[Screening of hepatocellular carcinoma and surveillance of patients with cirrhosis: a public health issue]. / Dépistage du carcinome hépatocellulaire et surveillance de la cirrhose.
Rev Prat
; 63(2): 222-5, 2013 Feb.
Article
em Fr
| MEDLINE
| ID: mdl-23513790
ABSTRACT
Hepatocellular carcinoma (HCC), the main primitive liver cancer, occurs almost exclusively in patients with cirrhosis. Only small tumors are accessible to curative treatments. Such tumors being asymptomatic, their detection needs to perform regular surveillance, using ultrasonography every 6 months, in patients with compensated cirrhosis. Several cues suggest that more than 75% of patients with HCC have not been included in such a surveillance program or that screening has been performed using inadequate modalities. The main paths to improve this status include a) to increase the detection of patients with cirrhosis in the general population by sensitizing healthcare professionals to the diagnosis of cirrhosis and by developing the use of non invasive diagnostic methods; b) to extend HCC screening to all patients with compensated cirrhosis and to educate healthcare professionals about precise modalities; c) to develop a multidisciplinary approach to ensure the appropriate management of patients.
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Base de dados:
MEDLINE
Assunto principal:
Vigilância da População
/
Saúde Pública
/
Carcinoma Hepatocelular
/
Detecção Precoce de Câncer
/
Cirrose Hepática
/
Neoplasias Hepáticas
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Screening_studies
Limite:
Humans
Idioma:
Fr
Ano de publicação:
2013
Tipo de documento:
Article