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预防医学  2019, Vol. 31 Issue (4): 363-366,370    DOI: 10.19485/j.cnki.issn2096-5087.2019.04.009
  综述 本期目录 | 过刊浏览 | 高级检索 |
乙肝肝硬化进展原发性肝癌的危险因素研究
焦娇1, 郭意男2, 章国君1, 应玲玲1 (综述), 叶卫江3(审校)
1.浙江中医药大学第一临床医学院,浙江 杭州 310053;
2.杭州市红十字会医院;
3.浙江中医药大学附属第一医院
Advance in research of risk factors for hepatitis B cirrhosis progressing to primary hepatic carcinoma
JIAO Jiao*, GUO Yi-nan, ZHANG Guo-jun, YING Ling-ling, YE Wei-jiang
*First Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou,Zhejiang 310053,China
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摘要 原发性肝癌(PHC)是全球导致死亡的第二大恶性肿瘤,患病率呈逐年上升趋势,严重危害人类健康和生命。慢性乙型病毒性肝炎(乙肝)被认为是PHC发病的独立危险因素,已进展为肝硬化的患者PHC发病率更高。本文 对1990—2018年国内外乙肝肝硬化进展为PHC危险因素的相关研究进行综述严重,乙肝病毒DNA水平、乙肝表面抗原水平、乙肝e抗原表达状态、抗病毒治疗时间、抗病毒药物、肝硬化严重程度、谷丙转氨酶水平和家族史是乙肝肝硬化发展为PHC的影响因素。
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焦娇
郭意男
章国君
应玲玲 (综述)
叶卫江(审校)
关键词 乙型肝炎肝硬化原发性肝癌危险因素    
Abstract:Primary hepatic carcinoma(PHC)is the second leading cancer that caused death in the world. The morbidity of PHC is increasing year by year,which threaten people's lives and health. Chronic hepatitis B is considered to be an independent risk factor for PHC,and the incidence of PHC is higher in patients who have progressed to liver cirrhosis. We reviewed the domestic and abroad literatures about the risk factors for hepatitis B cirrhosis progressing to PHC from the year of 1992 to 2018,and concluded that HBV-DNA,HBsAg,HBeAg expression,antiviral treatment time,different antiviral drugs,degree of cirrhosis,alanine transaminase and family history were related to the development of PHC from cirrhosis.
Key wordsHepatitis B    Cirrhosis    Primary hepatic carcinoma    Risk factor
收稿日期: 2018-11-11      修回日期: 2019-01-17      出版日期: 2019-04-02
中图分类号:  R512.6  
通信作者: 叶卫江,E-mail:ywjhzsh@hz.com   
作者简介: 焦娇,硕士在读,主要从事肝病临床研究工作
引用本文:   
焦娇, 郭意男, 章国君, 应玲玲 (综述), 叶卫江(审校). 乙肝肝硬化进展原发性肝癌的危险因素研究[J]. 预防医学, 2019, 31(4): 363-366,370.
JIAO Jiao, GUO Yi-nan, ZHANG Guo-jun, YING Ling-ling, YE Wei-jiang. Advance in research of risk factors for hepatitis B cirrhosis progressing to primary hepatic carcinoma. Preventive Medicine, 2019, 31(4): 363-366,370.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2019.04.009      或      http://www.zjyfyxzz.com/CN/Y2019/V31/I4/363
[1] LLOVET J M,ZUCMAN R J,PIKARSKY E,et al.Hepatocellular carcinoma[J].Nat Rev Dis Primers,2016,2(16018):123.
[2] 朱笑生,刘文超. 原发性肝癌全球流行情况和危险因素的新进展[J]. 现代肿瘤医学,2018,26(14):2297-2301.
[3] EL-SERAG H B. Epidemiology of viral hepatitis and hepatocellular carcinoma[J]. Gastroenterology,2012,142(6):1264-1273.
[4] RINGELHAN M,O'CONNOR T,PROTZER U,et al. The direct and indirect roles of HBV in liver cancer:prospective markers for HCC screening and potential therapeutic targets[J]. J Pathol, 2015,235(2):355-367.
