HCPLive Network

Early Detection and Treatment is the Key to Increasing Survival in Patients with Liver Cancer

 
Detecting and treating liver cancer at its earlier stages will require a better system of surveillance and testing, said Hashem El-Serag, MD, professor of medicine and chief of the gastroenterology and hepatology section at Baylor College of Medicine during a presentation at a joint conference of the American Gastroenterological Association and the American Society for Gastrointestinal Endoscopy in Coronado, California.
 
Hepatocellar carcinoma (HCC) is the fastest rising cause of cancer-related deaths in the United States, said El-Serag. The incidence has tripled over the past 20 years.
 
“Survival really remains dismal” he said, noting that only about 10 percent of people diagnosed with the disease live longer than five years.
 
Given this stark reality, one way to attack the high mortality rate of liver cancer is to do a better job of implementing a system of surveillance and testing that could lead to early detection, said El-Serag. There are several stages along the way from healthy liver to malignant transformation that offer opportunities for detection and intervention.
 
“We know most of the risk factors. Hepatitis B accounts for two-thirds of all cases worldwide. Hepatitis C accounts for half of the cases in this country, and alcohol accounts for a very low proportion,” said El-Serag.


Further Reading
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More Reading
Atherosclerotic internal carotid artery disease is a major contributor to ischemic stroke. Surgeons use a combination of carotid artery and brain imaging to determine if patients have symptomatic carotid stenosis. However, there remains widespread disagreement on the threshold, timing, and best technical approach to carotid revascularization in symptomatic patients.