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Different viral aetiology of hepatocellular carcinoma between two hepatitis B and C endemic townships in Taiwan
Author(s) -
LU SHENGNAN,
CHUE PAYYU,
CHEN HUICHI,
WU MEIHUEI,
CHEN ILUNG,
HUANG JEEFU,
WANG JINGHOUNG,
PENG CHIENFANG,
SHIH CHINGHUA,
YOU SANLIN,
LU CHIHFENG,
CHEN CHIENJEN,
CHANG WENYU
Publication year - 1997
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1111/j.1440-1746.1997.tb00482.x
Subject(s) - medicine , hepatocellular carcinoma , hbsag , hepatitis b virus , hepatitis c virus , population , etiology , gastroenterology , liver cancer , viral hepatitis , hepatitis b , virology , virus , environmental health
In Taiwan, we found two hepatitis B virus (HBV)‐ and hepatitis C virus (HCV)‐endemic townships, Paisha and Tzukuan, with an anti‐HCV prevalence of 19 and 37% in men, and 26 and 38% in women, respectively. The hepatitis B surface antigen (HBsAg)‐positive rates were 25 and 18%, for men and women in Paisha, and 25 and 22% in Tzukuan, respectively. According to the national death certification database (1982 to 1991), the annual age‐adjusted mortality rates per 100 000 population for liver cancer among men and women were 83.0 and 13.8, respectively, in Paisha, and 55.9 and 17.0 in Tzukuan compared with 30.9 and 9.1 in Taiwan as a whole. The male‐to‐female ratios were 6.0 in Paisha and 3.3 in Tzukuan. Aetiology of 11 cases of hepatocellular carcinoma (HCC) from Paisha and 14 cases from Tzukuan were analysed. All HCC cases from Paisha were HBsAg positive, while 13/14 HCC cases from Tzukuan were anti‐HCV positive. The endemic duration of HCV in Tzukuan seemed long enough to induce HCC, but the HCV appeared to be a newly introduced infection in Paisha.