[5] YIN J,LI N,HAN Y,et al.Effect of antiviral treatment with nucleotide/nucleoside analogs on postoperative prognosis of hepatitis B virus-related hepatocellular carcinoma:a two-stage longitudinal clinical study[J]. J Clin Oncol,2013,31(29):3647-3655.
[6] KWON J H,CHOI J Y,JANG J W,et al.Impact of serial hepatitis B Virus DNA on hepatocellular carcinoma development in patients with liver cirrhosis[J]. Intervirology,2010,53(2):111-118.
[7] LIN C W,LIN C C,MO L R,et al.Heavy alcohol consumption increases the incidence of hepatocellular carcinoma in hepatitis B virus-related cirrhosis[J]. J Hepatol,2013,58(4):730-735.
[8] ZHANG W,WANG X,WANG Y,et al.Effective viral suppression is necessary to reduce hepatocellular carcinoma development in cirrhotic patients with chronic hepatitis B:results of a 10-year follow up[J]. Medicine,2017,96(44):e8454.
[9] LUCIFORA J,XIA Y,REISINGER F,et al.Specific and nonhepatotoxic degradation of nuclear hepatitis B virus cccDNA[J]. Science,2014,343(6176):1221-1228.
[10] CHIEN J,LIU J,LEE M,et al.Risk and predictors of hepatocellular carcinoma for chronic hepatitis B patients with newly developed cirrhosis[J]. Journal of Gastroenterology and Hepatology,2016, 31(12):7.
[11] 谢龚峰,迟晶. 乙型肝炎病毒表面抗原定量与肝癌的关系探讨[J]. 胃肠病学和肝病学杂志,2013,22(8):812-814.
[12] 曾达武,董菁,陈丽红,等. 免疫清除期慢性乙型肝炎患者血清HBsAg水平与肝组织炎症分级及纤维化分期的关系[J]. 中华肝脏病杂志,2012,20(10):746-750.
[13] 杨柳青,林国莉,吴元凯,等.乙型肝炎肝硬化患者核苷(酸)类药物治疗期间新发肝癌的危险因素分析[J]. 中华临床感染病杂志,2012,5(1):28-32.
[14] 高蕊,刘中景,陈菲,等. 乙型肝炎相关性原发性肝癌相关危险因素的Logistic回归分析[J]. 临床肝胆病杂志,2014,30(4):370-372.
[15] KUROKAWA M,HIRAMATSU N,OZE T.Long-term effect of lamivudine treatment on the incidence of hepatocellular carcinoma in patients with hepatitis B virus infection[J]. J Gastroenterol,2012,47(5):577-585.
[16] KATO I,TOMINAGA S,IKARI A.The risk and predictive factors for developing liver cancer among patients with decompensated liver cirrhosis[J]. Japanese Journal of Clinical Oncology,1992,22(4):278-285.
[17] TREPO C,CHAN H L,LOK A.Hepatitis B virus infection[J]. Lancet,2014(384):2053-2063.
[18] LEE J,SINN D H,KIM J H,et al.Hepatocellular carcinoma risk of compensated cirrhosis patients with elevated hbv dna levels according to serum aminotransferase levels[J]. Journal of Korean Medical Science,2015,30(11):1618-1624.
[19] SINN D H,LEE J,GOO J,et al.Hepatocellular carcinoma risk in chronic hepatitis B virus-infected compensated cirrhosis patients with low viral load[J]. Hepatology,2015,62(3):694-701.
[20] TERRAULT N A,LOK A S,MCMAHON B J,et al.Update on prevention,diagnosis,and treatment and of chronic hepatitis B:AASLD 2018 hepatitis B guidance[J]. Hepatology,2018,67(4):1560-1599.
[21] European Association for the Study of the Liver. EASL 2017 clinical practice guidelines on the management of hepatitis B virus infection[J]. J Hepatol,2017,67(2):370-398.
[22] LEE J I,KIM Y S,et al.KASL clinical practice guidelines:management of hepatitis B[J]. Clinical and molecular hepatology,2016,22(1):76-139.
[23] DELANEY W E.Progress in the treatment of chronic hepatitis B:long-term experience with adefovir dipivoxil[J]. Journal of Antimicrob Chemother,2007,59(5):827-832.
[24] ZHANG Q Q,AN X,LIU Y H,et al.Long-term nucleos(t)ide analogues therapy for adults with chronic hepatitis B reduces the risk of long-term complications:a meta-analysis[J]. Journal of Hepatology,2011,8(1):1-11.
