Different viral aetiology of hepatocellular carcinoma between two hepatitis B and C endemic townships in Taiwan |
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| Authors: | SHENG-NAN LU PAY-YU CHUE HUI-CHI CHEN MEI-HUEI WU I-LUNG CHEN JEE-FU HUANG JING-HOUNG WANG CHIEN-FANG PENG CHING-HUA SHIH SAN-LIN YOU CHIH-FENG LU CHIEN-JEN CHEN WEN-YU CHANG |
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| Affiliation: | Department of Internal Medicine, God's Help Hospital, Chiayi, Taipei;*School of Technology for Medical Science, Kaohsiung Medical College, Kaohsiung, Taipei;†Institute of Epidemiology, National Taiwan University, Taipei;‡Primary Health Care Centres of Tzukuan, Kaohsiung Hsien, Taipei;§Tailiau Townships, Kaohsiung Hsien, Taipei;**Department of Internal Medicine, Kaohsiung Medical College Hospital, Kaohsiung, Taiwan.;National Institute of Preventive Medicine, Department of Health, Taipei, Taiwan. |
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| Abstract: | 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. |
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| Keywords: | hepatitis B virus, hepatitis C virus, hepatocellular carcinoma. |
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