[Hepatitis C-related hepatocellular carcinoma and the treatment with direct-acting antiviral agents]

Zhonghua Gan Zang Bing Za Zhi. 2017 Dec 20;25(12):944-947. doi: 10.3760/cma.j.issn.1007-3418.2017.12.013.
[Article in Chinese]

Abstract

With the wide use of direct-acting antiviral agents (DAAs), more and more patients with chronic hepatitis C achieve sustained virological response; however, no consensus has been reached on the application of DAAs in the treatment of hepatitis C virus-related hepatocellular carcinoma (HCC). This article summarizes and evaluates related issues in this field, including whether antiviral therapy with DAAs in patients with hepatitis C can increase the incidence or recurrence rate of HCC, as well as whether DAAs can be used for hepatitis C in HCC patients after antitumor treatment and the efficacy of DAAs in such patients.

随着直接抗病毒药物(DAAs)的广泛使用,越来越多的慢性丙型肝炎患者可获得持久病毒学应答,然而DAAs在丙型肝炎病毒相关性肝细胞癌治疗应用尚有争议。该领域存在的相关问题:丙型肝炎患者经过DAAs抗病毒治疗是否增加肝细胞癌的发生率或复发率;肝细胞癌患者经过相应的抗肿瘤治疗后,合并的丙型肝炎是否可以应用DAAs治疗以及疗效如何等,包括引起公众关注的问题。.

Keywords: Carcinoma, hepatocellular; Direct antiviral drugs; Hepatitis C, chronic; Therapy.

MeSH terms

  • Antiviral Agents / therapeutic use*
  • Carcinoma, Hepatocellular / drug therapy*
  • Carcinoma, Hepatocellular / pathology
  • Carcinoma, Hepatocellular / virology*
  • Hepacivirus / drug effects
  • Hepacivirus / isolation & purification*
  • Hepatitis C
  • Humans
  • Liver Neoplasms / drug therapy*
  • Liver Neoplasms / pathology
  • Liver Neoplasms / virology*
  • Neoplasm Recurrence, Local
  • Treatment Outcome

Substances

  • Antiviral Agents