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Hepatocellular carcinoma

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989:(RFA) uses high-frequency radio waves to destroy tumors by local heating. The electrodes are inserted into the liver tumor under ultrasound guidance using percutaneous, laparoscopic or open surgical approach. It is suitable for small tumors 2 centimeters or less. RFA may be used in those with stage 0 or A disease, especially in those who are not candidates for resection. RFA has the best outcomes in patients with a solitary tumor less than 4 cm. Since it is a local treatment and has minimal effect on normal healthy tissue, it can be repeated multiple times. Survival is better for those with smaller tumors. In one series of 302 patients, the three-year survival rates for lesions >5 cm, 2.1 to 5 cm, and ≤2 cm were 59, 74, and 91%, respectively. A large randomized trial comparing surgical resection and RFA for small HCC showed similar four-year survival and less morbidities for patients treated with RFA. Ablation methods (usually RF ablation) or arterial based treatments may be used on those awaiting liver transplantation to lower tumor burden (Milan score) and improve treatment response. It may also be used to reduce tumor burden making one eligible for liver transplantation. 709: 721: 697: 1019:) mixed with a radio-opaque contrast (e.g. Lipiodol) and an embolic agent (e.g. Gelfoam) into the right or left hepatic artery via the groin artery. The goal of the procedure is to restrict the tumor's vascular supply while supplying a targeted chemotherapeutic agent. TACE has been shown to increase survival and to downstage HCC in patients who exceed the Milan criteria for liver transplant. Patients who undergo the procedure are followed with CT scans and may need additional TACE procedures if the tumor persists. The median survival after TACE is 26–40 months with a tumor response rate of approximately 52%. Combining TACE with systemic therapy ( 1301: 588: 1210: 371:
control or on treatments that elevate their insulin output (both states that contribute to a higher circulating insulin concentration) show far greater risk of hepatocellular carcinoma than diabetics on treatments that reduce circulating insulin concentration. On this note, some diabetics who engage in tight insulin control (by keeping it from being elevated) show risk levels low enough to be indistinguishable from the general population. This phenomenon is thus not isolated to diabetes mellitus type 2, since poor insulin regulation is also found in other conditions such as
644: 1394:) and tyrosinemia type I are risk factors for hepatocellular carcinoma. The diagnosis of an acute hepatic porphyria (AIP, HCP, VP) should be sought in patients with HCC without typical risk factors of hepatitis B or C, alcoholic liver cirrhosis, or hemochromatosis. Both active and latent genetic carriers of acute hepatic porphyrias are at risk for this cancer, although latent genetic carriers have developed the cancer at a later age than those with classic symptoms. Patients with acute hepatic porphyrias should be monitored for HCC. 1371:(spread) from tumors which originate elsewhere in the body. Among cancers that originate from liver tissue, HCC is the most common primary liver cancer. In the United States, the US surveillance, epidemiology, and end results database program, shows that HCC accounts for 65% of all cases of liver cancers. As screening programs are in place for high-risk persons with chronic liver disease, HCC is often discovered much earlier in Western countries than in developing regions such as sub-Saharan Africa. 1166:(PVE): This technique is sometimes used to increase the volume of healthy liver, in order to improve chances of survival following surgical removal of diseased liver. For example, embolization of the right main portal vein would result in compensatory hypertrophy of the left lobe, which may qualify the patient for a partial hepatectomy. Embolization is performed by an interventional radiologist using a percutaneous transhepatic approach. This procedure can also serve as a bridge to transplant. 48: 542:
surrounding liver parenchyma. A systematic review found that the sensitivity was 60% and specificity was 97% as compared with pathologic examination of an explanted or resected liver as the reference standard. The sensitivity increases to 79% with AFP correlation. Hepatic nodules that are less than 1 centimeter in size on surveillance ultrasound require serial imaging to ensure stability and to monitor for potential transformation to HCC.
939: 236:, risk factors generally include factors which cause chronic liver disease that may lead to cirrhosis. Certain risk factors are more highly associated with HCC than others. For example, while heavy alcohol consumption is estimated to cause 60–70% of cirrhosis, the vast majority of HCC occurs in cirrhosis attributed to viral hepatitis (although there may be overlap). Recognized risk factors include: 977:
before the transplant, the medication effectively increases the rate of disease progression and decreases survival. Liver transplantation can be a curative approach for patients with advanced HCC without extrahepatic metastasis. Among patients with compensated cirrhosis, transplantation is not associated with improved survival compared to hepatectomy, but instead is significantly more expensive.
635:(LI-RADS) is a classification system for the reporting of liver lesions detected on CT and MRI. Radiologists use this standardized system to report on suspicious lesions and to provide an estimated likelihood of malignancy. Categories range from LI-RADS (LR) 1 to 5, in order of concern for cancer. A biopsy is not needed to confirm the diagnosis of HCC if certain imaging criteria are met. 618:
compared to ultrasound and CT in cirrhotic patients with whom it can be difficult to differentiate HCC from regenerative nodules. A systematic review found that the sensitivity was 81% (95% CI 70–91%) and specificity was 85% (95% CI 77–93%) compared with pathologic examination of an explanted or resected liver as the reference standard. The sensitivity is further increased if
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transmission in different populations – infection at or around birth predispose to earlier cancers than if people are infected later. The time between hepatitis B infection and development into HCC can be years, even decades, but from diagnosis of HCC to death, the average survival period is only 5.9 months according to one Chinese study during the 1970-80s, or 3 months (
336:, may sometimes be associated with coexisting malignant HCC. Evidence is limited for the true incidence of malignancy associated with benign adenomas; however, the size of hepatic adenoma is considered to correspond to risk of malignancy and so larger tumors may be surgically removed. Certain subtypes of adenoma, particularly those with 916:"Downstaging" intention: for moderately advanced disease which has not spread beyond the liver, but is too advanced to qualify for curative treatment. The person may be treated by targeted therapies in order to reduce the size or number of active tumors, with the goal of once again qualifying for liver transplant after this treatment. 973:
after liver transplantation range from 60-60% with a 50% survival rate at 10 years. The risk of HCC recurrence after liver transplantation is less than 15%. Macrovascular or extrahepatic spread (spread of the cancer to blood vessels or outside the liver, respectively) are contraindications to liver transplantation.
968:, replacing the diseased liver with a cadaveric or a living donor liver, plays an increasing role in treatment of HCC. Although outcomes following liver transplant were initially poor (20%–36% survival rate), outcomes have significantly improved with improvement in surgical techniques and adoption of the 1037:(Y-90) incorporated into embolic microspheres that lodge in the tumor vasculature, causing ischemia and delivering their radiation dose directly to the lesion with the intention of sparing the surrounding liver. Based on limited evidence, SIRT has similar efficacy to TACE. Two products are available, 744:
A number of staging classifications for HCC are available. However, due to the unique nature of the carcinoma to fully encompass all the features that affect the categorization of the HCC, a classification system should incorporate tumor size and number, presence of vascular invasion and extrahepatic
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in multiple phases of hepatic perfusion to improve detection and accurate classification of any liver lesions. Due to the characteristic blood flow pattern of HCC tumors, a specific perfusion pattern of any detected liver lesion may conclusively detect an HCC tumor. Alternatively, the scan may detect
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Stepien M, Lopez-Nogueroles M, Lahoz A, Kühn T, Perlemuter G, Voican C, Ciocan D, Boutron-Ruault MC, Jansen E, Viallon V, Leitzmann M, Tjønneland A, Severi G, Mancini FR, Dong C, Kaaks R, Fortner RT, Bergmann MM, Boeing H, Trichopoulou A, Karakatsani A, Peppa E, Palli D, Krogh V, Tumino R, Sacerdote
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designation as a treatment during chemotherapy for HCC. It is a thapsigargin-based prodrug with cytotoxic activity used to reduce blood flow to the tumor during treatment. Results from Phase 2 trial recommended G-202 as a first-in-class PSMA-targeted prodrug and that it move to clinical trials.
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at transplantation centers. Expanded Shanghai criteria in China have resulted in overall survival and disease-free survival rates similar to those achieved using the Milan criteria. Studies from the late 2000s obtained higher survival rates ranging from 67% to 91%. Other estimates of 5 year survival
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and other higher income countries is increasing due to an increase in hepatitis C virus infections. The incidence of HCC due to NASH has also risen sharply in the past 20 years, with NASH being the fastest growing cause of HCC. This is thought to be due to an increased prevalence of NASH, as well as
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Based on the known association of NAFLD with IR and MS, approximately two-thirds of the patients were obese and/or diabetic, 4 and a remarkable 25% of these patients had no cirrhosis... Therefore, it is particularly worrying that the most persuasive evidence for an association between NAFLD and HCC
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Dyson, Jessica; Jaques, Bryan; Chattopadyhay, Dipankar; Lochan, Rajiv; Graham, Janine; Das, Debasish; Aslam, Tahira; Patanwala, Imran; Gaggar, Sameer; Cole, Michael; Sumpter, Kate; Stewart, Stephen; Rose, John; Hudson, Mark; Manas, Derek; Reeves, Helen L. (January 2014). "Hepatocellular cancer: The
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The risks of liver transplantation extend beyond risk of the procedure itself. The immunosuppressive medication required after surgery to prevent rejection of the donor liver also impairs the body's natural ability to combat dysfunctional cells. If the tumor has spread undetected outside the liver
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However, MRI has the advantage of delivering high-resolution images of the liver without ionizing radiation. HCC appears as a high-intensity pattern on T2-weighted images and a low-intensity pattern on T1-weighted images. The advantage of MRI is that it has improved sensitivity and specificity when
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A systematic review of CT diagnosis found that the sensitivity was 68% (95% CI 55–80%) and specificity was 93% (95% CI 89–96%) compared with pathologic examination of an explanted or resected liver as the reference standard. With triple-phase helical CT, the sensitivity was 90% or higher, but these
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Controversy remains as to the most effective screening protocols. For example, while some data support decreased mortality related to screening people with hepatitis B infection, the AASLD notes, “There are no randomized trials in Western populations with cirrhosis secondary to chronic hepatitis C
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The incidence of HCC is relatively lower in the Western Hemisphere than in Eastern Asia. However, despite the statistics being low, the diagnosis of HCC has increased since the 1980s and it is continuing to increase, making it one of the rising causes of death due to cancer. The common risk factor
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of the tumor is associated with better cancer prognosis, but only 5–15% of patients are suitable for surgical resection due to the extent of disease or poor liver function. Surgery is only considered if the entire tumor can be safely removed while preserving sufficient functional liver to maintain
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Macroscopically, liver cancer appears as a nodular or infiltrative tumor. The nodular type may be solitary (large mass) or multiple (when developed as a complication of cirrhosis). Tumor nodules are round to oval, gray or green (if the tumor produces bile), well circumscribed but not encapsulated.
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The usual outcome is poor because only 10–20% of hepatocellular carcinomas can be removed completely using surgery. If the cancer cannot be completely removed, the disease is usually deadly within 3 to 6 months. This is partially due to late presentation with tumors, but also the lack of medical
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Loco-regional therapy (also referred to as liver-directed therapy) refers to any one of several minimally-invasive treatment techniques to focally target HCC within the liver. These procedures are alternatives to surgery, and may be considered in combination with other strategies, such as a later
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Curative intention: for limited disease, when the cancer is limited to one or more areas of within the liver, surgically removing the malignant cells may be curative. This may be accomplished by resection the affected portion of the liver (partial hepatectomy) or in some cases by orthotopic liver
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Recent studies in our laboratory have identified several potential factors that may contribute to the pathogenesis of HCC...For example, oxyradical overload diseases such as Wilson disease and hemochromatosis result in the generation of oxygen/nitrogen species that can cause mutations in the p53
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HCC remains associated with a high mortality rate, in part because initial diagnosis commonly occurs at an advanced stage of disease. As with other cancers, outcomes are significantly improved if treatment is initiated earlier in the disease process. Since the vast majority of HCC cases occur in
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The risk of hepatocellular carcinoma in type 2 diabetics is greater (from 2.5 to 7.1 times the nondiabetic risk) depending on the duration of diabetes and treatment protocol. A suspected contributor to this increased risk is circulating insulin concentration such that diabetics with poor insulin
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HCC most commonly occurs in those with chronic liver disease especially those with cirrhosis or fibrosis, which occur in the setting of chronic liver injury and inflammation. HCC is rare in those without chronic liver disease. Chronic liver diseases which greatly increase the risk of HCC include
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The significance of these risk factors varies globally. In regions where hepatitis B infection is endemic, such as southeast China, hepatitis B is the predominant cause. In populations largely protected by hepatitis B vaccination, such as the United States, HCC is most often linked to causes of
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Diabetes appears to increase the risk of HCC, and such risk is correlated with a long duration of diabetes. Relying on dietary control and treatment with sulfonylureas or insulin were found to confer the highest magnitude of HCC risk, whereas treatment with biguanides or thiazolidinediones was
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assessment is critical to determine both the extent of HCC and to estimate the amount of residual liver remaining after surgery. To maintain liver function, residual liver volume should exceed 25% of total liver volume in a noncirrhotic liver, greater than 40% in a cirrhotic liver. Surgery on
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On ultrasound, HCC often appears as a small hypoechoic lesion with poorly defined margins and coarse, irregular internal echoes. When the tumor grows, it can sometimes appear heterogeneous with fibrosis, fatty change, and calcifications. This heterogeneity can look similar to cirrhosis and the
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is a technique used to destroy the tumor using cold temperatures. The tumor is not removed and the destroyed cancer is left to be reabsorbed by the body. Initial results in properly selected patients with unresectable liver tumors are equivalent to those of resection. Cryosurgery involves the
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Our study confirms that type 2 diabetes mellitus is an independent risk factor for HCC and pre-exists in the majority of HCC patients. Moreover, in male patients with type 2 diabetes mellitus, our data shows a direct association of HCC with insulin and sulphanylureas treatment and an inverse
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In some parts of the world, such as sub-Saharan Africa and Southeast Asia, HCC is the most common cancer, generally affecting men more than women, and with an age of onset between the late teens and 30s. This variability is in part due to the different patterns of hepatitis B and hepatitis C
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While this constant cycle of damage followed by repair can lead to mistakes during repair, which in turn lead to carcinogenesis, this hypothesis is more applicable, at present, to hepatitis C. Chronic hepatitis C causes HCC through the stage of cirrhosis. In chronic hepatitis B, however, the
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The majority of 'cryptogenic' HCC in the United States is attributed to nonalcoholic fatty liver disease (NAFLD), a hepatic manifestation of the metabolic syndrome... It is predicted that metabolic syndrome will lead to large increases in the incidence of HCC over the next decades. A better
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Bruix, J; Qin, S; Merle, P; Granito, A; Huang, YH; Bodoky, G; Pracht, M; Yokosuka, O; Rosmorduc, O; Breder, V; Gerolami, R; Masi, G; Ross, PJ; Song, T; Bronowicki, JP; Ollivier-Hourmand, I; Kudo, M; Cheng, AL; Llovet, JM; Finn, RS; LeBerre, MA; Baumhauer, A; Meinhardt, G; Han, G; RESORCE,
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in the treatment of hepatocellular carcinoma has evolved as technological advancements in treatment delivery and imaging have provided a means for safe and effective radiotherapy delivery in a wide spectrum of HCC patients. In metastatic cases, radiotherapy can be used for palliative
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C, Panico S, Bueno-de-Mesquita HB, Skeie G, Merino S, Ros RZ, Sánchez MJ, Amiano P, Huerta JM, Barricarte A, Sjöberg K, Ohlsson B, Nyström H, Werner M, Perez-Cornago A, Schmidt JA, Freisling H, Scalbert A, Weiderpass E, Christakoudi S, Gunter MJ, Jenab M (April 2022).
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As copper has been shown to protect against chemically induced hepatocellular carcinoma in rats, this may be the reason for the extreme rarity of hepatocellular carcinoma in patients with Wilson's disease and possibly in other liver diseases with hepatic copper
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Malignant transformation to HCC from a pre-existing hepatic adenoma confirmed by immunohistochemical study has previously not been reported in athletes taking anabolic steroids. Further studies using screening programmes to identify high-risk individuals are
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Cheng AL, Kang YK, Chen Z, Tsao CJ, Qin S, Kim JS, et al. (January 2009). "Efficacy and safety of sorafenib in patients in the Asia-Pacific region with advanced hepatocellular carcinoma: a phase III randomised, double-blind, placebo-controlled trial".
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placement of a stainless steel probe into the center of the tumor and freezing the tumor using liquid nitrogen. Frequently, cryosurgery is used in conjunction with liver resection, as some of the tumors are removed while others are treated with cryosurgery.
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Inhibition of IGF-1R tyrosine kinase (IGF-1R-TK) by NVP-AEW541 induces growth inhibition, apoptosis and cell cycle arrest in human HCC cell lines without accompanying cytotoxicity. Thus, IGF-1R-TK inhibition may be a promising novel treatment approach in
538:(AFP). Elevated levels of AFP are associated with active HCC disease, though their reliability can be inconsistent. At levels >20, sensitivity is 41–65% and specificity is 80–94%. However, at levels >200, sensitivity is 31% and specificity is 99%. 4374:
Kooby DA, Egnatashvili V, Srinivasan S, Chamsuddin A, Delman KA, Kauh J, et al. (February 2010). "Comparison of yttrium-90 radioembolization and transcatheter arterial chemoembolization for the treatment of unresectable hepatocellular carcinoma".
1446:. These miniaturized organoid 'avatars' of a patient's tumor recapitulate several features of the original tumor, rendering them an attractive model for drug-sensitivity testing and precision medicine for HCC and other types of primary liver cancer. 682:(giant cell), and clear cell. In well-differentiated forms, tumor cells resemble hepatocytes, form trabeculae, cords, and nests, and may contain bile pigment in the cytoplasm. In poorly differentiated forms, malignant epithelial cells are discohesive, 4312:
Yamamoto J, Okada S, Shimada K, Okusaka T, Yamasaki S, Ueno H, Kosuge T (October 2001). "Treatment strategy for small hepatocellular carcinoma: comparison of long-term results after percutaneous ethanol injection therapy and surgical resection".
