history of primary liver...

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Veröffentlicht in:World journal of gastroenterology : WJG 2012-06, Vol.18 (21), p.2661-2667
Hauptverfasser: Park, Chung-Hwa, Jeong, Seung-Hee, Yim, Hyeon-Woo, Kim, Jin Dong, Bae, Si Hyun, Choi, Jong Young, Yoon, Seung Kew
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container_end_page 2667
container_issue 21
container_start_page 2661
container_title World journal of gastroenterology : WJG
container_volume 18
creator Park, Chung-Hwa
Jeong, Seung-Hee
Yim, Hyeon-Woo
Kim, Jin Dong
Bae, Si Hyun
Choi, Jong Young
Yoon, Seung Kew
description AIM: To evaluate the relationship between a positive family history of primary liver cancer and hepatocellular carcinoma (HCC) development in Korean HCC patients. METHODS: We studied a total of 2242 patients diagnosed with HCC between January 1990 and July 2008, whose family history of primary liver cancer was clearly described in the medical records.positive family history of HCC and 2077 (92.6%) did not. The male to female ratio was 3.6:1, and the major causes of HCC were chronic hepatitis B virus (HBV) infection in 75.1%, chronic hepatitis C virus infection in 13.2% and alcohol in 3.1%. The median ages at diag- nosis in the positiveand negative-history groups were 52 years (range: 29-79 years) and 57 years (range: 18-89 years), respectively (P 〈 0.0001). Furthermore, among 1713 HCC patients with HBV infection, the number of patients under 45 years of age out of 136 patients with positive family history was 26 (19.1%), whereas those out of 1577 patients with negative family history was 197 (12.5%), suggesting that a positive family history may be associated with earlier development of HCC in the Korean population (P = 0.0028). CONCLUSION: More intensive surveillance maybe recommended to those with a positive family history of HCC for earlier diagnosis and proper management especially when HBV infection is present.
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METHODS: We studied a total of 2242 patients diagnosed with HCC between January 1990 and July 2008, whose family history of primary liver cancer was clearly described in the medical records.positive family history of HCC and 2077 (92.6%) did not. The male to female ratio was 3.6:1, and the major causes of HCC were chronic hepatitis B virus (HBV) infection in 75.1%, chronic hepatitis C virus infection in 13.2% and alcohol in 3.1%. The median ages at diag- nosis in the positiveand negative-history groups were 52 years (range: 29-79 years) and 57 years (range: 18-89 years), respectively (P 〈 0.0001). Furthermore, among 1713 HCC patients with HBV infection, the number of patients under 45 years of age out of 136 patients with positive family history was 26 (19.1%), whereas those out of 1577 patients with negative family history was 197 (12.5%), suggesting that a positive family history may be associated with earlier development of HCC in the Korean population (P = 0.0028). CONCLUSION: More intensive surveillance maybe recommended to those with a positive family history of HCC for earlier diagnosis and proper management especially when HBV infection is present.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v18.i21.2661</identifier><identifier>PMID: 22690075</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Co., Limited</publisher><subject>Adolescent ; Adult ; Age of Onset ; Aged ; Aged, 80 and over ; Alcoholism - complications ; Brief ; Carcinoma, Hepatocellular - diagnosis ; Carcinoma, Hepatocellular - ethnology ; Carcinoma, Hepatocellular - genetics ; Family Health ; Female ; Genetic Predisposition to Disease ; Hepatitis B, Chronic - complications ; Hepatitis C, Chronic - complications ; Humans ; Korea ; Liver Neoplasms - diagnosis ; Liver Neoplasms - ethnology ; Liver Neoplasms - genetics ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; 丙型肝炎 ; 乙型肝炎病毒 ; 原发性肝癌 ; 发病 ; 家族史 ; 早期诊断 ; 病毒感染 ; 肝细胞癌</subject><ispartof>World journal of gastroenterology : WJG, 2012-06, Vol.18 (21), p.2661-2667</ispartof><rights>2012 Baishideng Publishing Group Co., Limited. All rights reserved. 2012</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4031-f5bbb6dc8a6d20507340da72fa27890c58834fe905258ad21ca04381a3af37393</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3370003/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3370003/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22690075$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Chung-Hwa</creatorcontrib><creatorcontrib>Jeong, Seung-Hee</creatorcontrib><creatorcontrib>Yim, Hyeon-Woo</creatorcontrib><creatorcontrib>Kim, Jin Dong</creatorcontrib><creatorcontrib>Bae, Si Hyun</creatorcontrib><creatorcontrib>Choi, Jong Young</creatorcontrib><creatorcontrib>Yoon, Seung Kew</creatorcontrib><title>Family history influences the early onset of hepatocellular carcinoma</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>AIM: To evaluate the relationship between a positive family history of primary liver cancer and hepatocellular carcinoma (HCC) development in Korean HCC patients. METHODS: We studied a total of 2242 