Efficacy of ultrasonography and alpha-fetoprotein on early detection of hepatocellular carcinoma.
OBJECTIVE
To evaluate the effectiveness of ultrasonographic screening for early detection of hepatocellular carcinoma (HCC).


METHODS
The data of 14968 patients who had ultrasonography (US) for chronic liver diseases were collected into a database program from June 1995 to June 2005. The risk factors for HCC were also studied. A total of 6089 patients who had repeated US were enrolled, 264 patients were diagnosed with HCC during follow-up (mean, 39 mo).


RESULTS
The detection rate of small HCC (<= 3 cm in diameter) was 67.7%. The tumor size detected by screening at the intervals of 6 mo was significantly smaller than that at longer intervals. Only 29.3% of HCC patients had an elevated serum alpha fetoprotein (AFP) level above 400 ng/mL. The risk of HCC development during follow-up was higher in patients with liver cirrhosis (10.9%) and hepatitis C (9.0%) than in patients with chronic hepatitis (4.2%), hepatitis B (4.9%) and non-B, non-C hepatitis (NBNC, 3.9%).


CONCLUSIONS
US screening at a interval of 6 mo is beneficial to high-risk patients over 40 years old and the early detection of HCC prolongs survival.
Ren
Fen-Yu
FY
Department of Gastroenterology and Hepatology, Yanbian University School of Medicine, Yanji 133000, Jilin Province, China. fenyu65@yahoo.com.cn
Piao
Xi-Xu
XX
Jin
Ai-Lian
AL
D000328:Adult; D000367:Age Factors; D014408:Biomarkers, Tumor / Q000097:blood; D006528:Carcinoma, Hepatocellular / Q000097:blood* / Q000000981:diagnostic imaging* / Q000209:etiology; D002908:Chronic Disease; D006801:Humans; D008107:Liver Diseases / Q000150:complications; D008113:Liver Neoplasms / Q000097:blood* / Q000000981:diagnostic imaging* / Q000209:etiology; D008403:Mass Screening / Q000379:methods; D011379:Prognosis; D012307:Risk Factors; D016019:Survival Analysis; D014463:Ultrasonography; D000509:alpha-Fetoproteins / Q000032:analysis*
D014408:Biomarkers, Tumor; D000509:alpha-Fetoproteins