Hepatocellular Carcinoma – HCC (1)
HBV leads to liver cancer
epidemiologic correlation in many populations
risk for HCC is 12-300 times greater in HBsAg+ persons
HBV DNA is incorporated into DNA of hepatoma cells
Incidence
peak incidence is in 40-60 yr olds
in Taiwan, #1 cause of death for men >40 yrs
0.25-1 million deaths/year in the world
over 1500 persons die/yr in the U.S. from HCC
HCC is 3-4x more common in HBsAg+ men than women