3710:"WHO aims at controlling HBV worldwide to decrease the incidence of HBV-related chronic liver disease, cirrhosis, and hepatocellular carcinoma. by integrating HB vaccination into routine infant (and possibly adolescent) immunization programs." 175:
Most cases of HCC occur in people who already have signs and symptoms of chronic liver disease. They may present with worsening symptoms or without symptoms at the time of cancer detection. HCC may present with non-specific symptoms such as
446:) promoter are seen in 47-60% of HCC cases. The HBV genome commonly inserts into hepatocytes' TERT promoter site contributing to oncogenesis. These mutations in the promoter of TERT lead to a constitutively active telomerase which maintains 1197:
expertise and facilities in the regions with high HCC prevalence. However, survival can vary, and occasionally people survive much longer than 6 months. The prognosis for metastatic or unresectable HCC has improved due to the approval of
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Colli A, Fraquelli M, Casazza G, Massironi S, Colucci A, Conte D, Duca P (March 2006). "Accuracy of ultrasonography, spiral CT, magnetic resonance, and alpha-fetoprotein in diagnosing hepatocellular carcinoma: a systematic review".
1187:-90 radioembolization. Excluding a study of only one patient, post-treatment CT evaluation of the tumor showed a response ranging from 29 to 100% of patients evaluated, with all but two studies showing a response of 71% or greater. 512:
Methods of diagnosis in HCC have evolved with the improvement in medical imaging. The evaluation of both asymptomatic patients and those with symptoms of liver disease involves blood testing and imaging evaluation. Historically, a
1084:, an oral multikinase inhibitor, was the first systemic agent approved for first-line treatment of advanced HCC. Trials have found modest improvement in overall survival: 10.7 months vs 7.9 months and 6.5 months vs 4.2 months. 752:
Of all the staging classification systems available, the Barcelona Clinic Liver Cancer staging classification encompasses all of the above characteristics. This staging classification can be used to guide treatment decisions.
913:"Bridging" intention: for limited disease which qualifies for potential liver transplantation, the person may undergo targeted treatment of some or all of the known tumor while waiting for a donor organ to become available. 946:
Surgical resection of HCC tumors is usually the preferred treatment for BCLC stage 0 or A disease. Surgical resection is associated with a greater than 60% survival rate at 5 years and a recurrence rate greater than 70%.
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or surgeons, in coordination with a medical oncologist. Loco-regional therapy may refer to either percutaneous therapies (e.g. cryoablation), or arterial catheter-based therapies (chemoembolization or radioembolization).
1045:. The latter is an FDA-approved treatment for primary liver cancer which has been shown in clinical trials to increase the survival rate of low-risk patients. SIR-Spheres are FDA-approved for the treatment of metastatic 4135:
Michelakos T, Xourafas D, Qadan M, Pieretti-Vanmarcke R, Cai L, Patel MS, et al. (June 2019). "Hepatocellular Carcinoma in Transplantable Child-Pugh A Cirrhotics: Should Cost Affect Resection vs Transplantation?".
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Our data indicate that loss of autocrine/paracrine IGFBP-3 loops may lead to HCC tumor growth and suggest that modulating production of the IGFs, IGFBP-3, and IGF-IR may represent a novel approach in the treatment of
1015:(TACE) may be used in BCLC stage B disease and for un-resectable tumors or as a temporary treatment while waiting for liver transplant ("bridge to transplant"). TACE is done by injecting an antineoplastic drug (e.g. 4048:
Vitale A, Gringeri E, Valmasoni M, D'Amico F, Carraro A, Pauletto A, et al. (2007). "Long-term results of liver transplantation for hepatocellular carcinoma: an update of the University of Padova experience".
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Bell, Robert J.A.; Rube, H. Tomas; Xavier-MagalhĂŁes, Ana; Costa, Bruno M.; Mancini, Andrew; Song, Jun S.; Costello, Joseph F. (1 April 2016). "Understanding TERT Promoter Mutations: A Common Path to Immortality".
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Palliative intention: for more advanced disease, including spread of cancer beyond the liver or in persons who may not tolerate surgery, treatment intended to decrease symptoms of disease and maximize duration of
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Many genes responsible for cell proliferation, apoptosis or cell senescence and differentiation are commonly mutated in HCC and are implicated in tumor formation. Mutations in the telomerase reverse transcriptase
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Systemic therapy for HCC is indicated in BCLC stage C disease, in which cancer has spread beyond the liver. It is also indicated in BCLC stage B disease with tumor progression after local treatments. In 2007,
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exacerbation), the only evidence that has been confirmed is that anabolic steroid users are more likely to have the benign hepatocellular adenomas transform into the more dangerous hepatocellular carcinoma.
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for unresectable hepatocellular carcinoma was associated with improved survival relative to photon-based radiation therapy which may be driven by decreased incidence of post-treatment liver decompensation.
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Lau WY, Leung TW, Ho SK, Chan M, Machin D, Lau J, et al. (March 1999). "Adjuvant intra-arterial iodine-131-labelled lipiodol for resectable hepatocellular carcinoma: a prospective randomised trial".
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that were measured in people several years prior to tumor diagnosis. In another study using a mouse model, it was found that dysregulated hepatic bile acids collaboratively promote liver carcinogenesis.
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Madoff DC, Hicks ME, Vauthey JN, Charnsangavej C, Morello FA, Ahrar K, et al. (September–October 2002). "Transhepatic portal vein embolization: anatomy, indications, and technical considerations".
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Chan AW, Tong JH, Pan Y, Chan SL, Wong GL, Wong VW, et al. (March 2015). "Lymphoepithelioma-like hepatocellular carcinoma: an uncommon variant of hepatocellular carcinoma with favorable outcome".
1480:, also has US FDA orphan drug designation for HCC. Immunitor Inc. completed a Phase II trial, published in 2017. A randomized trial of people with advanced HCC showed no benefit for the combination of 504:
has led to relatively high rates of hepatocellular carcinoma in these regions. Other viral hepatitides such as hepatitis A have no potential to become a chronic infection, thus are not related to HCC.
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Fan J, Yang GS, Fu ZR, Peng ZH, Xia Q, Peng CH, et al. (October 2009). "Liver transplantation outcomes in 1,078 hepatocellular carcinoma patients: a multi-center experience in Shanghai, China".
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Ertle JM, Heider D, Wichert M, Keller B, Kueper R, Hilgard P, et al. (2013). "A combination of α-fetoprotein and des-Îł-carboxy prothrombin is superior in detection of hepatocellular carcinoma".
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against hepatitis B may reduce the risk of liver cancer in the future. In those with chronic hepatitis C infection, treatment of the hepatitis C using medications reduces the risk of developing HCC.
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species of fungi is a carcinogen and aids carcinogenesis of hepatocellular cancer by building up in the liver. The combined high prevalence of rates of aflatoxin and hepatitis B in settings such as
1332:. Males are affected more than females usually, and it is most common between the ages of 30 and 50, Hepatocellular carcinoma causes 662,000 deaths worldwide per year about half of them in China. 2071:
Diabetes is associated with an increased risk for HCC. However, more research is required to examine issues related to the duration and treatment of diabetes, and confounding by diet and obesity
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Furthermore, HCC occurs in patients with liver disease. A biomarker named six-miRNA signature allows effective treatment of patients with HCC and is able to predict its recurrence in the liver.
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The prognosis of HCC is affected by the staging of the tumor, the liver's function due to the effects of chronic liver disease and cirrhosis as well as the person's physical performance status.
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diseased or cirrhotic livers is generally associated with higher morbidity and mortality. The Singapore Liver Cancer Recurrence score can be used to estimate risk of recurrence after surgery.
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survival time) in sub-Saharan Africa according to Manson's textbook of tropical diseases. HCC is one of the deadliest cancers in China, where chronic hepatitis B is found in 90% of cases. In
690:, and giant. The tumor has a scant stroma and central necrosis because of the poor vascularization. A fifth form – lymphoepithelioma like hepatocellular carcinoma – has also been described. 2726:
Höpfner M, Huether A, Sutter AP, Baradari V, Schuppan D, Scherübl H (May 2006). "Blockade of IGF-1 receptor tyrosine kinase has antineoplastic effects in hepatocellular carcinoma cells".
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Huang YC, Tsan YT, Chan WC, Wang JD, Chu WM, Fu YC, et al. (April 2015). "Incidence and survival of cancers among 1,054 hemophilia patients: A nationwide and 14-year cohort study".
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Chronic liver disease is rare in children and adolescents; however, congenital liver disorders are associated with an increased the chance of developing HCC. Specifically, children with
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A host of additional targeted therapies and immune checkpoint inhibitors have been found to be effective. For instance, in the recent phase III trial IMBrave 150, the combination of
5263:"A Phase II, Multicenter, Single-Arm Study of Mipsagargin (G-202) as a Second-Line Therapy Following Sorafenib for Adult Patients with Progressive Advanced Hepatocellular Carcinoma" 4220:
Tateishi R, Shiina S, Teratani T, Obi S, Sato S, Koike Y, et al. (March 2005). "Percutaneous radiofrequency ablation for hepatocellular carcinoma. An analysis of 1000 cases".
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or fatty liver disease, and thus there is some controversy surrounding whether surveillance truly leads to a reduction in mortality in this population of patients with cirrhosis.”
1435:) and other predictive biomarkers. As similar research is yielding results in various other malignant diseases, it is hoped that identifying the aberrant genes and the resultant 2955:
Chen CJ, Yang HI, Su J, Jen CL, You SL, Lu SN, et al. (January 2006). "Risk of hepatocellular carcinoma across a biological gradient of serum hepatitis B virus DNA level".
3589: 3373: 322:, although statistically associated with higher risk of HCC, this is due to coincident chronic viral hepatitis infection related to repeated blood transfusions over lifetime. 7015: 5808: 4768:"Ramucirumab for Patients with Advanced Hepatocellular Carcinoma and Elevated Alpha Fetoprotein Following Non–Sorafenib Systemic Therapy: An Expansion Cohort of REACH-2" 2148:
The patient described here was the oldest and only the third female patient with hepatocellular carcinoma complicating Wilson's disease to be reported in the literature
5839:"Open-label Phase II clinical trial in 75 patients with advanced hepatocellular carcinoma receiving daily dose of tableted liver cancer vaccine, hepcortespenlisimut-L" 4699:"Regorafenib for patients with hepatocellular carcinoma who progressed on sorafenib treatment (RESORCE): a randomised, double-blind, placebo-controlled, phase 3 trial" 745:
spread, liver function (levels of serum bilirubin and albumin, presence of ascites, and portal hypertension) and general health status of the patient (defined by the
9269: 1033:(SIRT) can be used to destroy the tumor using selective injection of the artery or arteries supplying the tumor with a radioisotope agent. The agent is typically 1636:"A Meta-Analysis on the Rate of Hepatocellular Carcinoma Recurrence after Liver Transplant and Associations to Etiology, Alpha-Fetoprotein, Income and Ethnicity" 530:
people with certain chronic liver diseases, especially those with cirrhosis, liver cancer screening is recommended in this population. In the United States, the
5237: 4478:"Rethinking the Role of Radiation Therapy in the Treatment of Unresectable Hepatocellular Carcinoma: A Data Driven Treatment Algorithm for Optimizing Outcomes" 889:
may be beneficial for some patients. HCC surveillance in those with chronic liver disease with cirrhosis is indicated and generally consists of a twice-yearly
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El-Serag HB, Hampel H, Javadi F (March 2006). "The association between diabetes and hepatocellular carcinoma: a systematic review of epidemiologic evidence".
708: 6097: 316:(controversial; while some theorise the risk increases, case studies are rare and suggest the opposite where Wilson's disease actually may confer protection) 905:
Treatment of hepatocellular carcinoma varies by the stage of disease, a person's likelihood to tolerate surgery, and availability of liver transplantation:
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Stickel F, Hellerbrand C (October 2010). "Non-alcoholic fatty liver disease as a risk factor for hepatocellular carcinoma: mechanisms and implications".
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its risk factors of diabetes and obesity, in higher income countries. It is more than three times as common in males as in females, for unknown reasons.
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Charitha, Gorantla Sri; Chaitanya, Nyshadham S. N.; Reddy, Aramati Bindu Madhava (2022-01-01), Nagaraju, Ganji Purnachandra; Vadde, Ramakrishna (eds.),
5942: 3693: 3164: 2767:"A possible role for insulin-like growth factor-binding protein-3 autocrine/paracrine loops in controlling hepatocellular carcinoma cell proliferation" 8692: 1002:
is well tolerated in small (<3 cm) solitary tumors. Local therapy can achieve a 5-year survival rate around 60% for patients with small HCC.
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Since hepatitis B and C are some of the main causes of hepatocellular carcinoma, prevention of infection is key to then prevent HCC. Thus, childhood
720: 534:(AASLD) recommends ultrasound screenings every six months for people with cirrhosis, with or without measurement of blood levels of the tumor marker 4739:
Abou-Alfa, Ghassan K.; Meyer, Tim; Cheng, Ann-Lii (5 July 2018). "Cabozantinib in Patients with Advanced and Progressing Hepatocellular Carcinoma".
3848:"Diagnosis, Staging, and Management of Hepatocellular Carcinoma: 2018 Practice Guidance by the American Association for the Study of Liver Diseases" 6697: 2646:
understanding of the relation between these two diseases ultimately should lead to improved screening and treatment options for patients with HCC.
696: 426:, some of which are infected by the virus, others merely bystanders. Activated immune-system inflammatory cells release free radicals, such as 9707: 8056: 9283: 2865:
Gorayski P, Thompson CH, Subhash HS, Thomas AC (January 2008). "Hepatocellular carcinoma associated with recreational anabolic steroid use".
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The development of three-dimensional culture methods provides a new approach for preclinical studies of cancer therapy using patient-derived
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Chan AW, Zhang Z, Chong CC, Tin EK, Chow C, Wong N (October 2019). "Genomic landscape of lymphoepithelioma-like hepatocellular carcinoma".
410:
alterations and mutations affecting the cellular machinery cause the cell to replicate at a higher rate and/or result in the cell avoiding
4571:
Llovet JM, Ricci S, Mazzaferro V, Hilgard P, Gane E, Blanc JF, et al. (July 2008). "Sorafenib in advanced hepatocellular carcinoma".
3571: 897:
lab testing. The utility of HCC surveillance or screening in those with chronic liver disease without cirrhosis is less well established.
5314:"Screening and identification of novel B cell epitopes in human heparanase and their anti-invasion property for hepatocellular carcinoma" 4964: 4265:"A prospective randomized trial comparing percutaneous local ablative therapy and partial hepatectomy for small hepatocellular carcinoma" 2853:
This is the first reported case of hepatic adenoma re-growth with recidivistic steroid abuse, complicated by life-threatening hemorrhage.
1027:) does not improve survival. The risk of death after transarterial treatments, including TACE, is about 1%, usually due to liver failure. 7600: 3658:
Katyal S, Oliver JH, Peterson MS, Ferris JV, Carr BS, Baron RL (September 2000). "Extrahepatic metastases of hepatocellular carcinoma".
8949: 8780: 6331: 599:
Ultrasound, CT scan, and MRI may be used to evaluate the liver for HCC. On CT and MRI, HCC can have three distinct patterns of growth:
5790: 1095:. Numerous other molecular targeted drugs are being tested as alternative first- and second-line treatments for advanced HCC, such as 8820: 7749: 1103:. Regorafenib increased survival from 7.8 to 10.6 months in those who had tumor progression while on sorafenib compared to placebo. 7486: 1012: 3370: 1049:, but outside the US, SIR-Spheres are approved for the treatment of any nonresectable liver cancer including primary liver cancer. 7974: 6186: 3346: 5816: 5009: 7834: 517:
of a tumor was required to prove an HCC diagnosis. However, imaging (especially MRI) findings may be conclusive enough without
359: 2766: 8685: 6559: 5027: 2475: 1701: 17: 7519: 6471: 6211: 3746:"Bridging and downstaging treatments for hepatocellular carcinoma in patients on the waiting list for liver transplantation" 482:
integration of the viral genome into infected cells can directly induce a noncirrhotic liver to develop HCC. Alternatively,
9702: 8913: 1030: 5436:"Expression and functional role of a transcribed noncoding RNA with an ultraconserved element in hepatocellular carcinoma" 4348: 1452:
A prospective study found that increased hepatocellular cancer risk is associated with higher levels of major circulating
9692: 8970: 8531: 8023: 7979: 7479: 5741:
Xie G, Wang X, Huang F, Zhao A, Chen W, Yan J, Zhang Y, Lei S, Ge K, Zheng X, Liu J, Su M, Liu P, Jia W (October 2016).
2250:"Hepatitis B and C virus infection and hepatocellular carcinoma in China: a review of epidemiology and control measures" 8100: 8049: 6772: 6179: 4981: 4410: 1888:
Heidelbaugh JJ, Bruderly M (September 2006). "Cirrhosis and chronic liver failure: part I. Diagnosis and evaluation".
9289: 8815: 8772: 7586: 7444: 7291: 6005: 1968:"Association between nonalcoholic fatty liver disease and risk for hepatocellular cancer, based on systematic review" 1169: 1114: 422:
can aid the development of hepatocellular carcinoma by repeatedly causing the body's own immune system to attack the
9275: 9204: 8678: 8581: 7882: 7189: 5076: 1801:"Changing global epidemiology of liver cancer from 2010 to 2019: NASH is the fastest growing cause of liver cancer" 288: 4860:"Imjudo (tremelimumab) in combination with Imfinzi approved in the US for patients with unresectable liver cancer" 8585: 8418: 7330: 6942: 6925: 6430: 6425: 6302: 1799:
Huang, Daniel Q.; Singal, Amit G.; Kono, Yuko; Tan, Darren J.H.; El-Serag, Hashem B.; Loomba, Rohit (July 2022).
554:
In a person where a higher suspicion of HCC exists, such as a person with symptoms or abnormal blood tests (i.e.
133: 3303:
El-Serag HB, Marrero JA, Rudolph L, Reddy KR (May 2008). "Diagnosis and treatment of hepatocellular carcinoma".
2122:
Cheng WS, Govindarajan S, Redeker AG (February 1992). "Hepatocellular carcinoma in a case of Wilson's disease".
8874: 8860: 8206: 7984: 7787: 7744: 7715: 7184: 7140: 7034: 6856: 6455: 5651:"A novel RNA sequencing-based miRNA signature predicts with recurrence and outcome of hepatocellular carcinoma" 5600:
Broutier L, Mastrogiovanni G, Verstegen MM, Francies HE, GavarrĂł LM, Bradshaw CR, et al. (December 2017).
999: 308: 137: 4923:"Yttrium-90 microsphere radioembolization for the treatment of liver malignancies: a structured meta-analysis" 1304:
Liver tumor types by relative incidence in adults in the United States, with hepatocellular carcinoma at left.
