Direct-acting antiviral treatment for patients with hepatocellular carcinoma

被引:11
作者
Kushner, Tatyana [1 ]
Dieterich, Douglas [1 ]
Saberi, Behnam [1 ]
机构
[1] Icahn Sch Med Mt Sinai, Div Liver Dis, 1425 Madison Ave,Room 11-70,Box 1123, New York, NY 10029 USA
关键词
Direct-acting antivirals; hepatitis C virus; hepatocellular carcinoma; liver transplant; HEPATITIS-C VIRUS; SUSTAINED VIROLOGICAL RESPONSE; EARLY TUMOR RECURRENCE; RADIOFREQUENCY ABLATION; LIVER-TRANSPLANTATION; THERAPY; INFECTION; IMPACT; ERADICATION; SOFOSBUVIR;
D O I
10.1097/MOG.0000000000000431
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Purpose of ReviewHepatocellular carcinoma (HCC) affects a significant portion of patients with hepatitis C. The use of direct-acting antiviral (DAA) agents has transformed the disease outcomes in this patient group.Recent FindingsHepatitis C virus (HCV) response to DAAs can be affected by the presence of HCC, whereas DAA therapy may affect the risk of HCC recurrence in patients with a history of HCC.SummaryEmerging data are demonstrating lower sustained virologic response (SVR) rates in patients with HCC compared with patients without HCC. Conflicting studies have also suggested that rates of HCC recurrence in patients with a history of HCC can potentially be increased or decreased on DAA therapy. This review will provide a brief overview of these data and inform practitioners on important considerations to make when prescribing DAA therapy for patients with HCV and HCC.
引用
收藏
页码:132 / 139
页数:8
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