Surveillance for hepatocellular carcinoma

Cristina Della Corte, Massimo Colombo

Research output: Contribution to journalArticle

Abstract

The only hope for a cure from hepatocellular carcinoma (HCC) rests on early diagnosis as it can be attained through semiannual surveillance with abdominal ultrasound (US) of patients at risk. While the strategy of semiannual screening rests on the growth rate of the tumor that in cirrhotic patients takes 6 months to double its volume, on average, the noninvasive radiological diagnosis of HCC is possible in cirrhotic patients with a de novo HCC and patients with chronic hepatitis B. More recently, metabolic diseases related to insulin resistance, including diabetes and obesity, have been recognized to be causally related to HCC as well, in most patients bridging HCC to the histopathological diagnosis of non-alcoholic steatohepatitis (NASH). While the endpoint of an early diagnosis is achieved quite easily in most patients with >1 cm HCC by computed tomography (CT) or magnetic resonance imaging (MRI) demonstrating the specific pattern of an intense contrast uptake during the arterial phase (wash-in) and contrast wash-out during the venous/delayed phase, nodules

Original languageEnglish
Pages (from-to)384-398
Number of pages15
JournalSeminars in Oncology
Volume39
Issue number4
DOIs
Publication statusPublished - Aug 2012

    Fingerprint

ASJC Scopus subject areas

  • Oncology
  • Hematology

Cite this