9235: 8523: 8042: 7695: 7395: 7241: 4529:"Protons versus Photons for Unresectable Hepatocellular Carcinoma: Liver Decompensation and Overall Survival" 3697: 117: 9312: 5701:"Prediagnostic alterations in circulating bile acid profiles in the development of hepatocellular carcinoma" 3528:
Llovet JM, BrĂş C, Bruix J (1999). "Prognosis of hepatocellular carcinoma: the BCLC staging classification".
1476:
designation for this condition and is undergoing clinical trials. Hepcortespenlisimut-L (Hepko-V5), an oral
9079: 9073: 8984: 8978: 8868: 8312: 8013: 7687: 7510: 7150: 6669: 6277: 4921:
Vente MA, Wondergem M, van der Tweel I, van den Bosch MA, Zonnenberg BA, Lam MG, et al. (April 2009).
1359:
and corns stored during prolonged wet seasons) which produces aflatoxins pose another risk factor for HCC.
1308:
HCC is one of the most common tumors worldwide. The epidemiology of HCC exhibits two main patterns, one in
1118: 559: 1871: 1532:
Shetty S, Sharma N, Ghosh K (March 2016). "Epidemiology of hepatocellular carcinoma (HCC) in hemophilia".
666:
Microscopically, the four architectural and cytological types (patterns) of hepatocellular carcinoma are:
663:
The diffuse type is poorly circumscribed and infiltrates the portal veins, or the hepatic veins (rarely).
9442: 9368: 9362: 9035: 8570: 8487: 8120: 7953: 7729: 7705: 6364: 2454: 626: 2554:
Donadon V, Balbi M, Ghersetti M, Grazioli S, Perciaccante A, Della Valentina G, et al. (May 2009).
2499:
Donadon V, Balbi M, Ghersetti M, Grazioli S, Perciaccante A, Della Valentina G, et al. (May 2009).
8627: 8609: 8519: 8470: 7969: 7710: 7691: 7564: 6730: 6659: 6260: 5941:
Schwartz JM, Carithers Jr RL, Sirlin CB (20 December 2022). Kressel HY, Savarese DM, Robsin MK (eds.).
5837:
Tarakanovskaya MG, Chinburen J, Batchuluun P, Munkhzaya C, Purevsuren G, Dandii D, et al. (2017).
5201:
Goh GB, Chang PE, Tan CK (December 2015). "Changing epidemiology of hepatocellular carcinoma in Asia".
3897:"Surgical resection of localized hepatocellular carcinoma: patient selection and special consideration" 567: 438:
gene mutations. Reactive oxygen species also cause epigenetic alterations at the sites of DNA repair.
388: 9499: 9106: 8604: 8527: 8364: 8190: 8153: 7877: 7806: 7502: 7003: 6959: 6912: 6718: 6336: 6154: 5055: 3590:"What is the Barcelona Clinic Liver Cancer (BCLC) system for hepatocellular carcinoma (HCC) staging?" 1387: 431: 5238:"Phyton Biotech Achieves Manufacturing Milestone with Thapsigargin, the Active Agent in Mipsagargin" 4585: 4086:"Liver transplantation as curative approach for advanced hepatocellular carcinoma: is it justified?" 1300: 9208: 9120: 9025: 8828: 8800: 8632: 8565: 8500: 8374: 8354: 8321: 8299: 7683: 7349: 7029: 6664: 6622: 6435: 6310: 6297: 6267: 6238: 6108: 2401:"Association of diabetes duration and diabetes treatment with the risk of hepatocellular carcinoma" 1163: 1129:, are second line therapies which have been shown to reduce the risk of death compared to placebo. 926: 352: 1183:
assessed 12 articles involving a total of 318 patients with hepatocellular carcinoma treated with
885:
In the case of patients with cirrhosis, alcohol consumption is to be avoided. Also, screening for
143:
As with any cancer, the treatment and prognosis of HCC varies depending on tumor histology, size,
9004: 8110: 8018: 7767: 7536: 7274: 7051: 6792: 6584: 6243: 3123:
Heimbach JK, Kulik LM, Finn RS, Sirlin CB, Abecassis MM, Roberts LR, et al. (January 2018).
1383: 986: 683: 679: 458:(which is responsible for embryogenesis and cell homeostasis) are also seen in HCC, specifically 427: 278: 140:, markedly increase the risk of developing HCC. The five-year survival in those with HCC is 18%. 129: 121: 8670: 5376: 1176:) is an experimental technique which uses high-powered ultrasound waves to destroy tumor tissue. 587: 9398: 9376: 9255: 9251: 9247: 9243: 9198: 9136: 9030: 8991: 8794: 8493: 8317: 8257: 7859: 7647: 7609: 7354: 7078: 7061: 6445: 6321: 6272: 6233: 6203: 4580: 333: 6137: 5602:"Human primary liver cancer-derived organoid cultures for disease modeling and drug screening" 4961: 3720: 2607:"Metabolic syndrome and hepatocellular carcinoma: two growing epidemics with a potential link" 2556:"Antidiabetic therapy and increased risk of hepatocellular carcinoma in chronic liver disease" 2501:"Antidiabetic therapy and increased risk of hepatocellular carcinoma in chronic liver disease" 9383: 8964: 8834: 8805: 8655: 8379: 7719: 7286: 7205: 7194: 7155: 7083: 6386: 1173: 1140:
was found to improve both overall and progression-free survival compared to sorafenib alone.
965: 886: 379:
is present) and again evidence of greater risk exists here, too. While there are claims that
5791:"ennerex Granted FDA Orphan Drug Designation for Pexa-Vec in Hepatocellular Carcinoma (HCC)" 5395:"Non-coding RNA in hepatocellular carcinoma: Mechanisms, biomarkers and therapeutic targets" 5261:
Mahalingam D, Peguero J, Cen P, Arora SP, Sarantopoulos J, Rowe J, et al. (June 2019).
2460:
Theranostics and Precision Medicine for the Management of Hepatocellular Carcinoma, Volume 2
355:, and other cirrhotic diseases of the liver are predisposed to developing HCC in childhood. 9647: 9479: 9114: 8943: 8483: 8342: 8279: 8115: 8095: 7864: 7325: 7269: 7090: 6986: 6569: 6564: 6398: 6316: 6282: 5700: 5447: 5434:
Braconi C, Valeri N, Kogure T, Gasparini P, Huang N, Nuovo GJ, et al. (January 2011).
4899: 3959: 3846:
Marrero JA, Kulik LM, Sirlin CB, Zhu AX, Finn RS, Abecassis MM, et al. (August 2018).
1209: 770: 483: 260: 671: 8: 9697: 9065: 8786: 8619: 8271: 8105: 7419: 7229: 7122: 7105: 7066: 7039: 6991: 6834: 6811: 6804: 6753: 6725: 6647: 6642: 6637: 6554: 6171: 6086: 5794: 4437:"Hepatocellular carcinoma radiation therapy: review of evidence and future opportunities" 3278: 1510: 1391: 948: 848: 313: 5451: 5338: 5313: 4792: 4767: 4527:
Sanford NN, Pursley J, Noe B, Yeap BY, Goyal L, Clark JW, et al. (September 2019).
3963: 2368: 2083:
Wang XW, Hussain SP, Huo TI, Wu CG, Forgues M, Hofseth LJ, et al. (December 2002).
643: 9459: 9454: 9168: 8924: 8452: 8284: 8247: 8143: 8125: 7924: 7906: 7846: 7675: 7671: 7431: 7296: 7279: 7264: 7251: 7234: 7100: 6735: 6627: 6599: 6533: 6359: 6255: 6220: 6102: 5992: 5914: 5889: 5865: 5838: 5767: 5742: 5675: 5650: 5626: 5601: 5541: 5470: 5435: 5351: 5289: 5262: 5183: 5129: 5102: 5051: 4838: 4504: 4477: 4289: 4280: 4264: 4245: 4161: 4112: 4085: 4062: 4030: 3982: 3947: 3923: 3896: 3877: 3823: 3796: 3772: 3745: 3671: 3635: 3608: 3572:"BCLC staging system and the Child-Pugh system ;Liver cancer ; Cancer Research UK" 3553: 3505: 3480: 3458: 3415: 3328: 3260: 3217: 3018: 2991: 2937: 2890: 2839: 2812: 2683: 2631: 2606: 2582: 2555: 2527: 2500: 2467: 2425: 2400: 2344: 2317: 2274: 2249: 2186: 2161: 2135: 1992: 1967: 1943: 1916: 1825: 1800: 1662: 1635: 1592: 1351: 1317: 746: 619: 407: 372: 155: 5529: 4717: 4633: 3609:"Staging systems for hepatocellular carcinoma: Current status and future perspectives" 2316:
Balogh J, Victor D, Asham EH, Burroughs SG, Boktour M, Saharia A, et al. (2016).
2096: 1580: 150:
The vast majority of HCC cases and the lowest survival rates after treatment occur in
9632: 9583: 9564: 9545: 9335: 9331: 9327: 9323: 9240: 9145: 8849: 8727: 8596: 7991: 7943: 7934: 7657: 7559: 7528: 7409: 7390: 6763: 5984: 5919: 5870: 5772: 5723: 5680: 5631: 5582: 5533: 5475: 5416: 5343: 5294: 5218: 5175: 5134: 5033: 5023: 5006: 4944: 4903: 4842: 4830: 4721: 4678: 4637: 4598: 4550: 4509: 4458: 4392: 4330: 4294: 4237: 4202: 4153: 4117: 4084:
Obed A, Tsui TY, Schnitzbauer AA, Obed M, Schlitt HJ, Becker H, Lorf T (March 2008).
4066: 4022: 3987: 3928: 3869: 3828: 3777: 3675: 3640: 3545: 3510: 3450: 3419: 3407: 3350: 3320: 3252: 3209: 3205: 3146: 3064: 3023: 2972: 2929: 2882: 2844: 2778: 2743: 2675: 2636: 2587: 2532: 2471: 2430: 2399:
Hassan MM, Curley SA, Li D, Kaseb A, Davila M, Abdalla EK, et al. (April 2010).
2349: 2279: 2230: 2191: 2139: 2100: 2062: 1997: 1948: 1897: 1697: 1667: 1584: 1549: 1545: 1180: 1046: 894: 555: 535: 221: 189: 68: 6091: 5545: 5355: 5187: 4249: 4165: 3557: 3462: 3332: 3264: 2894: 2687: 1596: 9607: 9317: 8997: 8929: 8810: 8741: 8557: 8475: 8289: 8201: 7792: 7666: 7581: 7569: 7456: 7376: 7371: 7361: 7223: 7095: 7023: 6841: 6748: 6743: 6673: 6632: 6440: 6405: 5996: 5974: 5909: 5901: 5860: 5850: 5762: 5754: 5715: 5670: 5662: 5621: 5613: 5572: 5525: 5465: 5455: 5406: 5333: 5325: 5284: 5274: 5210: 5165: 5124: 5114: 4934: 4895: 4820: 4787: 4779: 4748: 4713: 4668: 4629: 4590: 4540: 4499: 4489: 4448: 4384: 4322: 4284: 4276: 4229: 4192: 4145: 4107: 4097: 4058: 4034: 4014: 3977: 3967: 3918: 3908: 3881: 3859: 3818: 3808: 3767: 3757: 3667: 3630: 3620: 3537: 3500: 3492: 3442: 3399: 3312: 3244: 3221: 3201: 3136: 3100: 3092: 3054: 3013: 3003: 2964: 2941: 2921: 2874: 2834: 2824: 2786: 2735: 2667: 2626: 2618: 2577: 2567: 2522: 2512: 2463: 2420: 2412: 2339: 2329: 2269: 2261: 2222: 2181: 2173: 2162:"Wilson's disease and hepatocellular carcinoma: possible protective role of copper" 2131: 2092: 2054: 1987: 1979: 1938: 1928: 1850: 1820: 1812: 1781: 1657: 1647: 1576: 1541: 870:
The most common sites of metastasis are the lung, abdominal lymph nodes, and bone.
450:
length and contributes to cell immortality. Mutations in the tumor suppressor gene
380: 205: 9571: 8034: 6148: 6044: 4476:
Sayan M, Yegya-Raman N, Greco SH, Gui B, Zhang A, Chundury A, et al. (2019).
3096: 2455:"Chapter 22 - LKB1/STK11-mediated signal transduction in hepatocellular carcinoma" 1146:(Imjudo) was approved for medical use in the United States in October 2022. It is 9531: 9436: 9356: 9345: 9216: 9180: 9100: 8886: 8747: 8575: 8238: 7634: 7617: 7414: 7344: 7210: 7145: 7110: 6981: 6846: 6782: 6684: 6603: 6594: 6544: 6484: 6369: 6346: 6113: 5890:"Everolimus and pasireotide for advanced and metastatic hepatocellular carcinoma" 5013: 4968: 4545: 4528: 4453: 4436: 3972: 3795:
Gbolahan OB, Schacht MA, Beckley EW, LaRoche TP, O'Neil BH, Pyko M (April 2017).
3446: 3377: 3316: 1500: 1469: 953: 655: 344: 272: 8326: 5103:"Review of hepatocellular carcinoma: Epidemiology, etiology, and carcinogenesis" 4352: 1087:
The most common side effects of Sorafenib include a hand-foot skin reaction and
8767: 8252: 8181: 7948: 7911: 7841: 7739: 7679: 7622: 7551: 7541: 7451: 7366: 6920: 6893: 6758: 6693: 6689: 6579: 6549: 5440:
Proceedings of the National Academy of Sciences of the United States of America
5411: 5394: 4388: 4263:
Chen MS, Li JQ, Zheng Y, Guo RP, Liang HH, Zhang YQ, et al. (March 2006).
3496: 2015: 1854: 1816: 1477: 1428: 1349:, chronic hepatitis C is associated with 90% of HCC cases. Foods infected with 1325: 1313: 1213: 1067: 969: 575:
an indeterminate lesion and further evaluation may be performed by obtaining a
518: 455: 435: 401: 337: 209: 177: 6076: 5905: 5743:"Dysregulated hepatic bile acids collaboratively promote liver carcinogenesis" 5329: 5214: 5154:"Comparison of hepatocellular carcinoma in Eastern versus Western populations" 4939: 4922: 4807:
Finn RS, Qin S, Ikeda M, Galle PR, Ducreux M, Kim TY, et al. (May 2020).
4149: 4102: 4018: 2739: 2058: 1983: 925:
liver transplantation. Generally, these treatment procedures are performed by
9686: 8762: 8757: 8705: 7892: 7574: 7471: 7384: 7337: 7130: 7073: 7056: 6968: 6713: 6540: 6415: 6381: 6326: 5312:
Yang JM, Wang HJ, Du L, Han XM, Ye ZY, Fang Y, et al. (September 2009).
5037: 4783: 3762: 1933: 1634:
Tan DJ, Wong C, Ng CH, Poh CW, Jain SR, Huang DQ, Muthiah MD (January 2021).
1309: 1126: 667: 571: 340:
activation mutation, are particularly associated with increased risk of HCC.
163: 47: 5666: 5577: 5560: 5460: 5279: 4494: 4326: 3813: 3607:
Kinoshita A, Onoda H, Fushiya N, Koike K, Nishino H, Tajiri H (March 2015).
2925: 2878: 2671: 362:
may have none of the typical risk factors, such as cirrhosis and hepatitis.
192:. Some symptoms that are more closely associated with liver disease include 9623: 9473: 9151: 9012: 8510: 8462: 8406: 8307: 7854: 7259: 7171: 7044: 6947: 6898: 6883: 6878: 6874: 6787: 6612: 6528: 6420: 6410: 6376: 5988: 5923: 5874: 5776: 5727: 5684: 5635: 5586: 5537: 5479: 5420: 5347: 5298: 5222: 5179: 5138: 5119: 4948: 4907: 4834: 4725: 4682: 4641: 4602: 4554: 4513: 4462: 4396: 4334: 4298: 4241: 4206: 4179:
Tanabe KK, Curley SA, Dodd GD, Siperstein AE, Goldberg SN (February 2004).
4157: 4121: 4070: 4026: 3991: 3932: 3873: 3832: 3781: 3679: 3644: 3549: 3541: 3514: 3454: 3411: 3324: 3256: 3213: 3150: 3068: 3043:"Oxidative stress and epigenetic instability in human hepatocarcinogenesis" 3027: 2976: 2933: 2912:
Shibata T, Aburatani H (June 2014). "Exploration of liver cancer genomes".
2886: 2848: 2782: 2747: 2693:
derives from studies on the risk of HCC in patients with metabolic syndrome
2679: 2640: 2591: 2536: 2434: 2353: 2283: 2265: 2234: 2104: 2066: 2001: 1952: 1901: 1671: 1588: 1553: 1439:
could lead to the identification of pharmacological interventions for HCC.
1329: 1321: 1143: 1133: 1106: 1092: 1060: 992: 651: 329:
cirrhosis such as chronic hepatitis C, obesity, and excessive alcohol use.
201: 89: 6020: 5888:
Sanoff HK, Kim R, Ivanova A, Alistar A, McRee AJ, O'Neil BH (April 2015).
5836: 4825: 4808: 4752: 4594: 3625: 3008: 2968: 2813:"Anabolic steroid abuse causing recurrent hepatic adenomas and hemorrhage" 2195: 2143: 1785: 1154:, for the treatment of adults with unresectable hepatocellular carcinoma. 1091:. Sorafenib is thought to work by blocking growth of both tumor cells and 9663: 9612: 9600: 9595: 9588: 9576: 9550: 9520: 9422: 9261: 9173: 9156: 9091: 8752: 8448: 8223: 8135: 7919: 7872: 7815: 7759: 7439: 7201: 7179: 7010: 6930: 6574: 6475: 6228: 6132: 4134: 2992:"Involvement of DNA damage response pathways in hepatocellular carcinoma" 2248:
Tanaka M, Katayama F, Kato H, Tanaka H, Wang J, Qiao YL, Inoue M (2011).
2177: 1485: 1473: 1412: 1137: 1122: 1100: 1042: 1038: 879: 592: 501: 492: 419: 415: 348: 249: 243: 162:
is endemic and many are infected from birth. The incidence of HCC in the
159: 113: 109: 105: 92:
in adults and is currently the most common cause of death in people with
56: 6059: 5855: 4920: 4809:"Atezolizumab plus Bevacizumab in Unresectable Hepatocellular Carcinoma" 3744:
Pompili M, Francica G, Ponziani FR, Iezzi R, Avolio AW (November 2013).
