Status of Primary Liver Cancer Found through Routine Health Check-up.
10.3346/jkms.2013.28.10.1449
- Author:
Changhyun LEE
1
;
Jong In YANG
;
Hee Jin BYUN
;
Jung Mook KANG
;
Seoungho CHOI
;
Jeong Yoon YIM
Author Information
1. Department of Internal Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea. dr1004@snu.ac.kr
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Liver Neoplasms;
Mass Screening;
Population Surveillance
- MeSH:
Age Factors;
Alcohol Drinking;
Early Detection of Cancer;
Hepatitis B Surface Antigens/blood;
Hepatitis C Antibodies/blood;
Humans;
Liver Neoplasms/*diagnosis/epidemiology/ultrasonography;
Questionnaires;
Sex Factors;
Smoking;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2013;28(10):1449-1453
- CountryRepublic of Korea
- Language:English
-
Abstract:
This study aimed to investigate the status of primary liver cancers found through a routine health check-up. The data of subjects who were diagnosed with primary liver cancer for the first time through a routine health check-up during a period of 8-yr were analyzed. Primary liver cancers were detected for the first time in 34 subjects among 91,219 routine health check-up subjects. Only 11.8% of primary liver cancer subjects had been under previous surveillance. Of them, 55.8% were positive for HBsAg, 17.7% were positive for anti-HCV, and 8.8% were heavy alcohol comsumers. However, 17.7% of the subjects were neither heavy alcohol consumers nor positive for both HBsAg and anti-HCV. Of the subjects, 50.0% had a single nodular tumor, 23.5% had multi-nodular tumors, and 26.5% had an infiltrative tumor. A routine health check-up may provide beneficial opportunities to detect a liver cancer in a very early stage. It is beneficial to start surveillance in high-risk subjects for liver cancer or to detect any liver cancer in subjects without risk factors of chronic viral hepatitis or heavy alcohol consumption.
