What is the clinical history of hepatoma in hepatitis C virus (HCV) infection?

Updated: Apr 02, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

The progression of HCV infection to chronic hepatitis C infection and then to hepatocellular carcinoma is a well-known sequence. The chronicity of HCV infection occurs in 60% of patients infected by the virus overall, but the rate increases to more than 90% in type 1b infection. [13] Worse hepatocellular disease also resulted from type 1b infections. Hepatic cirrhosis is correlated with inoculation size, being more common in patients with HCV-infected blood transfusions (23%) and organ transplantation than in users of intravenous drugs (9%). Viral species variation, complications, and host antibody response vigor have a role in chronic infection. [74] Cirrhosis develops in approximately 15-20% of patients with chronic hepatitis C. Hepatocellular carcinoma eventually occurs in 5-10% of patients with chronic hepatitis C. Symptoms of hepatoma include rapid decompensation of the liver and metastases, often to the brain.


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