2829: 2572: 2517: 1652: 9513: 9297: 9054: 8359: 8228: 8218: 8074: 8005: 7215: 6888: 6866: 6511: 6450: 5599: 5170: 5153: 4233: 4197: 4180: 3913: 2622: 2416: 2334: 1567:
Forner A, Llovet JM, Bruix J (March 2012). "Hepatocellular carcinoma".
1481: 1375: 1368: 1151: 1096: 1034: 890: 687: 647: 423: 319: 144: 5979: 5962: 5758: 5719: 4673: 4656: 3864: 3847: 3403: 3248: 3141: 3124: 3105: 3059: 3042: 2226: 9558: 9539: 9506: 9494: 9488: 9467: 9413: 9341: 9227: 9189: 8958: 8937: 8843: 8721: 8713: 8701: 8411: 8347: 8087: 8083: 7901: 7824: 7642: 7165: 7135: 6998: 6976: 6829: 6680: 6654: 6516: 6506: 6393: 6354: 6287: 6143: 5493: 4373: 3165:"Clinical features and diagnosis of primary hepatocellular carcinoma" 1505: 1453: 1379: 1198: 1147: 1081: 1020: 1016: 487: 467: 411: 266: 233: 125: 101: 96:. HCC is the third leading cause of cancer-related deaths worldwide. 93: 5617: 2084: 938: 375:(specifically, when evidence of nonalcoholic fatty liver disease or 9656: 9303: 9045: 8901: 7964: 6799: 6777: 6489: 3946:
Ang SF, Ng ES, Li H, Ong YH, Choo SP, Ngeow J, et al. (2015).
1443: 1088: 1024: 447: 297: 217: 193: 185: 73: 5393:
Klingenberg M, Matsuda A, Diederichs S, Patel T (September 2017).
4047: 1841:
impact of obesity, type 2 diabetes and a multidisciplinary team".
9409: 8700: 8369: 8176: 8148: 6851: 6617: 6521: 6493: 5392: 2705: 1772:
Villanueva, Augusto (11 April 2019). "Hepatocellular Carcinoma".
1436: 1424: 1184: 675: 632: 563: 384: 197: 60: 5697: 4766:
Finn, Richard S; Yau, Thomas; Hsu, Chih-Hung (9 December 2022).
3797:"Locoregional and systemic therapy for hepatocellular carcinoma" 3125:"AASLD guidelines for the treatment of hepatocellular carcinoma" 240:
Chronic viral hepatitis (estimated cause of 80% cases globally)
9018: 8646: 8439: 8233: 8066: 7317: 6935: 6821: 6159: 6071: 4884: 1465: 1432: 1356: 1342: 1109:, which is an inhibitor of multiple tyrosine kinases including 576: 514: 471: 466:
mutations seen in 10% of cases. Mutations of genes involved in
459: 406:
Hepatocellular carcinoma, like any other cancer, develops when
213: 181: 3190: 1839: 9669: 9428: 9060: 8167: 6767: 6497: 5943:"Clinical features and diagnosis of hepatocellular carcinoma" 4533:
International Journal of Radiation Oncology, Biology, Physics
4441:
International Journal of Radiation Oncology, Biology, Physics
3794: 3081: 2990:
Yang SF, Chang CW, Wei RJ, Shiue YL, Wang SN, Yeh YT (2014).
2864: 2553: 2498: 1346: 1216:
death from liver cancer per 100,000 inhabitants in 2004.
1110: 497: 475: 463: 376: 5433: 4657:"Systemic Therapy for Hepatocellular Carcinoma: 2017 Update" 4570: 3743: 2725: 7961: 4311: 3302: 1420: 451: 443: 151: 6201: 5940: 4178: 3657: 3606: 2315: 2085:"Molecular pathogenesis of human hepatocellular carcinoma" 8895: 5649:
Bai F, Zhou H, Ma M, Guan C, Lyu J, Meng QH (June 2018).
5260: 5152:
Choo SP, Tan WL, Goh BK, Tai WM, Zhu AX (November 2016).
4219: 2440:
associated with a 70% HCC risk reduction among diabetics.
2159: 1423:
that are disregulated in HCC, antiheparanase antibodies,
6039:
Blue Faery: The Adrienne Wilson Liver Cancer Association
6038: 4475: 4083: 3234: 2247: 2121: 1398:
for HCC is hepatitis C, along with other health issues.
1367:
The most common malignant tumors in the liver represent
609:
Poorly defined tumor with an infiltrative growth pattern
454:
are seen in about 30% of cases of HCC. And mutations in
8175: 5887: 5203:
Best Practice & Research. Clinical Gastroenterology
5145: 3122: 1316:
and another in non-Western countries, such as those in
478:
are also seen in 10% and 5% of HCC cases respectively.
5370:"Huntington Medical Research Institute News, May 2005" 4349:"Interventional Radiology Treatments for Liver Cancer" 2451: 2367:
Mehta P (2019-11-10). Windle ML, Bergstrom SK (eds.).
1610: 4526: 4411:"Hepatocellular Carcinoma (HCC) and Liver Metastases" 4351:. Society of Interventional Radiology. Archived from 3845: 2810: 1687: 1685: 1683: 1681: 562:
levels), evaluation requires imaging of the liver by
6049: 4695: 2160:
Wilkinson ML, Portmann B, Williams R (August 1983).
2044: 1006: 532:
American Association for the Study of Liver Diseases
383:
abusers are at greater risk (theorized to be due to
8064: 4738: 2398: 1965: 1887: 1362: 737:
Barcelona Clinic Liver Cancer (BCLC) Staging System
614:data have not been confirmed with autopsy studies. 2657: 2453: 1798: 1767: 1765: 1763: 1761: 1759: 1757: 1755: 1753: 1751: 1749: 1747: 1745: 1743: 1741: 1739: 1737: 1735: 1733: 1678: 196:(also called jaundice), abdominal swelling due to 55:Hepatocellular carcinoma in an individual who was 5561:"Hepatocellular carcinoma: the need for progress" 5194: 4806: 4618: 4566: 4564: 3389: 3186: 3184: 3182: 2989: 2914:Nature Reviews. Gastroenterology & Hepatology 2212: 1966:White DL, Kanwal F, El-Serag HB (December 2012). 1731: 1729: 1727: 1725: 1723: 1721: 1719: 1717: 1715: 1713: 1566: 1531: 840:Important features that guide treatment include: 570:scans. Optimally, these scans are performed with 434:, which in turn can cause DNA damage and lead to 360:fibrolamellar variant of hepatocellular carcinoma 9684: 6006:"Hepatic Resection for Hepatocellular Carcinoma" 5740: 4377:Journal of Vascular and Interventional Radiology 4007:Journal of Cancer Research and Clinical Oncology 3651: 2911: 2811:Martin NM, Abu Dayyeh BK, Chung RT (July 2008). 2082: 1694:Robbins & Cotran Pathologic Basis of Disease 1691: 484:repeated consumption of large amounts of ethanol 6041:(hepatocellular carcinoma patient support site) 4181:"Radiofrequency ablation: the experts weigh in" 3485:Journal of Clinical and Experimental Hepatology 3432: 2765:Huynh H, Chow PK, Ooi LL, Soo KC (March 2002). 2764: 7501: 5881: 5514: 5494:"Predictive Biomarkers/Translational Research" 5100: 5077:"Aflatoxins - Cancer-Causing Substances - NCI" 4732: 4561: 4262: 3527: 3179: 2494: 2492: 2394: 2392: 2390: 2040: 2038: 2036: 1710: 8686: 8050: 7487: 6187: 5648: 5311: 5151: 4004: 2954: 1917:"Epidemiology of hepatitis C virus infection" 1419:Current research includes the search for the 622:and diffusion-weighted imaging are combined. 6293:Esophagogastric junction outflow obstruction 5960: 5552: 5022:. Place of publication not identified: LWW. 4914: 4854: 4852: 3296: 3034: 2983: 2905: 2858: 1633: 758:Barcelona Clinic Liver Cancer classification 5200: 4434: 3040: 2719: 2651: 2489: 2387: 2033: 8950:Progressive multifocal leukoencephalopathy 8693: 8679: 8057: 8043: 7494: 7480: 6332:Esophageal intramural pseudodiverticulosis 6194: 6180: 4982:"WHO Disease and injury country estimates" 4765: 4689: 3945: 3435:The American Journal of Surgical Pathology 2804: 2598: 1771: 46: 8821:Extranodal NK/T-cell lymphoma, nasal type 7750:Hereditary nonpolyposis colorectal cancer 5978: 5913: 5864: 5854: 5766: 5674: 5625: 5576: 5558: 5508: 5469: 5459: 5410: 5337: 5288: 5278: 5169: 5128: 5118: 5101:Ghouri YA, Mian I, Rowe JH (2017-01-01). 5020:Sternberg's diagnostic surgical pathology 5017: 4938: 4849: 4824: 4791: 4759: 4672: 4584: 4544: 4503: 4493: 4452: 4288: 4196: 4111: 4101: 3981: 3971: 3922: 3912: 3863: 3822: 3812: 3771: 3761: 3634: 3624: 3504: 3140: 3104: 3075: 3058: 3017: 3007: 2838: 2828: 2630: 2604: 2581: 2571: 2526: 2516: 2424: 2343: 2333: 2273: 2185: 1991: 1942: 1932: 1833: 1824: 1792: 1692:Kumar V, Fausto N, Abbas A, eds. (2015). 1661: 1651: 942:Gross anatomy of hepatocellular carcinoma 5963:"Management of hepatocellular carcinoma" 3894: 3426: 3383: 3194:The American Journal of Gastroenterology 2047:Clinical Gastroenterology and Hepatology 1972:Clinical Gastroenterology and Hepatology 1527: 1525: 1299: 1208: 1053: 1013:Transcatheter arterial chemoembolization 960: 937: 817:Portal invasion and extra-hepatic spread 800: 789: 642: 586: 7975:Intraductal papillary mucinous neoplasm 5783: 5642: 4520: 3694:"Hepatitis B: Prevention and treatment" 3686: 3228: 2706:"Hepatocellular Carcinoma and Diseases" 2311: 2309: 2307: 2305: 2303: 2301: 2299: 2297: 2295: 2293: 1534:Critical Reviews in Oncology/Hematology 414:. In particular, chronic infections of 232:Since HCC mostly occurs in people with 14: 9685: 5235: 4900:10.1148/radiographics.22.5.g02se161063 4469: 3478: 952:normal physiology. Thus, preoperative 9708:Hepatitis C virus-associated diseases 8674: 8038: 7475: 7316: 6560:Small intestinal bacterial overgrowth 6175: 4614: 4612: 4435:Klein J, Dawson LA (September 2013). 4428: 3739: 3737: 3481:"Staging of hepatocellular carcinoma" 3474: 3472: 3118: 3116: 2366: 1914: 1883: 1881: 1522: 933: 633:Liver image reporting and data system 549: 486:can have a similar effect. The toxin 332:Certain benign liver tumors, such as 170: 88:) is the most common type of primary 5961:Bruix J, Sherman M (November 2005). 4654: 4415:The Lecturio Medical Concept Library 3801:Journal of Gastrointestinal Oncology 3283:The Lecturio Medical Concept Library 2542:relationship with metformin therapy. 2462:, Academic Press, pp. 357–367, 2318:"Hepatocellular carcinoma: a review" 2290: 1866: 1864: 1031:Selective internal radiation therapy 910:transplantation of the entire organ. 365: 263:: the most common cause of cirrhosis 147:, and overall health of the person. 8971:Subacute sclerosing panencephalitis 8532:Papillary serous cystadenocarcinoma 8024:Desmoplastic small round cell tumor 6003: 5843:Journal of Hepatocellular Carcinoma 5044: 4813:The New England Journal of Medicine 4573:The New England Journal of Medicine 4341: 4138:Journal of Gastrointestinal Surgery 3901:Journal of Hepatocellular Carcinoma 2605:Siegel AB, Zhu AX (December 2009). 2322:Journal of Hepatocellular Carcinoma 860:presence of extrahepatic metastases 462:mutations seen in 30% of cases and 358:Young adults afflicted by the rare 24: 8101:Combined small-cell lung carcinoma 7725:Polymerase proofreading-associated 5933: 4609: 4281:10.1097/01.sla.0000201480.65519.b8 4063:10.1016/j.transproceed.2007.05.031 3895:Ma KW, Cheung TT (December 2016). 3734: 3672:10.1148/radiology.216.3.r00se24698 3469: 3113: 2867:British Journal of Sports Medicine 2468:10.1016/b978-0-323-98807-0.00017-x 2136:10.1111/j.1600-0676.1992.tb00553.x 1878: 1335: 25: 9719: 9290:Severe acute respiratory syndrome 8816:Follicular dendritic cell sarcoma 7587:Hereditary diffuse gastric cancer 7445:Spontaneous bacterial peritonitis 7292:Exocrine pancreatic insufficiency 6032: 4971:MedlinePlus, Medical Encyclopedia 3750:World Journal of Gastroenterology 2817:World Journal of Gastroenterology 2771:Cell Growth & Differentiation 2560:World Journal of Gastroenterology 2505:World Journal of Gastroenterology 1921:World Journal of Gastroenterology 1861: 1170:High intensity focused ultrasound 1115:hepatocyte growth factor receptor 1007:Arterial catheter-based treatment 291:: up to 20% progress to cirrhosis 9276:Middle East respiratory syndrome 7883:Nodular regenerative hyperplasia 7190:Secondary sclerosing cholangitis 5830: 5801: 5734: 5691: 5593: 5318:Cancer Immunology, Immunotherapy 4866:(Press release). 26 October 2022 4697:Investigators (7 January 2017). 4090:Langenbeck's Archives of Surgery 3371:Hepatocellular carcinoma (Photo) 3206:10.1111/j.1572-0241.2006.00467.x 1546:10.1016/j.critrevonc.2015.12.009 1363:North America and Western Europe 749:) and the presence of symptoms. 719: 707: 695: 294:Nonalcoholic fatty liver disease 124:, or exposure to toxins such as 8419:Syringocystadenoma papilliferum 6431:Gastric antral vascular ectasia 6426:Portal hypertensive gastropathy 6303:Gastroesophageal reflux disease 5486: 5427: 5386: 5362: 5305: 5254: 5229: 5094: 5069: 5000: 4974: 4955: 4878: 4800: 4741:New England Journal of Medicine 4648: 4403: 4367: 4305: 4256: 4213: 4172: 4128: 4077: 4041: 3998: 3939: 3888: 3839: 3788: 3713: 3600: 3582: 3564: 3521: 3364: 3339: 3271: 3157: 2948: 2758: 2698: 2547: 2445: 2360: 2241: 2206: 2153: 2115: 2076: 2008: 1959: 1908: 1774:New England Journal of Medicine 1204: 1125:, an antibody directed against 798:1–3 nodule, all < 3 cm 395: 227: 8875:Adult T-cell leukemia/lymphoma 8861:Splenic marginal zone lymphoma 8207:Familial adenomatous polyposis 7985:Solid pseudopapillary neoplasm 7788:Gastrointestinal stromal tumor 7745:Familial adenomatous polyposis 7185:Primary sclerosing cholangitis 7035:Hepatic veno-occlusive disease 6857:Solitary rectal ulcer syndrome 5559:Thomas MB, Zhu AX (May 2005). 2215:American Journal of Hematology 1627: 1603: 1560: 1406: 1000:Percutaneous ethanol injection 714:Moderately differentiated HCC. 309:Alpha 1-antitrypsin deficiency 138:alpha 1-antitrypsin deficiency 13: 1: 8582:Paget's disease of the breast 8524:Pancreatic serous cystadenoma 7793:Krukenberg tumor (metastatic) 7242:Sphincter of Oddi dysfunction 5530:10.1016/S0140-6736(98)06475-7 4718:10.1016/S0140-6736(16)32453-9 4634:10.1016/S1470-2045(08)70285-7 3097:10.1158/1541-7786.MCR-16-0003 2996:BioMed Research International 2097:10.1016/S0300-483X(02)00253-6 1581:10.1016/S0140-6736(11)61347-0 1516: 1201:(Nexavar®) for advanced HCC. 873: 784:Single nodule, < 3 cm 650:of hepatocellular carcinoma. 