patients diagnosed with HCC between January 1990 and July 2008, whose family history of primary liver cancer was clearly described in the medical records.positive family history of HCC and 2077 (92.6%) did not. The male to female ratio was 3.6:1, and the major causes of HCC were chronic hepatitis B virus (HBV) infection in 75.1%, chronic hepatitis C virus infection in 13.2% and alcohol in 3.1%. The median ages at diag- nosis in the positiveand negative-history groups were 52 years (range: 29-79 years) and 57 years (range: 18-89 years), respectively (P 〈 0.0001). Furthermore, among 1713 HCC patients with HBV infection, the number of patients under 45 years of age out of 136 patients with positive family history was 26 (19.1%), whereas those out of 1577 patients with negative family history was 197 (12.5%), suggesting that a positive family history may be associated with earlier development of HCC in the Korean population (P = 0.0028). CONCLUSION: More intensive surveillance maybe recommended to those with a positive family history of HCC for earlier diagnosis and proper management especially when HBV infection is present.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age of Onset</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alcoholism - complications</subject><subject>Brief</subject><subject>Carcinoma, Hepatocellular - diagnosis</subject><subject>Carcinoma, Hepatocellular - ethnology</subject><subject>Carcinoma, Hepatocellular - genetics</subject><subject>Family Health</subject><subject>Female</subject><subject>Genetic Predisposition to Disease</subject><subject>Hepatitis B, Chronic - complications</subject><subject>Hepatitis C, Chronic - complications</subject><subject>Humans</subject><subject>Korea</subject><subject>Liver Neoplasms - diagnosis</subject><subject>Liver Neoplasms - ethnology</subject><subject>Liver Neoplasms - genetics</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>丙型肝炎</subject><subject>乙型肝炎病毒</subject><subject>原发性肝癌</subject><subject>发病</subject><subject>家族史</subject><subject>早期诊断</subject><subject>病毒感染</subject><subject>肝细胞癌</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkM9LwzAYhoMobk7vnqT-Aa1fkv5IL4KMTYWBFz2Hr2naZrTNTLvJ_nszpkMv-Q7v-z6Bh5BbChHPYvHwta6jHRWRYTRiaUrPyJQxmodMxHBOphQgC3POsgm5GoY1AOM8YZdkwlia-yyZksUSO9Pug8YMo3X7wPRVu9W90kMwNjrQ6Hxo-0GPga2CRm9wtEq37bZFFyh0yvS2w2tyUWE76JufOyMfy8X7_CVcvT2_zp9WoYqB07BKiqJISyUwLRkkkPEYSsxYhSwTOahECB5XOoeEJQJLRhVCzAVFjhXPeM5n5PHI3WyLTpdK96PDVm6c6dDtpUUj_ye9aWRtd5LzDAC4B8ARoJwdBqer05aCPCiVXqn0SqVXKg9K_eTu75-nwa9DX7j_YTa2rz9NX586MeO-5d9voEOABQ</recordid><startdate>20120607</startdate><enddate>20120607</enddate><creator>Park, Chung-Hwa</creator><creator>Jeong, Seung-Hee</creator><creator>Yim, Hyeon-Woo</creator><creator>Kim, Jin Dong</creator><creator>Bae, Si Hyun</creator><creator>Choi, Jong Young</creator><creator>Yoon, Seung Kew</creator><general>Baishideng Publishing Group Co., Limited</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20120607</creationdate><title>Family history influences the early onset of hepatocellular carcinoma</title><author>Park, Chung-Hwa ; 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METHODS: We studied a total of 2242 patients diagnosed with HCC between January 1990 and July 2008, whose family history of primary liver cancer was clearly described in the medical records.positive family history of HCC and 2077 (92.6%) did not. The male to female ratio was 3.6:1, and the major causes of HCC were chronic hepatitis B virus (HBV) infection in 75.1%, chronic hepatitis C virus infection in 13.2% and alcohol in 3.1%. The median ages at diag- nosis in the positiveand negative-history groups were 52 years (range: 29-79 years) and 57 years (range: 18-89 years), respectively (P 〈 0.0001). Furthermore, among 1713 HCC patients with HBV infection, the number of patients under 45 years of age out of 136 patients with positive family history was 26 (19.1%), whereas those out of 1577 patients with negative family history was 197 (12.5%), suggesting that a positive family history may be associated with earlier development of HCC in the Korean population (P = 0.0028). CONCLUSION: More intensive surveillance maybe recommended to those with a positive family history of HCC for earlier diagnosis and proper management especially when HBV infection is present.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Co., Limited</pub><pmid>22690075</pmid><doi>10.3748/wjg.v18.i21.2661</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Age of Onset
Aged
Aged, 80 and over
Alcoholism - complications
Brief
Carcinoma, Hepatocellular - diagnosis
Carcinoma, Hepatocellular - ethnology
Carcinoma, Hepatocellular - genetics
Family Health
Female
Genetic Predisposition to Disease
Hepatitis B, Chronic - complications
Hepatitis C, Chronic - complications
Humans
Korea
Liver Neoplasms - diagnosis
Liver Neoplasms - ethnology
Liver Neoplasms - genetics
Male
Middle Aged
Retrospective Studies
Risk Factors
丙型肝炎
乙型肝炎病毒
原发性肝癌
发病
家族史
早期诊断
病毒感染
肝细胞癌
title Family history influences the early onset of hepatocellular carcinoma
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