|
II-2 |
|
-
•
In non-cirrhotic patients with chronic hepatitis B virus infection:
|
II-2 |
|
-
•
In non-cirrhotic patients with chronic hepatitis C virus infection:
-
∘
HCC is most often associated with advanced fibrosis however in up to 10% of cases, and it may occur even with mild degrees of fibrosis.
-
∘
Anti-HCV positivity is associated with higher risk of developing HCC than general population.
|
II-2 |
|
-
•
In patients with HBV- or HCV-related chronic liver disease the risk of HCC is increased if there is concomitant:
-
∘
HIV co-infection
-
∘
HBV/HCV co-infection
-
∘
Chronic alcohol abuse
-
∘
Obesity
-
∘
Diabetes mellitus
-
∘
Aflatoxin exposure
|
II-2 |
|
-
•
In Indian HBV patients, HCC is more often associated with:
-
∘
HBV genotype D infection/mixed genotype infection
-
∘
High HBV DNA levels (>10,000 copies/mL)
-
∘
Persistently elevated serum ALT levels
-
∘
High level of hepatitis B surface antigen
|
II-2 |
|
-
•
In Indian HCV patients, HCC is more often associated with:
|
II-2 |
|
|
II-2 |
|
|
II-2 |
|
-
•
Regarding HCV patients treated with DAA:
-
∘
There is no difference in occurrence or recurrence of HCC post-SVR in patients treated with IFN or DAA.
-
∘
Cirrhosis, low albumin, low platelet, and AFP level posttreatment are indicators of high HCC occurrence even after SVR.
-
∘
Long-term follow-up studies are required to assess surveillance strategy in patients treated with DAA.
|
II-2 |
Strong |