432:nitric oxide reactive species 208:, unintentional weight loss, 198:fluid in the abdominal cavity 145:how far the cancer has spread 118:non-alcoholic steatohepatitis 9080:Tropical spastic paraparesis 8985:Lymphocytic choriomeningitis 8586:Extramammary Paget's disease 8313:Multiple endocrine neoplasia 8014:Primary peritoneal carcinoma 7688:traditional serrated adenoma 7151:Postcholecystectomy syndrome 6670:Intestinal pseudoobstruction 6278:Esophageal motility disorder 5565:Journal of Clinical Oncology 5498:Journal of Clinical Oncology 4546:10.1016/j.ijrobp.2019.01.076 4454:10.1016/j.ijrobp.2012.08.043 3973:10.1371/journal.pone.0118658 3447:10.1097/pas.0000000000000376 3317:10.1053/j.gastro.2008.02.090 1640:Journal of Clinical Medicine 1191: 900: 863:presence of daughter nodules 854:involvement of liver vessels 833: 830: 827: 819: 816: 808: 797: 786: 783: 638: 620:gadolinium contrast-enhanced 595:of hepatocellular carcinoma. 560:des-gamma carboxyprothrombin 524: 507: 289:Nonalcoholic steatohepatitis 202:blood clotting abnormalities 132:. Certain diseases, such as 7: 9703:Infectious causes of cancer 9443:Cytomegalovirus esophagitis 9363:Human parainfluenza viruses 9036:Ramsay Hunt syndrome type 2 8571:Pancreatic ductal carcinoma 8488:Mucinous cystadenocarcinoma 8121:Transitional cell carcinoma 7954:Pancreatic ductal carcinoma 6019:(12): 15–17. Archived from 6013:The Hong Kong Medical Diary 4051:Transplantation Proceedings 3613:World Journal of Hepatology 1611:"Global Cancer Observatory" 1494: 1460: 1401: 1074: 980: 927:interventional radiologists 857:presence of a tumor capsule 300:(probably aided by obesity) 10: 9724: 9693:Digestive system neoplasia 8628:Medullary breast carcinoma 8610:Invasive lobular carcinoma 8520:Ovarian serous cystadenoma 8471:Signet ring cell carcinoma 7970:Serous microcystic adenoma 7565:Signet ring cell carcinoma 7503:Digestive system neoplasia 7136:Gallstone / Cholelithiasis 6660:Functional colonic disease 6456:Zollinger–Ellison syndrome 5412:10.1016/j.jhep.2017.04.009 4389:10.1016/j.jvir.2009.10.013 3497:10.1016/j.jceh.2014.03.045 3041:Nishida N, Kudo M (2013). 2873:(1): 74–5, discussion 75. 1855:10.1016/j.jhep.2013.08.011 1817:10.1016/j.cmet.2022.05.003 1696:(9th ed.). Saunders. 1374:Acute and chronic hepatic 731: 582: 399: 9646: 9622: 9530: 9453: 9408: 9397: 9226: 9188: 9167: 9135: 9107:Cytomegalovirus retinitis 9090: 9044: 8923: 8912: 8885: 8712: 8645: 8618: 8605:Lobular carcinoma in situ 8595: 8556: 8545: 8528:Serous cystadenocarcinoma 8509: 8461: 8438: 8427: 8392: 8365:Clear-cell adenocarcinoma 8335: 8298: 8270: 8189: 8166: 8154:Bartholin gland carcinoma 8134: 8082: 8073: 8065:Glandular and epithelial 8004: 7933: 7891: 7878:Focal nodular hyperplasia 7814: 7805: 7780: 7758: 7656: 7633: 7608: 7599: 7550: 7527: 7518: 7509: 7430: 7309: 7250: 7164: 7121: 6967: 6958: 6911: 6865: 6820: 6706: 6593: 6483: 6470: 6345: 6337:Acute esophageal necrosis 6219: 6210: 6123: 6053: 6045:NCI Liver Cancer Homepage 5906:10.1007/s10637-015-0209-7 5894:Investigational New Drugs 5330:10.1007/s00262-008-0651-x 5215:10.1016/j.bpg.2015.09.007 5107:Journal of Carcinogenesis 5056:World Health Organization 4986:World Health Organization 4940:10.1007/s00330-008-1211-7 4150:10.1007/s11605-018-3946-z 4103:10.1007/s00423-007-0250-x 4019:10.1007/s00432-009-0584-6 3530:Seminars in Liver Disease 3085:Molecular Cancer Research 2740:10.1016/j.bcp.2006.02.006 2059:10.1016/j.cgh.2005.12.007 1984:10.1016/j.cgh.2012.10.001 1890:American Family Physician 1411:Mipsagargin (G-202), has 1388:hereditary coproporphyria 726:Poorly differentiated HCC 353:glycogen-storage diseases 67: 54: 45: 37: 32: 9209:Infectious mononucleosis 9026:Chandipura vesiculovirus 8856:Hepatocellular carcinoma 8801:Nasopharyngeal carcinoma 8734:Hepatocellular carcinoma 8633:Medullary thyroid cancer 8566:Mammary ductal carcinoma 8501:Mucoepidermoid carcinoma 8355:Adenoid cystic carcinoma 8322:Adrenocortical carcinoma 8262:Hepatocellular carcinoma 7980:Mucinous cystic neoplasm 7830:Hepatocellular carcinoma 7684:sessile serrated adenoma 6436:Gastric dumping syndrome 6311:Laryngopharyngeal reflux 6298:Diffuse esophageal spasm 6160:Hepatocellular carcinoma 6004:Liu DL (December 2005). 4962:Hepatocellular carcinoma 3763:10.3748/wjg.v19.i43.7515 3576:www.cancerresearchuk.org 3479:Duseja A (August 2014). 3392:The Journal of Pathology 2728:Biochemical Pharmacology 1934:10.3748/wjg.v13.i17.2436 1164:Portal vein embolization 1157: 866:vascularity of the tumor 776:ECOG performance status 702:Well-differentiated HCC 82:Hepatocellular carcinoma 33:Hepatocellular carcinoma 9005:Encephalitis lethargica 8706:viral systemic diseases 8111:Squamous-cell carcinoma 8019:Peritoneal mesothelioma 7768:Squamous cell carcinoma 7537:Squamous cell carcinoma 7052:Alcoholic liver disease 6585:Bile acid malabsorption 6529:Peptic (duodenal) ulcer 5667:10.1002/1878-0261.12315 5578:10.1200/JCO.2005.03.196 5461:10.1073/pnas.1011098108 5280:10.3390/cancers11060833 4495:10.3389/fonc.2019.00345 4327:10.1053/jhep.2001.27950 3814:10.21037/jgo.2017.03.13 2926:10.1038/nrgastro.2014.6 2879:10.1136/bjsm.2007.03932 2672:10.1136/gut.2009.199661 2254:Journal of Epidemiology 1872:"Liver cancer overview" 1384:porphyria cutanea tarda 987:Radiofrequency ablation 428:reactive oxygen species 279:Pyrrolizidine alkaloids 130:pyrrolizidine alkaloids 122:alcoholic liver disease 9377:Human orthopneumovirus 9031:Herpesviral meningitis 8992:Arbovirus encephalitis 8494:Pseudomyxoma peritonei 8318:Adrenocortical adenoma 8258:Hepatocellular adenoma 7860:Hepatocellular adenoma 7648:Pseudomyxoma peritonei 7062:Hepatic encephalopathy 6446:Buried bumper syndrome 6377:Peptic (gastric) ulcer 6261:Mallory–Weiss syndrome 6204:human digestive system 5813:www.accessdata.fda.gov 5120:10.4103/jcar.jcar_9_16 4784:10.1093/oncolo/oyac183 3542:10.1055/s-2007-1007122 2266:10.2188/jea.JE20100190 2110:tumour suppressor gene 1305: 1297: 1172:(HIFU) (as opposed to 1150:, in combination with 943: 806:B (intermediate stage) 659: 627:sensitive and specific 596: 334:hepatocellular adenoma 305:Congenital disorders: 234:cirrhosis of the liver 8835:Merkel-cell carcinoma 8656:Acinic cell carcinoma 8380:Papillary hidradenoma 7287:Pancreatic pseudocyst 7156:Porcelain gallbladder 6268:Zenker's diverticulum 5809:"Enforcement Reports" 5399:Journal of Hepatology 5382:on December 10, 2005. 5236:phyton (2016-08-22). 4826:10.1056/nejmoa1915745 4753:10.1056/NEJMoa1717002 4595:10.1056/nejmoa0708857 4482:Frontiers in Oncology 3626:10.4254/wjh.v7.i3.406 3279:"Benign Liver Tumors" 2969:10.1001/jama.295.1.65 1915:Alter MJ (May 2007). 1843:Journal of Hepatology 1786:10.1056/NEJMra1713263 1303: 1212: 1174:diagnostic ultrasound 1054:External beam therapy 966:Liver transplantation 961:Liver transplantation 941: 646: 590: 271:Iron overload state ( 200:, easy bruising from 160:hepatitis B infection 158:, in countries where 18:Hepatocellular cancer 9480:Adenovirus infection 8944:Human polyomavirus 2 8773:Oropharyngeal cancer 8484:Mucinous cystadenoma 8343:Neuroendocrine tumor 8280:Renal cell carcinoma 8116:Basal-cell carcinoma 8096:Small-cell carcinoma 7865:Cavernous hemangioma 7716:Familial adenomatous 7703:Polyposis syndromes: 7091:Hepatorenal syndrome 7030:Budd–Chiari syndrome 6987:Autoimmune hepatitis 6812:Intestinal adhesions 6570:Short bowel syndrome 6399:Functional dyspepsia 6317:Esophageal stricture 6283:Nutcracker esophagus 5018:Sternberg S (2012). 4622:The Lancet. Oncology 3491:(Suppl 3): S74–S79. 2178:10.1136/gut.24.8.767 1978:(12): 1342–1359.e2. 1378:(acute intermittent 809:Multi-nodular tumor 781:0 (very early stage) 603:A single large tumor 572:intravenous contrast 261:Alcohol use disorder 9066:Post-polio syndrome 8702:Infectious diseases 8620:Medullary carcinoma 8106:Verrucous carcinoma 7230:Choledocholithiasis 7101:Metabolic disorders 7067:Acute liver failure 7040:Portal hypertension 6992:Alcoholic hepatitis 6835:Radiation proctitis 6754:Mesenteric ischemia 6726:Gastroenterocolitis 6555:Blind loop syndrome 6365:MĂ©nĂ©trier's disease 6273:Barrett's esophagus 5856:10.2147/JHC.S122507 5452:2011PNAS..108..786B 4321:(4 Pt 1): 707–713. 3964:2015PLoSO..1018658A 3009:10.1155/2014/153867 2830:10.3748/wjg.14.4573 2573:10.3748/wjg.15.2506 2518:10.3748/wjg.15.2506 1653:10.3390/jcm10020238 1575:(9822): 1245–1255. 1511:Portal hypertension 1392:variegate porphyria 1294: more than 110 1228: less than 7.5 828:Severe liver damage 760: 747:ECOG classification 470:remodeling such as 250:Chronic hepatitis C 244:Chronic hepatitis B 104:infection such as ( 9199:Epstein–Barr virus 9169:Respiratory system 8806:Burkitt's lymphoma 8453:Cystadenocarcinoma 8285:Endometrioid tumor 8248:Cholangiocarcinoma 8136:Complex epithelial 8126:Inverted papilloma 7925:Gallbladder cancer 7907:Cholangiocarcinoma 7847:Liver angiosarcoma 7781:Upper and/or lower 7730:Serrated polyposis 7405:Undefined location 7396:Grynfeltt–Lesshaft 7297:Pancreatic fistula 7280:Pancreatic abscess 7235:Biliary dyskinesia 7206:Mirizzi's syndrome 6707:Large and/or small 6387:Dieulafoy's lesion 6256:Boerhaave syndrome 6124:External resources 5797:on March 25, 2014. 5655:Molecular Oncology 5171:10.1002/cncr.30237 5012:2020-02-24 at the 4967:2016-07-05 at the 4927:European Radiology 4355:on 8 February 2014 4234:10.1002/cncr.20892 4198:10.1002/cncr.11919 3914:10.2147/JHC.S96085 3380:ATLAS OF PATHOLOGY 3376:2021-11-01 at the 3047:Digestive Diseases 2623:10.1002/cncr.24687 2417:10.1002/cncr.24982 2335:10.2147/JHC.S61146 2091:. 181–182: 43–47. 2020:Medicine Specifics 1352:Aspergillus flavus 1318:sub-Saharan Africa 1306: 1298: 944: 934:Surgical resection 825:D (terminal stage) 814:C (advanced stage) 756: 660: 597: 550:Higher risk people 373:metabolic syndrome 252:(about 25% cases) 171:Signs and symptoms 156:sub-Saharan Africa 9680: 9679: 9642: 9641: 9393: 9392: 9324:Influenza virus A 9241:Human coronavirus 9131: 9130: 9121:Herpes of the eye 8668: 8667: 8664: 8663: 8641: 8640: 8597:Lobular carcinoma 8541: 8540: 8388: 8387: 8162: 8161: 8032: 8031: 8000: 7999: 7992:Pancreatoblastoma 7944:exocrine pancreas 7801: 7800: 7776: 7775: 7595: 7594: 7560:Gastric carcinoma 7469: 7468: 7465: 7464: 7305: 7304: 6907: 6906: 6764:Bowel obstruction 6466: 6465: 6169: 6168: 6026:on 15 April 2021. 5980:10.1002/hep.20933 5759:10.1002/ijc.30219 5720:10.1002/ijc.33885 5524:(9155): 797–801. 5504:(11). April 2005. 5164:(22): 3430–3446. 5029:978-1-4511-5289-0 4819:(20): 1894–1905. 4778:(12): e938–e948. 4674:10.1159/000481244 4269:Annals of Surgery 4013:(10): 1403–1412. 3865:10.1002/hep.29913 3756:(43): 7515–7530. 3404:10.1002/path.5313 3249:10.1159/000346080 3142:10.1002/hep.29086 3060:10.1159/000355243 2823:(28): 4573–4575. 2734:(10): 1435–1448. 2666:(10): 1303–1307. 2617:(24): 5651–5661. 2566:(20): 2506–2511. 2511:(20): 2506–2511. 2477:978-0-323-98807-0 2369:"Pathophysiology" 2227:10.1002/ajh.23947 1927:(17): 2436–2441. 1811:(7): 969–977.e2. 1780:(15): 1450–1462. 1703:978-1-4557-2613-4 1181:systematic review 1093:new blood vessels 1047:colorectal cancer 895:Alpha-fetoprotein 838: 837: 556:alpha-fetoprotein 536:alpha-fetoprotein 366:Diabetes mellitus 246:(about 50% cases) 79: 78: 27:Medical condition 16:(Redirected from 9715: 9406: 9405: 9401:digestive system 9318:Orthomyxoviridae 9284:SARS coronavirus 9270:MERS coronavirus 9186: 9185: 8998:Orthomyxoviridae 8921: 8920: 8887:Immune disorders 8811:Hodgkin lymphoma 8787:Kaposi's sarcoma 8695: 8688: 8681: 8672: 8671: 8588: 8558:Ductal carcinoma 8554: 8553: 8534: 8490: 8476:Krukenberg tumor 8436: 8435: 8290:Renal oncocytoma 8202:Linitis plastica 8191:Gastrointestinal 8187: 8186: 8173: 8172: 8080: 8079: 8059: 8052: 8045: 8036: 8035: 7812: 7811: 7711:MUTYH-associated 7696:Cronkhite–Canada 7667:Colorectal polyp 7606: 7605: 7582:Linitis plastica 7570:Gastric lymphoma 7525: 7524: 7516: 7515: 7496: 7489: 7482: 7473: 7472: 7457:Pneumoperitoneum 7314: 7313: 7224:Common bile duct 7106:Wilson's disease 7096:Peliosis hepatis 6965: 6964: 6842:Proctalgia fugax 6749:Abdominal angina 6674:Ogilvie syndrome 6623:Pseudomembranous 6481: 6480: 6441:Gastric volvulus 6406:Pyloric stenosis 6217: 6216: 6202:Diseases of the 6196: 6189: 6182: 6173: 6172: 6051: 6050: 6027: 6025: 6010: 6000: 5982: 5973:(5): 1208–1236. 