AI Article Synopsis

  • - Hepatocellular carcinoma, the most prevalent primary liver cancer, is commonly caused by factors like viral hepatitis, alcohol abuse, and autoimmune hepatitis, but often diagnosed at advanced stages, limiting curative options.
  • - A study conducted from March 2020 to August 2022 at a tertiary care center found that 3.75% of 1440 patients with chronic liver disease had hepatocellular carcinoma, with most patients presenting with symptoms.
  • - The majority of symptomatic patients had a history of alcohol consumption (68.52%) and smoking (74.07%), indicating that alcohol-related liver cirrhosis is a significant risk factor in this population.

Article Abstract

Introduction: Hepatocellular carcinoma is the most common primary liver cancer. Viral hepatitis, alcohol abuse, and autoimmune hepatitis are the common causes of hepatocellular carcinoma. Usually patients present at advanced stages where curative treatment is no longer possible. This study aimed to find the prevalence of hepatocellular carcinoma among patients with chronic liver disease in a tertiary care centre.

Methods: This is a descriptive cross-sectional study conducted in a single tertiary care centre from March 2020 to August 2022. The study was done among inpatients of the Department of Gastroenterology after ethical approval from the Institutional Review Committee. A total population sampling method was used and data were collected using predetermined proformas. Point estimate at 95% Confidence Interval was calculated.

Results: Among 1440 patients, hepatocellular carcinoma was seen in 54 (3.75%) (2.77-4.73, 95% Confidence Interval). At the time of diagnosis, 48 (88.89%) were symptomatic. The presenting symptoms were weight loss seen in 35 (64.81%) being the most common. Out of them, 37 (68.52%) consumed alcohol and 40 (74.07%) smoked cigarettes.

Conclusions: Hepatocellular carcinoma is a notable concern. Alcohol-related liver cirrhosis is the most frequent condition encountered in patients with hepatocellular carcinoma in our setting.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10924482PMC
http://dx.doi.org/10.31729/jnma.8488DOI Listing

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