Screening for hepatocellular carcinoma in high-risk populations

Clin Imaging. 2016 Mar-Apr;40(2):311-4. doi: 10.1016/j.clinimag.2015.11.010. Epub 2015 Nov 23.

Abstract

Screening for hepatocellular carcinoma (HCC) should be implemented in the high-risk population. High-risk population includes patients with cirrhosis of any etiology, patients with chronic hepatitis B virus with or without cirrhosis, and patients with chronic hepatitis C virus with cirrhosis. A randomized controlled trial of over 18,000 high-risk individuals demonstrated that biannual screening reduced HCC-related mortality by 37%. The screening test of choice is ultrasound imaging with an interval of 6 months.

Keywords: Cirrhosis; Hepatitis B; Hepatitis C; Hepatocellular carcinoma screening; Liver cancer screening.

Publication types

  • Review

MeSH terms

  • Carcinoma, Hepatocellular / diagnosis*
  • Carcinoma, Hepatocellular / epidemiology
  • Early Detection of Cancer / methods*
  • Global Health
  • Humans
  • Liver Neoplasms / diagnosis*
  • Liver Neoplasms / epidemiology
  • Male
  • Morbidity / trends
  • Risk Factors
  • Survival Rate / trends