5957: 5955: 5953: 5928: 5927: 5917: 5885: 5879: 5878: 5868: 5858: 5834: 5828: 5827: 5825: 5824: 5815:. Archived from 5805: 5799: 5798: 5793:. Archived from 5787: 5781: 5780: 5770: 5738: 5732: 5731: 5705: 5695: 5689: 5688: 5678: 5646: 5640: 5639: 5629: 5597: 5591: 5590: 5580: 5556: 5550: 5549: 5512: 5506: 5505: 5490: 5484: 5483: 5473: 5463: 5431: 5425: 5424: 5414: 5390: 5384: 5383: 5381: 5375:. Archived from 5374: 5366: 5360: 5359: 5341: 5309: 5303: 5302: 5292: 5282: 5258: 5252: 5251: 5249: 5248: 5233: 5227: 5226: 5198: 5192: 5191: 5173: 5149: 5143: 5142: 5132: 5122: 5098: 5092: 5091: 5089: 5088: 5073: 5067: 5066: 5064: 5063: 5048: 5042: 5041: 5004: 4998: 4997: 4995: 4993: 4978: 4972: 4959: 4953: 4952: 4942: 4918: 4912: 4911: 4894:(5): 1063–1076. 4882: 4876: 4875: 4873: 4871: 4856: 4847: 4846: 4828: 4804: 4798: 4797: 4795: 4763: 4757: 4756: 4736: 4730: 4729: 4712:(10064): 56–66. 4703: 4693: 4687: 4686: 4676: 4652: 4646: 4645: 4616: 4607: 4606: 4588: 4568: 4559: 4558: 4548: 4524: 4518: 4517: 4507: 4497: 4473: 4467: 4466: 4456: 4432: 4426: 4425: 4423: 4421: 4407: 4401: 4400: 4371: 4365: 4364: 4362: 4360: 4345: 4339: 4338: 4309: 4303: 4302: 4292: 4260: 4254: 4253: 4228:(6): 1201–1209. 4217: 4211: 4210: 4200: 4176: 4170: 4169: 4144:(6): 1135–1142. 4132: 4126: 4125: 4115: 4105: 4081: 4075: 4074: 4057:(6): 1892–1894. 4045: 4039: 4038: 4002: 3996: 3995: 3985: 3975: 3943: 3937: 3936: 3926: 3916: 3892: 3886: 3885: 3867: 3843: 3837: 3836: 3826: 3816: 3792: 3786: 3785: 3775: 3765: 3741: 3732: 3731: 3729: 3727: 3717: 3711: 3709: 3707: 3705: 3696:. Archived from 3690: 3684: 3683: 3655: 3649: 3648: 3638: 3628: 3604: 3598: 3597: 3594:www.medscape.com 3586: 3580: 3579: 3568: 3562: 3561: 3525: 3519: 3518: 3508: 3476: 3467: 3466: 3430: 3424: 3423: 3387: 3381: 3368: 3362: 3361: 3359: 3358: 3349:. Archived from 3343: 3337: 3336: 3311:(6): 1752–1763. 3305:Gastroenterology 3300: 3294: 3293: 3291: 3289: 3275: 3269: 3268: 3232: 3226: 3225: 3188: 3177: 3176: 3174: 3172: 3161: 3155: 3154: 3144: 3120: 3111: 3110: 3108: 3079: 3073: 3072: 3062: 3053:(5–6): 447–453. 3038: 3032: 3031: 3021: 3011: 2987: 2981: 2980: 2952: 2946: 2945: 2909: 2903: 2902: 2862: 2856: 2855: 2842: 2832: 2808: 2802: 2801: 2795: 2794: 2785:. Archived from 2762: 2756: 2755: 2723: 2717: 2716: 2714: 2712: 2702: 2696: 2695: 2655: 2649: 2648: 2634: 2602: 2596: 2595: 2585: 2575: 2551: 2545: 2544: 2530: 2520: 2496: 2487: 2486: 2485: 2484: 2457: 2449: 2443: 2442: 2428: 2411:(8): 1938–1946. 2396: 2385: 2384: 2382: 2380: 2364: 2358: 2357: 2347: 2337: 2313: 2288: 2287: 2277: 2245: 2239: 2238: 2210: 2204: 2203: 2189: 2157: 2151: 2150: 2119: 2113: 2112: 2080: 2074: 2073: 2042: 2031: 2030: 2028: 2027: 2016:"NAFLD vs. NASH" 2012: 2006: 2005: 1995: 1963: 1957: 1956: 1946: 1936: 1912: 1906: 1905: 1885: 1876: 1875: 1868: 1859: 1858: 1837: 1831: 1830: 1828: 1796: 1790: 1789: 1769: 1708: 1707: 1689: 1676: 1675: 1665: 1655: 1631: 1625: 1624: 1622: 1621: 1607: 1601: 1600: 1564: 1558: 1557: 1529: 1293: 1287: 1281: 1275: 1269: 1263: 1257: 1251: 1245: 1239: 1233: 1227: 1221: 1214:Age-standardized 949:Surgical removal 893:with or without 761: 755: 723: 711: 699: 381:anabolic steroid 314:Wilson's disease 206:loss of appetite 50: 30: 29: 21: 9723: 9722: 9718: 9717: 9716: 9714: 9713: 9712: 9683: 9682: 9681: 9676: 9638: 9618: 9526: 9500:Gastroenteritis 9458: 9455:Gastroenteritis 9449: 9437:Cytomegalovirus 9400: 9389: 9357:Paramyxoviridae 9346:Avian influenza 9222: 9217:Cytomegalovirus 9181:viral pneumonia 9179: 9176:nasopharyngitis 9175: 9172: 9163: 9127: 9101:Cytomegalovirus 9086: 9040: 8928: 8915: 8908: 8881: 8748:Cervical cancer 8708: 8699: 8669: 8660: 8637: 8614: 8591: 8580: 8576:Comedocarcinoma 8549: 8547: 8537: 8518: 8505: 8482: 8457: 8431: 8429: 8423: 8394: 8384: 8331: 8294: 8266: 8239:Somatostatinoma 8182:adenocarcinomas 8180: 8158: 8144:Warthin's tumor 8130: 8069: 8063: 8033: 8028: 7996: 7929: 7887: 7797: 7772: 7754: 7652: 7629: 7618:Duodenal cancer 7610:Small intestine 7591: 7546: 7505: 7500: 7470: 7461: 7426: 7415:Internal hernia 7301: 7246: 7211:Biliary fistula 7169: 7160: 7146:Adenomyomatosis 7141:Cholesterolosis 7117: 7111:Hemochromatosis 6982:Viral hepatitis 6954: 6903: 6861: 6847:Rectal prolapse 6816: 6783:Fecal impaction 6773:Intussusception 6736:Crohn's disease 6702: 6685:Toxic megacolon 6597: 6595:Large intestine 6589: 6534:Curling's ulcer 6487: 6485:Small intestine 6474: 6462: 6370:Gastroenteritis 6341: 6206: 6200: 6170: 6165: 6164: 6119: 6118: 6062: 6035: 6030: 6023: 6008: 5951: 5949: 5936: 5934:Further reading 5931: 5886: 5882: 5835: 5831: 5822: 5820: 5807: 5806: 5802: 5789: 5788: 5784: 5739: 5735: 5703: 5696: 5692: 5647: 5643: 5618:10.1038/nm.4438 5612:(12): 1424–35. 5606:Nature Medicine 5598: 5594: 5557: 5553: 5513: 5509: 5492: 5491: 5487: 5432: 5428: 5391: 5387: 5379: 5372: 5368: 5367: 5363: 5310: 5306: 5259: 5255: 5246: 5244: 5234: 5230: 5199: 5195: 5150: 5146: 5099: 5095: 5086: 5084: 5075: 5074: 5070: 5061: 5059: 5058:. February 2006 5050: 5049: 5045: 5030: 5014:Wayback Machine 5005: 5001: 4991: 4989: 4980: 4979: 4975: 4969:Wayback Machine 4960: 4956: 4919: 4915: 4883: 4879: 4869: 4867: 4858: 4857: 4850: 4805: 4801: 4764: 4760: 4737: 4733: 4701: 4694: 4690: 4655:Kudo M (2017). 4653: 4649: 4617: 4610: 4586:10.1.1.531.1130 4569: 4562: 4525: 4521: 4474: 4470: 4433: 4429: 4419: 4417: 4409: 4408: 4404: 4372: 4368: 4358: 4356: 4347: 4346: 4342: 4310: 4306: 4261: 4257: 4218: 4214: 4177: 4173: 4133: 4129: 4082: 4078: 4046: 4042: 4003: 3999: 3958:(4): e0118658. 3944: 3940: 3893: 3889: 3844: 3840: 3793: 3789: 3742: 3735: 3725: 3723: 3719: 3718: 3714: 3703: 3701: 3700:on 24 July 2013 3692: 3691: 3687: 3656: 3652: 3605: 3601: 3588: 3587: 3583: 3570: 3569: 3565: 3526: 3522: 3477: 3470: 3431: 3427: 3388: 3384: 3378:Wayback Machine 3369: 3365: 3356: 3354: 3345: 3344: 3340: 3301: 3297: 3287: 3285: 3277: 3276: 3272: 3233: 3229: 3189: 3180: 3170: 3168: 3163: 3162: 3158: 3121: 3114: 3080: 3076: 3039: 3035: 2988: 2984: 2953: 2949: 2910: 2906: 2863: 2859: 2809: 2805: 2792: 2790: 2763: 2759: 2724: 2720: 2710: 2708: 2704: 2703: 2699: 2656: 2652: 2603: 2599: 2552: 2548: 2497: 2490: 2482: 2480: 2478: 2450: 2446: 2397: 2388: 2378: 2376: 2365: 2361: 2314: 2291: 2246: 2242: 2211: 2207: 2158: 2154: 2120: 2116: 2081: 2077: 2043: 2034: 2025: 2023: 2014: 2013: 2009: 1964: 1960: 1913: 1909: 1886: 1879: 1870: 1869: 1862: 1838: 1834: 1805:Cell Metabolism 1797: 1793: 1770: 1711: 1704: 1690: 1679: 1632: 1628: 1619: 1617: 1609: 1608: 1604: 1565: 1561: 1530: 1523: 1519: 1501:Hemihypertrophy 1497: 1491: 1470:oncolytic virus 1463: 1429:non-coding RNAs 1409: 1404: 1365: 1338: 1336:Africa and Asia 1296: 1295: 1291: 1289: 1285: 1283: 1279: 1277: 1273: 1271: 1267: 1265: 1261: 1259: 1255: 1253: 1249: 1247: 1243: 1241: 1237: 1235: 1231: 1229: 1225: 1223: 1219: 1207: 1194: 1160: 1127:VEGF receptor 2 1077: 1056: 1009: 983: 963: 936: 903: 887:hemochromatosis 876: 795:A (early stage) 734: 727: 724: 715: 712: 703: 700: 672:pseudoglandular 656:Trichrome stain 641: 606:Multiple tumors 585: 579:of the lesion. 552: 527: 519:histopathologic 510: 404: 398: 368: 345:biliary atresia 298:Type 2 diabetes 273:hemochromatosis 230: 173: 134:hemochromatosis 28: 23: 22: 15: 12: 11: 5: 9721: 9711: 9710: 9705: 9700: 9695: 9678: 9677: 9675: 9674: 9673: 9672: 9660: 9652: 9650: 9644: 9643: 9640: 9639: 9637: 9636: 9628: 9626: 9620: 9619: 9617: 9616: 9604: 9592: 9580: 9568: 9561: 9555: 9554: 9542: 9536: 9534: 9528: 9527: 9525: 9524: 9517: 9510: 9503: 9491: 9485: 9484: 9483: 9482: 9470: 9464: 9462: 9451: 9450: 9448: 9447: 9446: 9445: 9433: 9432: 9431: 9418: 9416: 9403: 9395: 9394: 9391: 9390: 9388: 9387: 9380: 9373: 9372: 9371: 9351: 9350: 9349: 9348: 9309: 9308: 9307: 9306: 9294: 9293: 9292: 9280: 9279: 9278: 9266: 9265: 9264: 9232: 9230: 9224: 9223: 9221: 9220: 9213: 9212: 9211: 9194: 9192: 9183: 9165: 9164: 9162: 9161: 9160: 9159: 9154: 9141: 9139: 9137:Cardiovascular 9133: 9132: 9129: 9128: 9126: 9125: 9124: 9123: 9111: 9110: 9109: 9096: 9094: 9088: 9087: 9085: 9084: 9083: 9082: 9070: 9069: 9068: 9063: 9050: 9048: 9042: 9041: 9039: 9038: 9033: 9028: 9023: 9022: 9021: 9009: 9008: 9007: 8994: 8989: 8988: 8987: 8975: 8974: 8973: 8961: 8955: 8954: 8953: 8952: 8940: 8934: 8932: 8918: 8916:nervous system 8910: 8909: 8907: 8906: 8905: 8904: 8891: 8889: 8883: 8882: 8880: 8879: 8878: 8877: 8865: 8864: 8863: 8858: 8846: 8840: 8839: 8838: 8837: 8825: 8824: 8823: 8818: 8813: 8808: 8803: 8791: 8790: 8789: 8777: 8776: 8775: 8770: 8768:Vaginal cancer 8765: 8760: 8755: 8750: 8738: 8737: 8736: 8724: 8718: 8716: 8710: 8709: 8698: 8697: 8690: 8683: 8675: 8666: 8665: 8662: 8661: 8659: 8658: 8652: 8650: 8643: 8642: 8639: 8638: 8636: 8635: 8630: 8624: 8622: 8616: 8615: 8613: 8612: 8607: 8601: 8599: 8593: 8592: 8590: 8589: 8578: 8573: 8568: 8562: 8560: 8551: 8543: 8542: 8539: 8538: 8536: 8535: 8515: 8513: 8507: 8506: 8504: 8503: 8498: 8497: 8496: 8480: 8479: 8478: 8467: 8465: 8459: 8458: 8456: 8455: 8445: 8443: 8433: 8425: 8424: 8422: 8421: 8416: 8415: 8414: 8409: 8398: 8396: 8395:skin appendage 8390: 8389: 8386: 8385: 8383: 8382: 8377: 8372: 8367: 8362: 8357: 8352: 8351: 8350: 8339: 8337: 8336:Other/multiple 8333: 8332: 8330: 8329: 8324: 8315: 8310: 8304: 8302: 8296: 8295: 8293: 8292: 8287: 8282: 8276: 8274: 8268: 8267: 8265: 8264: 8255: 8253:Klatskin tumor 8250: 8244: 8243: 8242: 8241: 8236: 8231: 8226: 8221: 8210: 8209: 8204: 8195: 8193: 8184: 8170: 8164: 8163: 8160: 8159: 8157: 8156: 8151: 8146: 8140: 8138: 8132: 8131: 8129: 8128: 8123: 8118: 8113: 8108: 8103: 8098: 8092: 8090: 8077: 8071: 8070: 8062: 8061: 8054: 8047: 8039: 8030: 8029: 8027: 8026: 8021: 8016: 8010: 8008: 8002: 8001: 7998: 7997: 7995: 7994: 7988: 7987: 7982: 7977: 7972: 7957: 7956: 7951: 7949:Adenocarcinoma 7939: 7937: 7931: 7930: 7928: 7927: 7915: 7914: 7912:Klatskin tumor 7909: 7897: 7895: 7889: 7888: 7886: 7885: 7880: 7868: 7867: 7862: 7850: 7849: 7844: 7842:Hepatoblastoma 7839: 7838: 7837: 7820: 7818: 7809: 7803: 7802: 7799: 7798: 7796: 7795: 7790: 7784: 7782: 7778: 7777: 7774: 7773: 7771: 7770: 7764: 7762: 7756: 7755: 7753: 7752: 7747: 7742: 7740:Adenocarcinoma 7733: 7732: 7727: 7722: 7713: 7708: 7699: 7698: 7662: 7660: 7654: 7653: 7651: 7650: 7645: 7639: 7637: 7631: 7630: 7628: 7627: 7626: 7625: 7623:Adenocarcinoma 7614: 7612: 7603: 7597: 7596: 7593: 7592: 7590: 7589: 7584: 7579: 7578: 7577: 7567: 7562: 7556: 7554: 7548: 7547: 7545: 7544: 7542:Adenocarcinoma 7539: 7533: 7531: 7522: 7513: 7507: 7506: 7499: 7498: 7491: 7484: 7476: 7467: 7466: 7463: 7462: 7460: 7459: 7454: 7452:Hemoperitoneum 7449: 7448: 7447: 7436: 7434: 7428: 7427: 7425: 7424: 7423: 7422: 7417: 7412: 7401: 7400: 7399: 7398: 7393: 7380: 7379: 7374: 7369: 7364: 7359: 7358: 7357: 7352: 7341: 7340: 7335: 7334: 7333: 7322: 7320: 7311: 7307: 7306: 7303: 7302: 7300: 7299: 7294: 7289: 7284: 7283: 7282: 7277: 7272: 7267: 7256: 7254: 7248: 7247: 7245: 7244: 7239: 7238: 7237: 7232: 7219: 7218: 7213: 7208: 7199: 7198: 7197: 7192: 7187: 7176: 7174: 7162: 7161: 7159: 7158: 7153: 7148: 7143: 7138: 7133: 7127: 7125: 7119: 7118: 7116: 7115: 7114: 7113: 7108: 7098: 7093: 7088: 7087: 7086: 7081: 7071: 7070: 7069: 7064: 7054: 7049: 7048: 7047: 7042: 7037: 7032: 7020: 7019: 7018: 7008: 7007: 7006: 6996: 6995: 6994: 6989: 6984: 6973: 6971: 6962: 6956: 6955: 6953: 6952: 6951: 6950: 6940: 6939: 6938: 6933: 6923: 6921:Blood in stool 6917: 6915: 6909: 6908: 6905: 6904: 6902: 6901: 6896: 6894:Anal dysplasia 6891: 6886: 6881: 6871: 6869: 6863: 6862: 6860: 6859: 6854: 6849: 6844: 6839: 6838: 6837: 6826: 6824: 6818: 6817: 6815: 6814: 6809: 6808: 6807: 6797: 6796: 6795: 6785: 6780: 6775: 6770: 6761: 6759:Angiodysplasia 6756: 6751: 6740: 6739: 6738: 6728: 6723: 6722: 6721: 6710: 6708: 6704: 6703: 6701: 6700: 6694:Diverticulosis 6690:Diverticulitis 6687: 6678: 6677: 6676: 6667: 6657: 6652: 6651: 6650: 6645: 6640: 6635: 6630: 6625: 6615: 6609: 6607: 6591: 6590: 6588: 6587: 6582: 6580:Milroy disease 6577: 6572: 6567: 6562: 6557: 6552: 6550:Tropical sprue 6547: 6538: 6537: 6536: 6526: 6525: 6524: 6519: 6514: 6503: 6501: 6478: 6472:Lower GI tract 6468: 6467: 6464: 6463: 6461: 6460: 6459: 6458: 6448: 6443: 6438: 6433: 6428: 6423: 6418: 6413: 6408: 6403: 6402: 6401: 6391: 6390: 6389: 6384: 6374: 6373: 6372: 6367: 6362: 6351: 6349: 6343: 6342: 6340: 6339: 6334: 6329: 6324: 6319: 6314: 6308: 6307: 6306: 6300: 6295: 6290: 6285: 6275: 6270: 6265: 6264: 6263: 6258: 6248: 6247: 6246: 6241: 6236: 6225: 6223: 6214: 6212:Upper GI tract 6208: 6207: 6199: 6198: 6191: 6184: 6176: 6167: 6166: 6163: 6162: 6151: 6140: 6128: 6127: 6125: 6121: 6120: 6117: 6116: 6105: 6094: 6079: 6063: 6058: 6057: 6055: 6054:Classification 6048: 6047: 6042: 6034: 6033:External links 6031: 6029: 6028: 6001: 5958: 5937: 5935: 5932: 5930: 5929: 5900:(2): 505–509. 5880: 5829: 5800: 5782: 5753:(8): 1764–75. 5733: 5714:(8): 1255–68. 5690: 5661:(7): 1125–37. 5641: 5592: 5571:(13): 2892–9. 5551: 5507: 5485: 5446:(2): 786–791. 5426: 5405:(3): 603–618. 5385: 5361: 5324:(9): 1387–96. 5304: 5253: 5242:Phyton Biotech 5228: 5209:(6): 919–928. 