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Semiannual Imaging Surveillance Is Associated with Better Survival in Patients with Non-B, Non-C Hepatocellular Carcinoma

Since it remains elusive whether and how the imaging surveillance affects the survival in patients with non-B, non-C hepatocellular carcinoma (NBNC-HCC), we conducted this retrospective study which investigated the association between the semiannual surveillance prior to HCC diagnosis and the surviv...

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Main Authors: Kuniaki Shindo (Author), Shinya Maekawa (Author), Nobutoshi Komatsu (Author), Akihisa Tatsumi (Author), Mika Miura (Author), Mitsuaki Sato (Author), Yuichiro Suzuki (Author), Shuya Matsuda (Author), Masaru Muraoka (Author), Fumitake Amemiya (Author), Mitsuharu Fukasawa (Author), Tatsuya Yamaguchi (Author), Yasuhiro Nakayama (Author), Tomoyoshi Uetake (Author), Taisuke Inoue (Author), Minoru Sakamoto (Author), Tadashi Sato (Author), Nobuyuki Enomoto (Author)
Format: Book
Published: Hindawi Limited, 2015-01-01T00:00:00Z.
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Summary:Since it remains elusive whether and how the imaging surveillance affects the survival in patients with non-B, non-C hepatocellular carcinoma (NBNC-HCC), we conducted this retrospective study which investigated the association between the semiannual surveillance prior to HCC diagnosis and the survival in patients with the initial diagnosis of HCC induced by hepatitis B virus (HBV) and/or hepatitis C virus (HCV) infections (N=141) and non-B, non-C etiology (N=30). It was demonstrated that surveillance was less frequently performed in the NBNC-HCC patients compared to that in HCC patients with HBV and/or HCV infections (B/C-HCC patients), and the survival was unfavorable in NBNC-HCC patients. On the other hand, the survival of NBNC-HCC patients with semiannual surveillance was significantly favorable than those patients without semiannual surveillance, and the survival was similar between B/C-HCCs and NBNC-HCCs with semiannual surveillance. In conclusion, though NBNC-HCC patients compared to B/C-HCC patients had poorer prognosis overall, these NBNC-HCC patients with semiannual surveillance had a better survival almost equivalent to the survival of B/C-HCC patients with semiannual surveillance, demonstrating the clinical utility of the semiannual imaging surveillance program for NBNC-HCCs.
Item Description:0962-9351
1466-1861
10.1155/2015/687484

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