[25] SUN J,LI Y E,WANG Y N,et al.Comparison of anti-HBV regimen with or without adefovir on hepatocellular carcinoma development of chronic hepatitis B patients with compensated cirrhosis:a retrospective cohort study[J]. Infectious Agents and Cancer,2018,13(1):17.
[26] LIM Y S,HAN S,HEO N Y,et al.Mortality,liver transplantation,and hepatocellular carcinoma among patients with chronic hepatitis B treated with entecavirvs lamivudine[J]. Gastroenterology,2014,147(1):152-161.
[27] COMELL R C,GREENWAY H T,TUCKER S B,et al.Intralesional inter feron therapy for basal cell carcinoma[J]. J Am Acad Dermatol,1990,23(4):694-700.
[28] BONINO F,OLIVERI F,COLOMBATTO P,et al.Impact of interferon-alpha therapy on the development of hepatocellular carcinoma in patients with liver cirrhosis:results of an international survey[J]. Journal of Viral Hepatitis,1997,4(S2):79-82.
[29] HUANG K W,HUANG Y C,TAI K F,et al.Dual therapeutic effects of Interferon-α gene therapy in a rat hepatocellular carcinoma model with liver cirrhosis[J]. Molecular Therapy,2008,16(10):1681-1687.
[30] SHIM J J,OH C H,KIM J W,et al.Liver cirrhosis stages and the incidence of hepatocellular carcinoma in chronic hepatitis B patients receiving antiviral therapy[J]. Scandinavian Journal of Gastroenterology,2017,52(9):1-8.
[31] 邵帅. 血清前白蛋白、总胆汁酸、凝血指标、血小板参数联合检测在肝硬化患者中的相关性分析[J]. 中国医药指南,2017,15(19):114.
[32] BRICHLER S,NAHON P,ZOULIM F,et al.Non-virological factors are drivers of hepatocellular carcinoma in virosuppressed hepatitis B cirrhosis:results of ANRS CO12 CirVir cohort[J]. J Viral Hepat,2019:1-13.
[33] KIM E J,YEON J E,KWON O S,et al.Rapid alanine aminotransferase normalization with entecavir and hepatocellular carcinoma in hepatitis B virus-associated cirrhosis[J]. Digestive Diseases and Sciences,2017,62(3):808-816.
[34] ZECHINI B,PASQUAZZI C,ACETI A.Correlation of serum aminotranserases with HCV RNA levels and histological findings in patients with chronic hepatitis C:the role of serum aspartate transaminase in the evaluation of disease progression[J]. Eur J Gastroenterol Hepatol,2004,16(9):891-896.
[35] YANG H I,YEH S H,CHEN P J,et al.Associations between hepatitis B virus genotype and mutants and the risk of hepatocellular carcinoma[J]. J Natl Cancer Inst,2008(100):1134-1143.
[36] SINGAL A K,SALAMEH H,KUO Y F,et al.Meta-analysis:the impact of oral anti-viral agents on the incidence of hepatocellular carcinoma in chronic hepatitis B[J]. Aliment Pharmacol Ther,2013(38):98-106.
[37] CHEN C F,LEE W C,YANG H I,et al.Changes in serum levels of HBV DNA and alanine aminotransferase determine risk for hepatocellular carcinoma[J]. Gastroenterology,2011(141):1240-1248.
[38] TURATI F,EDEFONTI V,TALAMINI R,et al.Family history of liver cancer and hepatocellular carcinoma[J]. Hepatology,2012, 55(5):1416-1425.
[39] LI Y,ZHANG Z,SHI J,et al.Risk factors for naturally-occurring early-onset hepatocellular carcinoma in patients with HBV-associated liver cirrhosis in China[J]. Int J Clin Exp Med,2015,8(1):1205-1212.
[40] 张原青,彭利军,曹忆嵘,等.慢性乙型肝炎肝硬化患者发生肝细胞癌的危险因素分析[J].中华肝脏病杂志,2015,23(7):512-516.
[41] 谭盛葵,仇小强. 原发性肝癌危险因素研究新进展[J]. 现代预防医学,2007,34(5):844-849.
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