5193: 5144: 5093: 5081:www.cancer.gov 5068: 5043: 5028: 4999: 4973: 4954: 4933:(4): 951–959. 4913: 4877: 4848: 4799: 4772:The Oncologist 4758: 4731: 4688: 4667:(1): 135–146. 4647: 4608: 4579:(4): 378–390. 4560: 4519: 4468: 4427: 4402: 4383:(2): 224–230. 4366: 4340: 4304: 4275:(3): 321–328. 4255: 4212: 4191:(3): 641–650. 4171: 4127: 4096:(2): 141–147. 4076: 4040: 3997: 3938: 3887: 3858:(2): 723–750. 3838: 3807:(2): 215–228. 3787: 3733: 3712: 3685: 3666:(3): 698–703. 3650: 3619:(3): 406–424. 3599: 3581: 3563: 3536:(3): 329–338. 3520: 3468: 3441:(3): 304–312. 3425: 3398:(2): 166–172. 3382: 3363: 3338: 3295: 3270: 3243:(2): 121–131. 3227: 3200:(3): 513–523. 3178: 3156: 3135:(1): 358–380. 3112: 3091:(4): 315–323. 3074: 3033: 2982: 2947: 2920:(6): 340–349. 2904: 2857: 2803: 2777:(3): 115–122. 2757: 2718: 2697: 2650: 2597: 2546: 2488: 2476: 2444: 2386: 2359: 2289: 2260:(6): 401–416. 2240: 2221:(4): E55–E59. 2205: 2172:(8): 767–771. 2152: 2114: 2075: 2053:(3): 369–380. 2032: 2007: 1958: 1907: 1896:(5): 756–762. 1877: 1874:. Mayo Clinic. 1860: 1849:(1): 110–117. 1832: 1791: 1709: 1702: 1677: 1626: 1602: 1559: 1520: 1518: 1515: 1514: 1513: 1508: 1503: 1496: 1493: 1478:cancer vaccine 1462: 1459: 1408: 1405: 1403: 1400: 1364: 1361: 1337: 1334: 1326:Southeast Asia 1314:Western Europe 1290: 1284: 1278: 1272: 1266: 1260: 1254: 1248: 1242: 1236: 1230: 1224: 1218: 1217: 1206: 1203: 1193: 1190: 1189: 1188: 1177: 1167: 1159: 1156: 1076: 1073: 1072: 1071: 1068:Proton therapy 1065: 1055: 1052: 1051: 1050: 1028: 1008: 1005: 1004: 1003: 997: 990: 982: 979: 970:Milan criteria 962: 959: 935: 932: 922: 921: 917: 914: 911: 902: 899: 875: 872: 868: 867: 864: 861: 858: 855: 852: 845: 836: 835: 832: 829: 826: 822: 821: 818: 815: 811: 810: 807: 803: 802: 799: 796: 792: 791: 788: 785: 782: 778: 777: 774: 768: 765: 733: 730: 729: 728: 725: 718: 716: 713: 706: 704: 701: 694: 640: 637: 611: 610: 607: 604: 584: 581: 551: 548: 526: 523: 521:confirmation. 509: 506: 456:Wnt signalling 402:Carcinogenesis 397: 394: 367: 364: 326: 325: 324: 323: 317: 311: 303: 302: 301: 295: 292: 283: 282: 281: 276: 269: 264: 255: 254: 253: 247: 229: 226: 210:abdominal pain 178:abdominal pain 172: 169: 77: 76: 71: 65: 64: 52: 51: 43: 42: 39: 35: 34: 26: 9: 6: 4: 3: 2: 9720: 9709: 9706: 9704: 9701: 9699: 9696: 9694: 9691: 9690: 9688: 9671: 9668: 9667: 9666: 9665: 9661: 9659: 9658: 9654: 9653: 9651: 9649: 9645: 9635: 9634: 9630: 9629: 9627: 9625: 9621: 9614: 9610: 9609: 9605: 9602: 9598: 9597: 9593: 9590: 9586: 9585: 9581: 9578: 9574: 9573: 9569: 9567: 9566: 9562: 9560: 9557: 9556: 9552: 9548: 9547: 9543: 9541: 9538: 9537: 9535: 9533: 9529: 9523: 9522: 9518: 9516: 9515: 9511: 9509: 9508: 9504: 9501: 9497: 9496: 9492: 9490: 9487: 9486: 9481: 9478: 9477: 9476: 9475: 9471: 9469: 9466: 9465: 9463: 9461: 9456: 9452: 9444: 9441: 9440: 9439: 9438: 9434: 9430: 9427: 9426: 9425: 9424: 9420: 9419: 9417: 9415: 9411: 9407: 9404: 9402: 9396: 9386: 9385: 9381: 9379: 9378: 9374: 9370: 9369:Parainfluenza 9367: 9366: 9365: 9364: 9359: 9358: 9353: 9352: 9347: 9343: 9340: 9339: 9338: 9337: 9333: 9329: 9325: 9320: 9319: 9314: 9311: 9310: 9305: 9302: 9301: 9300: 9299: 9295: 9291: 9288: 9287: 9286: 9285: 9281: 9277: 9274: 9273: 9272: 9271: 9267: 9263: 9260: 9259: 9258: 9257: 9253: 9249: 9245: 9242: 9237: 9234: 9233: 9231: 9229: 9225: 9219: 9218: 9214: 9210: 9206: 9205:EBV infection 9203: 9202: 9201: 9200: 9196: 9195: 9193: 9191: 9187: 9184: 9182: 9177: 9170: 9166: 9158: 9155: 9153: 9150: 9149: 9148: 9147: 9143: 9142: 9140: 9138: 9134: 9122: 9119: 9118: 9117: 9116: 9112: 9108: 9105: 9104: 9103: 9102: 9098: 9097: 9095: 9093: 9089: 9081: 9078: 9077: 9076: 9075: 9071: 9067: 9064: 9062: 9061:Poliomyelitis 9059: 9058: 9057: 9056: 9052: 9051: 9049: 9047: 9043: 9037: 9034: 9032: 9029: 9027: 9024: 9020: 9017: 9016: 9015: 9014: 9010: 9006: 9003: 9002: 9000: 8999: 8995: 8993: 8990: 8986: 8983: 8982: 8981: 8980: 8976: 8972: 8969: 8968: 8967: 8966: 8962: 8960: 8957: 8956: 8951: 8948: 8947: 8946: 8945: 8941: 8939: 8936: 8935: 8933: 8931: 8926: 8922: 8919: 8917: 8911: 8903: 8900: 8899: 8898: 8897: 8893: 8892: 8890: 8888: 8884: 8876: 8873: 8872: 8871: 8870: 8866: 8862: 8859: 8857: 8854: 8853: 8852: 8851: 8847: 8845: 8842: 8841: 8836: 8833: 8832: 8831: 8830: 8826: 8822: 8819: 8817: 8814: 8812: 8809: 8807: 8804: 8802: 8799: 8798: 8797: 8796: 8792: 8788: 8785: 8784: 8783: 8782: 8778: 8774: 8771: 8769: 8766: 8764: 8763:Vulvar cancer 8761: 8759: 8758:Penile cancer 8756: 8754: 8751: 8749: 8746: 8745: 8744: 8743: 8739: 8735: 8732: 8731: 8730: 8729: 8725: 8723: 8720: 8719: 8717: 8715: 8711: 8707: 8703: 8696: 8691: 8689: 8684: 8682: 8677: 8676: 8673: 8657: 8654: 8653: 8651: 8648: 8644: 8634: 8631: 8629: 8626: 8625: 8623: 8621: 8617: 8611: 8608: 8606: 8603: 8602: 8600: 8598: 8594: 8587: 8583: 8579: 8577: 8574: 8572: 8569: 8567: 8564: 8563: 8561: 8559: 8555: 8552: 8550:and medullary 8544: 8533: 8529: 8525: 8521: 8517: 8516: 8514: 8512: 8508: 8502: 8499: 8495: 8492: 8491: 8489: 8485: 8481: 8477: 8474: 8473: 8472: 8469: 8468: 8466: 8464: 8460: 8454: 8450: 8447: 8446: 8444: 8441: 8437: 8434: 8426: 8420: 8417: 8413: 8410: 8408: 8405: 8404: 8403: 8400: 8399: 8397: 8391: 8381: 8378: 8376: 8373: 8371: 8368: 8366: 8363: 8361: 8358: 8356: 8353: 8349: 8346: 8345: 8344: 8341: 8340: 8338: 8334: 8328: 8325: 8323: 8319: 8316: 8314: 8311: 8309: 8306: 8305: 8303: 8301: 8297: 8291: 8288: 8286: 8283: 8281: 8278: 8277: 8275: 8273: 8269: 8263: 8259: 8256: 8254: 8251: 8249: 8246: 8245: 8240: 8237: 8235: 8232: 8230: 8227: 8225: 8222: 8220: 8217: 8216: 8215: 8212: 8211: 8208: 8205: 8203: 8200: 8197: 8196: 8194: 8192: 8188: 8185: 8183: 8178: 8174: 8171: 8169: 8165: 8155: 8152: 8150: 8147: 8145: 8142: 8141: 8139: 8137: 8133: 8127: 8124: 8122: 8119: 8117: 8114: 8112: 8109: 8107: 8104: 8102: 8099: 8097: 8094: 8093: 8091: 8089: 8085: 8081: 8078: 8076: 8072: 8068: 8060: 8055: 8053: 8048: 8046: 8041: 8040: 8037: 8025: 8022: 8020: 8017: 8015: 8012: 8011: 8009: 8007: 8003: 7993: 7990: 7989: 7986: 7983: 7981: 7978: 7976: 7973: 7971: 7967: 7966: 7963: 7959: 7958: 7955: 7952: 7950: 7947: 7945: 7941: 7940: 7938: 7936: 7932: 7926: 7923: 7921: 7917: 7916: 7913: 7910: 7908: 7905: 7903: 7899: 7898: 7896: 7894: 7893:Biliary tract 7890: 7884: 7881: 7879: 7876: 7874: 7870: 7869: 7866: 7863: 7861: 7858: 7856: 7852: 7851: 7848: 7845: 7843: 7840: 7836: 7835:Fibrolamellar 7833: 7832: 7831: 7828: 7826: 7822: 7821: 7819: 7817: 7813: 7810: 7808: 7804: 7794: 7791: 7789: 7786: 7785: 7783: 7779: 7769: 7766: 7765: 7763: 7761: 7757: 7751: 7748: 7746: 7743: 7741: 7738: 7735: 7734: 7731: 7728: 7726: 7723: 7721: 7717: 7714: 7712: 7709: 7707: 7704: 7701: 7700: 7697: 7693: 7692:Peutz–Jeghers 7689: 7685: 7681: 7677: 7673: 7670: 7668: 7664: 7663: 7661: 7659: 7655: 7649: 7646: 7644: 7641: 7640: 7638: 7636: 7632: 7624: 7621: 7620: 7619: 7616: 7615: 7613: 7611: 7607: 7604: 7602: 7598: 7588: 7585: 7583: 7580: 7576: 7575:MALT lymphoma 7573: 7572: 7571: 7568: 7566: 7563: 7561: 7558: 7557: 7555: 7553: 7549: 7543: 7540: 7538: 7535: 7534: 7532: 7530: 7526: 7523: 7521: 7517: 7514: 7512: 7508: 7504: 7497: 7492: 7490: 7485: 7483: 7478: 7477: 7474: 7458: 7455: 7453: 7450: 7446: 7443: 7442: 7441: 7438: 7437: 7435: 7433: 7429: 7421: 7418: 7416: 7413: 7411: 7408: 7407: 7406: 7403: 7402: 7397: 7394: 7392: 7389: 7388: 7387: 7386: 7382: 7381: 7378: 7375: 7373: 7370: 7368: 7365: 7363: 7360: 7356: 7353: 7351: 7348: 7347: 7346: 7343: 7342: 7339: 7336: 7332: 7329: 7328: 7327: 7326:Diaphragmatic 7324: 7323: 7321: 7319: 7315: 7312: 7308: 7298: 7295: 7293: 7290: 7288: 7285: 7281: 7278: 7276: 7273: 7271: 7268: 7266: 7263: 7262: 7261: 7258: 7257: 7255: 7253: 7249: 7243: 7240: 7236: 7233: 7231: 7228: 7227: 7226: 7225: 7221: 7220: 7217: 7214: 7212: 7209: 7207: 7203: 7200: 7196: 7193: 7191: 7188: 7186: 7183: 7182: 7181: 7178: 7177: 7175: 7173: 7167: 7163: 7157: 7154: 7152: 7149: 7147: 7144: 7142: 7139: 7137: 7134: 7132: 7131:Cholecystitis 7129: 7128: 7126: 7124: 7120: 7112: 7109: 7107: 7104: 7103: 7102: 7099: 7097: 7094: 7092: 7089: 7085: 7082: 7080: 7077: 7076: 7075: 7074:Liver abscess 7072: 7068: 7065: 7063: 7060: 7059: 7058: 7057:Liver failure 7055: 7053: 7050: 7046: 7043: 7041: 7038: 7036: 7033: 7031: 7028: 7027: 7026: 7025: 7021: 7017: 7014: 7013: 7012: 7009: 7005: 7002: 7001: 7000: 6997: 6993: 6990: 6988: 6985: 6983: 6980: 6979: 6978: 6975: 6974: 6972: 6970: 6966: 6963: 6961: 6957: 6949: 6946: 6945: 6944: 6941: 6937: 6934: 6932: 6929: 6928: 6927: 6924: 6922: 6919: 6918: 6916: 6914: 6910: 6900: 6897: 6895: 6892: 6890: 6887: 6885: 6882: 6880: 6876: 6873: 6872: 6870: 6868: 6864: 6858: 6855: 6853: 6850: 6848: 6845: 6843: 6840: 6836: 6833: 6832: 6831: 6828: 6827: 6825: 6823: 6819: 6813: 6810: 6806: 6803: 6802: 6801: 6798: 6794: 6791: 6790: 6789: 6786: 6784: 6781: 6779: 6776: 6774: 6771: 6769: 6765: 6762: 6760: 6757: 6755: 6752: 6750: 6746: 6745: 6741: 6737: 6734: 6733: 6732: 6729: 6727: 6724: 6720: 6717: 6716: 6715: 6714:Enterocolitis 6712: 6711: 6709: 6705: 6699: 6695: 6691: 6688: 6686: 6682: 6679: 6675: 6671: 6668: 6666: 6663: 6662: 6661: 6658: 6656: 6653: 6649: 6646: 6644: 6641: 6639: 6636: 6634: 6631: 6629: 6626: 6624: 6621: 6620: 6619: 6616: 6614: 6611: 6610: 6608: 6605: 6601: 6596: 6592: 6586: 6583: 6581: 6578: 6576: 6573: 6571: 6568: 6566: 6563: 6561: 6558: 6556: 6553: 6551: 6548: 6546: 6542: 6541:Malabsorption 6539: 6535: 6532: 6531: 6530: 6527: 6523: 6520: 6518: 6515: 6513: 6510: 6509: 6508: 6505: 6504: 6502: 6499: 6495: 6491: 6486: 6482: 6479: 6477: 6473: 6469: 6457: 6454: 6453: 6452: 6449: 6447: 6444: 6442: 6439: 6437: 6434: 6432: 6429: 6427: 6424: 6422: 6419: 6417: 6416:Gastroparesis 6414: 6412: 6409: 6407: 6404: 6400: 6397: 6396: 6395: 6392: 6388: 6385: 6383: 6382:Cushing ulcer 6380: 6379: 6378: 6375: 6371: 6368: 6366: 6363: 6361: 6358: 6357: 6356: 6353: 6352: 6350: 6348: 6344: 6338: 6335: 6333: 6330: 6328: 6327:Megaesophagus 6325: 6323: 6320: 6318: 6315: 6312: 6309: 6304: 6301: 6299: 6296: 6294: 6291: 6289: 6286: 6284: 6281: 6280: 6279: 6276: 6274: 6271: 6269: 6266: 6262: 6259: 6257: 6254: 6253: 6252: 6249: 6245: 6242: 6240: 6237: 6235: 6232: 6231: 6230: 6227: 6226: 6224: 6222: 6218: 6215: 6213: 6209: 6205: 6197: 6192: 6190: 6185: 6183: 6178: 6177: 6174: 6161: 6157: 6156: 6152: 6150: 6146: 6145: 6141: 6139: 6135: 6134: 6130: 6129: 6126: 6122: 6115: 6111: 6110: 6106: 6104: 6100: 6099: 6095: 6093: 6089: 6088: 6084: 6080: 6078: 6074: 6073: 6069: 6065: 6064: 6061: 6056: 6052: 6046: 6043: 6040: 6037: 6036: 6022: 6018: 6014: 6007: 6002: 5998: 5994: 5990: 5986: 5981: 5976: 5972: 5968: 5964: 5959: 5948: 5944: 5939: 5938: 5925: 5921: 5916: 5911: 5907: 5903: 5899: 5895: 5891: 5884: 5876: 5872: 5867: 5862: 5857: 5852: 5848: 5844: 5840: 5833: 5819:on 2022-09-26 5818: 5814: 5810: 5804: 5796: 5792: 5786: 5778: 5774: 5769: 5764: 5760: 5756: 5752: 5748: 5744: 5737: 5729: 5725: 5721: 5717: 5713: 5709: 5702: 5694: 5686: 5682: 5677: 5672: 5668: 5664: 5660: 5656: 5652: 5645: 5637: 5633: 5628: 5623: 5619: 5615: 5611: 5607: 5603: 5596: 5588: 5584: 5579: 5574: 5570: 5566: 5562: 5555: 5547: 5543: 5539: 5535: 5531: 5527: 5523: 5519: 5511: 5503: 5499: 5495: 5489: 5481: 5477: 5472: 5467: 5462: 5457: 5453: 5449: 5445: 5441: 5437: 5430: 5422: 5418: 5413: 5408: 5404: 5400: 5396: 5389: 5378: 5371: 5365: 5357: 5353: 5349: 5345: 5340: 5335: 5331: 5327: 5323: 5319: 5315: 5308: 5300: 5296: 5291: 5286: 5281: 5276: 5272: 5268: 5264: 5257: 5243: 5239: 5232: 5224: 5220: 5216: 5212: 5208: 5204: 5197: 5189: 5185: 5181: 5177: 5172: 5167: 5163: 5159: 5155: 5148: 5140: 5136: 5131: 5126: 5121: 5116: 5112: 5108: 5104: 5097: 5082: 5078: 5072: 5057: 5053: 5047: 5039: 5035: 5031: 5025: 5021: 5015: 5011: 5008: 5003: 4987: 4983: 4977: 4970: 4966: 4963: 4958: 4950: 4946: 4941: 4936: 4932: 4928: 4924: 4917: 4909: 4905: 4901: 4897: 4893: 4889: 4888:Radiographics 4881: 4865: 4861: 4855: 4853: 4844: 4840: 4836: 4832: 4827: 4822: 4818: 4814: 4810: 4803: 4794: 4789: 4785: 4781: 4777: 4773: 4769: 4762: 4754: 4750: 4746: 4742: 4735: 4727: 4723: 4719: 4715: 4711: 4707: 4700: 4692: 4684: 4680: 4675: 4670: 4666: 4662: 4658: 4651: 4643: 4639: 4635: 4631: 4627: 4623: 4615: 4613: 4604: 4600: 4596: 4592: 4587: 4582: 4578: 4574: 4567: 4565: 4556: 4552: 4547: 4542: 4538: 4534: 4530: 4523: 4515: 4511: 4506: 4501: 4496: 4491: 4487: 4483: 4479: 4472: 4464: 4460: 4455: 4450: 4446: 4442: 4438: 4431: 4416: 4412: 4406: 4398: 4394: 4390: 4386: 4382: 4378: 4370: 4354: 4350: 4344: 4336: 4332: 4328: 4324: 4320: 4316: 4308: 4300: 4296: 4291: 4286: 4282: 4278: 4274: 4270: 4266: 4259: 4251: 4247: 4243: 4239: 4235: 4231: 4227: 4223: 4216: 4208: 4204: 4199: 4194: 4190: 4186: 4182: 4175: 4167: 4163: 4159: 4155: 4151: 4147: 4143: 4139: 4131: 4123: 4119: 4114: 4109: 4104: 4099: 4095: 4091: 4087: 4080: 4072: 4068: 4064: 4060: 4056: 4052: 4044: 4036: 4032: 4028: 4024: 4020: 4016: 4012: 4008: 4001: 3993: 3989: 3984: 3979: 3974: 3969: 3965: 3961: 3957: 3953: 3949: 3942: 3934: 3930: 3925: 3920: 3915: 3910: 3906: 3902: 3898: 3891: 3883: 3879: 3875: 3871: 3866: 3861: 3857: 3853: 3849: 3842: 3834: 3830: 3825: 3820: 3815: 3810: 3806: 3802: 3798: 3791: 3783: 3779: 3774: 3769: 3764: 3759: 3755: 3751: 3747: 3740: 3738: 3722: 3716: 3699: 3695: 3689: 3681: 3677: 3673: 3669: 3665: 3661: 3654: 3646: 3642: 3637: 3632: 3627: 3622: 3618: 3614: 3610: 3603: 3595: 3591: 3585: 3577: 3573: 3567: 3559: 3555: 3551: 3547: 3543: 3539: 3535: 3531: 3524: 3516: 3512: 3507: 3502: 3498: 3494: 3490: 3486: 3482: 3475: 3473: 3464: 3460: 3456: 3452: 3448: 3444: 3440: 3436: 3429: 3421: 3417: 3413: 3409: 3405: 3401: 3397: 3393: 3386: 3379: 3375: 3372: 3367: 3353:on 2017-07-11 3352: 3348: 3342: 3334: 3330: 3326: 3322: 3318: 3314: 3310: 3306: 3299: 3284: 3280: 3274: 3266: 3262: 3258: 3254: 3250: 3246: 3242: 3238: 3231: 3223: 3219: 3215: 3211: 3207: 3203: 3199: 3195: 3187: 3185: 3183: 3166: 3160: 3152: 3148: 3143: 3138: 3134: 3130: 3126: 3119: 3117: 3107: 3102: 3098: 3094: 3090: 3086: 3078: 3070: 3066: 3061: 3056: 3052: 3048: 3044: 3037: 3029: 3025: 3020: 3015: 3010: 3005: 3001: 2997: 2993: 2986: 2978: 2974: 2970: 2966: 2962: 2958: 2951: 2943: 2939: 2935: 2931: 2927: 2923: 2919: 2915: 2908: 2901: 2896: 2892: 2888: 2884: 2880: 2876: 2872: 2868: 2861: 2854: 2850: 2846: 2841: 2836: 2831: 2826: 2822: 2818: 2814: 2807: 2800: 2789:on 2021-04-15 2788: 2784: 2780: 2776: 2772: 2768: 2761: 2754: 2749: 2745: 2741: 2737: 2733: 2729: 2722: 2707: 2701: 2694: 2689: 2685: 2681: 2677: 2673: 2669: 2665: 2661: 2654: 2647: 2642: 2638: 2633: 2628: 2624: 2620: 2616: 2612: 2608: 2601: 2593: 2589: 2584: 2579: 2574: 2569: 2565: 2561: 2557: 2550: 2543: 2538: 2534: 2529: 2524: 2519: 2514: 2510: 2506: 2502: 2495: 2493: 2479: 2473: 2469: 2465: 2461: 2456: 2448: 2441: 2436: 2432: 2427: 2422: 2418: 2414: 2410: 2406: 2402: 2395: 2393: 2391: 2374: 2370: 2363: 2355: 2351: 2346: 2341: 2336: 2331: 2327: 2323: 2319: 2312: 2310: 2308: 2306: 2304: 2302: 2300: 2298: 2296: 2294: 2285: 2281: 2276: 2271: 2267: 2263: 2259: 2255: 2251: 2244: 2236: 2232: 2228: 2224: 2220: 2216: 2209: 2202: 2197: 2193: 2188: 2183: 2179: 2175: 2171: 2167: 2163: 2156: 2149: 2145: 2141: 2137: 2133: 2129: 2125: 2118: 2111: 2106: 2102: 2098: 2094: 2090: 2086: 2079: 2072: 2068: 2064: 2060: 2056: 2052: 2048: 2041: 2039: 2037: 2021: 2017: 2011: 2003: 1999: 1994: 1989: 1985: 1981: 1977: 1973: 1969: 1962: 1954: 1950: 1945: 1940: 1935: 1930: 1926: 1922: 1918: 1911: 1903: 1899: 1895: 1891: 1884: 1882: 1873: 1867: 1865: 1856: 1852: 1848: 1844: 1836: 1827: 1822: 1818: 1814: 1810: 1806: 1802: 1795: 1787: 1783: 1779: 1775: 1768: 1766: 1764: 1762: 1760: 1758: 1756: 1754: 1752: 1750: 1748: 1746: 1744: 1742: 1740: 1738: 1736: 1734: 1732: 1730: 1728: 1726: 1724: 1722: 1720: 1718: 1716: 1714: 1705: 1699: 1695: 1688: 1686: 1684: 1682: 1673: 1669: 1664: 1659: 1654: 1649: 1645: 1641: 1637: 1630: 1616: 1612: 1606: 1598: 1594: 1590: 1586: 1582: 1578: 1574: 1570: 1563: 1555: 1551: 1547: 1543: 1539: 1535: 1528: 1526: 1521: 1512: 1509: 1507: 1504: 1502: 1499: 1498: 1492: 1489: 1487: 1483: 1479: 1475: 1471: 1467: 1458: 1455: 1450: 1447: 1445: 1440: 1438: 1434: 1430: 1426: 1422: 1417: 1414: 1399: 1395: 1393: 1389: 1385: 1381: 1377: 1372: 1370: 1360: 1358: 1354: 1353: 1348: 1344: 1333: 1331: 1327: 1323: 1319: 1315: 1311: 1310:North America 1302: 1282: 67.5–75 1276: 60–67.5 1270: 52.5–60 1264: 45–52.5 1258: 37.5–45 1252: 30–37.5 1246: 22.5–30 1240: 15–22.5 1222: no data 1215: 1211: 1202: 1200: 1186: 1182: 1178: 1175: 1171: 1168: 1165: 1162: 1161: 1155: 1153: 1149: 1145: 1141: 1139: 1135: 1130: 1128: 1124: 1120: 1116: 1112: 1108: 1104: 1102: 1098: 1094: 1090: 1085: 1083: 1069: 1066: 1062: 1058: 1057: 1048: 1044: 1040: 1036: 1032: 1029: 1026: 1022: 1018: 1014: 1011: 1010: 1001: 998: 994: 991: 988: 985: 984: 978: 974: 971: 967: 958: 955: 950: 940: 931: 928: 918: 915: 912: 908: 907: 906: 898: 896: 892: 888: 883: 881: 871: 865: 862: 859: 856: 853: 850: 846: 843: 842: 841: 824: 823: 813: 812: 805: 804: 794: 793: 780: 779: 775: 772: 769: 766: 763: 762: 759: 754: 750: 748: 742: 739: 738: 722: 717: 710: 705: 698: 693: 692: 691: 689: 685: 681: 677: 673: 669: 668:fibrolamellar 664: 657: 653: 649: 645: 636: 634: 630: 628: 623: 621: 615: 608: 605: 602: 601: 600: 594: 589: 580: 578: 573: 569: 565: 561: 557: 547: 543: 539: 537: 533: 522: 520: 516: 505: 503: 499: 495: 494: 490:from certain 489: 485: 479: 477: 473: 469: 465: 461: 457: 453: 449: 445: 439: 437: 433: 429: 425: 421: 417: 413: 409: 403: 393: 390: 386: 382: 378: 374: 363: 361: 356: 354: 350: 346: 341: 339: 335: 330: 321: 318: 315: 312: 310: 307: 306: 304: 299: 296: 293: 290: 287: 286: 284: 280: 277: 274: 270: 268: 265: 262: 259: 258: 256: 251: 248: 245: 242: 241: 239: 238: 237: 235: 225: 223: 222:feeling tired 219: 215: 211: 207: 203: 199: 195: 191: 190:feeling tired 187: 183: 179: 168: 165: 164:United States 161: 157: 153: 148: 146: 141: 139: 135: 131: 127: 123: 119: 115: 111: 107: 103: 97: 95: 91: 87: 83: 75: 72: 70: 66: 62: 58: 53: 49: 44: 40: 36: 31: 19: 9662: 9655: 9631: 9624:Pancreatitis 9606: 9594: 9582: 9570: 9563: 9544: 9519: 9512: 9505: 9493: 9472: 9435: 9421: 9382: 9375: 9361: 9355: 9322: 9316: 9296: 9282: 9268: 9239: 9215: 9197: 9152:Pericarditis 9144: 9113: 9099: 9072: 9053: 9011: 8996: 8977: 8963: 8942: 8925:Encephalitis 8894: 8867: 8855: 8848: 8827: 8793: 8779: 8740: 8733: 8726: 8407:Hidrocystoma 8401: 8327:HĂĽrthle cell 8308:Prolactinoma 8261: 8213: 8198: 7960: 7942: 7918: 7900: 7871: 7853: 7829: 7823: 7736: 7702: 7676:hyperplastic 7665: 7658:Colon/rectum 7404: 7383: 7260:Pancreatitis 7222: 7172:biliary tree 7045:Nutmeg liver 7022: 6948:Hematochezia 6899:Pruritus ani 6884:Anal abscess 6879:Anal fistula 6875:Anal fissure 6788:Constipation 6742: 6613:Appendicitis 6421:Gastroptosis 6411:Achlorhydria 6250: 6239:Eosinophilic 6153: 6142: 6131: 6107: 6096: 6081: 6066: 6021:the original 6016: 6012: 5970: 5966: 5950:. 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MedScape 2089:Toxicology 2026:2021-06-22 1646:(2): 238. 1620:2021-06-24 1517:References 1482:everolimus 1454:bile acids 1376:porphyrias 1369:metastases 1328:, and the 1152:durvalumab 1117:(MET) and 1097:lenvatinib 1035:Yttrium-90 891:ultrasound 874:Prevention 771:Child-Pugh 688:anaplastic 648:Micrograph 591:Triphasic 408:epigenetic 400:See also: 320:Hemophilia 59:positive. 9559:RNA virus 9540:DNA virus 9532:Hepatitis 9507:Norovirus 9495:Rotavirus 9489:RNA virus 9468:DNA virus 9414:Esophagus 9342:Influenza 9228:RNA virus 9190:DNA virus 8959:RNA virus 8938:DNA virus 8844:RNA virus 8722:DNA virus 8714:Oncovirus 8430:mucinous, 8412:Syringoma 8348:Carcinoid 8300:Endocrine 8088:carcinoma 8084:Papilloma 7965:neoplasms 7902:bile duct 7825:malignant 7807:Accessory 7737:Neoplasm: 7720:Gardner's 7643:Carcinoid 7529:Esophagus 7420:Richter's 7377:Spigelian 7372:Obturator 7362:Umbilical 7195:Ascending 7166:Bile duct 6999:Cirrhosis 6977:Hepatitis 6960:Accessory 6830:Proctitis 6681:Megacolon 6655:Dysentery 6565:Whipple's 6517:Jejunitis 6507:Enteritis 6394:Dyspepsia 6355:Gastritis 6288:Achalasia 6221:Esophagus 6144:eMedicine 5849:: 59–69. 5038:953861627 4843:218633632 4581:CiteSeerX 3704:28 August 3660:Radiology 3420:174815950 3347:"Li-Rads" 3237:Digestion 2373:Emedicine 2328:: 41–53. 1506:Oncovirus 1444:organoids 1431:(such as 1427:markers, 1380:porphyria 1199:Sorafenib 1192:Prognosis 1148:indicated 1082:sorafenib 1021:sorafenib 1017:cisplatin 920:survival. 901:Treatment 639:Pathology 629:than CT. 525:Screening 508:Diagnosis 488:aflatoxin 468:chromatin 412:apoptosis 338:β-catenin 267:Aflatoxin 126:aflatoxin 102:hepatitis 94:cirrhosis 69:Specialty 63:specimen. 9657:BK virus 9460:diarrhea 9304:COVID-19 9046:Myelitis 8548:lobular, 8463:Mucinous 8214:pancreas 8177:Adenomas 7935:Pancreas 7706:Juvenile 7680:juvenile 7635:Appendix 7511:GI tract 7350:Indirect 7345:Inguinal 7079:Pyogenic 7024:Vascular 6800:Diarrhea 6778:Volvulus 6744:Vascular 6683: / 6672: / 6633:Ischemic 6600:Appendix 6490:Duodenum 6360:Atrophic 6234:Candidal 5989:16250051 5947:uptodate 5924:25613083 5875:28443252 5777:27273788 5728:34843121 5685:29719937 5636:29131160 5587:15860847 5546:54270315 5538:10459961 5480:21187392 5421:28438689 5356:19074169 5348:19169879 5339:11030199 5299:31212948 5223:26651253 5188:42804844 5180:27622302 5139:28694740 5113:(1): 1. 5052:"Cancer" 5010:Archived 4965:Archived 4949:18989675 4908:12235336 4835:32402160 4793:10249425 4726:27932229 4683:29258077 4661:Oncology 4642:19095497 4603:18650514 4555:30684667 4514:31275846 4463:23219567 4397:20022765 4335:11584366 4299:16495695 4250:37178385 4242:15690326 4207:14745883 4166:52275656 4158:30218342 4122:18043937 4071:17692645 4027:19381688 3992:25830231 3952:PLOS ONE 3933:28097107 3874:29624699 3833:28480062 3782:24282343 3680:10966697 3645:25848467 3558:23889399 3550:10518312 3515:25755615 3463:40384842 3455:25675010 3412:31168847 3374:Archived 3333:10418520 3325:18471552 3265:25266129 3257:23406785 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5627:5722201 5471:3021052 5448:Bibcode 5290:6627768 5267:Cancers 5130:5490340 4505:6591511 4488:: 345. 4290:1448947 4113:1356504 4035:1216580 3983:4382157 3960:Bibcode 3924:5207474 3907:: 1–9. 3882:4666537 3824:5401862 3773:3837250 3726:May 12, 3636:4381166 3506:4284240 3222:9563077 3019:4022277 2942:8611393 2840:2731289 2711:May 12, 2632:3397779 2583:2686909 2528:2686909 2426:4123320 2379:May 12, 2345:5063561 2275:3899457 2196:6307837 2187:1420230 2144:1314321 1993:3501546 1944:4146761 1826:9762323 1663:7828059 1425:protein 1357:peanuts 1322:Central 1185:Yttrium 954:imaging 834:3 or 4 820:1 or 2 801:A or B 732:Staging 676:adenoid 583:Imaging 418:and/or 385:insulin 61:Autopsy 9074:HTLV-I 9019:Rabies 8869:HTLV-I 8647:Acinar 8511:Serous 8440:Cystic 8234:VIPoma 8199:tract: 8168:Glands 8067:cancer 7962:cystic 7855:benign 7385:Lumbar 7355:Direct 7338:Hiatus 7318:Hernia 7170:Other 6936:Melena 6822:Rectum 6305:(GERD) 6138:000280 5995:  5987:  5922:  5912:  5873:  5863:  5775:  5765:  5726:  5683:  5673:  5634:  5624:  5585:  5544:  5536:  5518:Lancet 5478:  5468:  5419:  5354:  5346:  5336:  5297:  5287:  5221:  5186:  5178:  5158:Cancer 5137:  5127:  5036:  5026:  4988:. 2009 4947:  4906:  4841:  4833:  4790:  4724:  4706:Lancet 4681:  4640:  4601:  4583:  4553:  4512:  4502:  4461:  4420:4 July 4395:  4333:  4297:  4287:  4248:  4240:  4222:Cancer 4205:  4185:Cancer 4164:  4156:  4120:  4110:  4069:  4033:  4025:  3990:  3980:  3931:  3921:  3880:  3872:  3831:  3821:  3780:  3770:  3678:  3643:  3633:  3556:  3548:  3513:  3503:  3461:  3453:  3418:  3410:  3331:  3323:  3288:4 July 3263:  3255:  3220:  3212:  3149:  3067:  3026:  3016:  2975:  2940:  2932:  2893:  2885:  2847:  2837:  2781:  2746:  2686:  2678:  2639:  2629:  2611:Cancer 2590:  2580:  2535:  2525:  2474:  2433:  2423:  2405:Cancer 2352:  2342:  2282:  2272:  2233:  2194:  2184:  2142:  2103:  2065:  2000:  1990:  1951:  1941:  1900:  1823:  1700:  1670:  1660:  1595:  1587:  1569:Lancet 1552:  1472:, has 1466:JX-594 1433:TUC338 1343:median 1292:  1286:  1280:  1274:  1268:  1262:  1256:  1250:  1244:  1238:  1232:  1226:  1220:  577:biopsy 515:biopsy 472:ARID1A 460:CTNNB1 214:nausea 182:nausea 9670:Mumps 9429:Mumps 9399:Human 8829:MCPyV 7816:Liver 7601:Lower 7520:Upper 7310:Other 7265:Acute 7016:MASLD 6969:Liver 6943:Lower 6926:Upper 6768:Ileus 6604:Colon 6498:Ileum 6313:(LPR) 6098:ICD-O 6077:C22.0 6024:(PDF) 6009:(PDF) 5993:S2CID 5704:(PDF) 5542:S2CID 5380:(PDF) 5373:(PDF) 5352:S2CID 5184:S2CID 4839:S2CID 4702:(PDF) 4246:S2CID 4162:S2CID 4031:S2CID 3878:S2CID 3554:S2CID 3459:S2CID 3416:S2CID 3329:S2CID 3261:S2CID 3218:S2CID 2938:S2CID 2891:S2CID 2684:S2CID 2124:Liver 1593:S2CID 1468:, an 1421:genes 1347:Japan 1158:Other 1111:VEGFR 1064:care. 849:stage 773:class 764:Stage 498:China 476:ARID2 464:AXIN1 377:NAFLD 220:, or 188:, or 128:, or 9384:hMPV 9256:OC43 9252:HKU1 9248:NL63 9244:229E 8902:AIDS 8781:KSHV 8649:cell 7760:Anus 6698:SCAD 6109:MeSH 6087:9-CM 5985:PMID 5954:2014 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Index

Hepatocellular cancer

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Autopsy
Specialty
Oncology
liver cancer
cirrhosis
hepatitis
hepatitis B
C
D
non-alcoholic steatohepatitis
alcoholic liver disease
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pyrrolizidine alkaloids
hemochromatosis
alpha 1-antitrypsin deficiency
how far the cancer has spread
Asia
sub-Saharan Africa
hepatitis B infection
United States
abdominal pain
nausea
vomiting
feeling tired
yellow skin
fluid in the abdominal cavity
blood clotting abnormalities

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.

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