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Salih Akarca U, Unsal B, Sezgin O, Yalcin K, Akdogan M, Gonen C, Gunduz F, Ozenirler S, Sonsuz A, Dincer D, Basol Tekin S, Yucel I, Akbulut H, Alkım C, Ozyilkan O, Baygul A, Cevik ZM, Idilman R. Characteristics of Newly Diagnosed Hepatocellular Carcinoma Patients Across Turkey: Prospective Multicenter Observational 3K Registry Study. Turk J Gastroenterol 2021; 32:1019-1028. [PMID: 34876392 PMCID: PMC8975510 DOI: 10.5152/tjg.2021.201171] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
AIMS To evaluate patient profile for epidemiological and clinicopathological characteristics and potential risk/prognostic factors in newly diagnosed hepatocellular carcinoma (HCC) patients across Turkey. METHODS A total of 547 patients (mean (SD) age 62.6 (10.3) years, 81.9% were males) were included in this registry study. Data on patient characteristics, etiologies of HCC, laboratory values, and tumor characteristics and stages were recorded at study enrollment. RESULTS HBV infection (68.2%) was the leading etiology, followed by HCV infection (17.2%), HDV infection (5.5%), alcohol (6.4%), and NAFLD (3.5%), as the major etiologies. Considering that 51.6% of the patients had >5 cm HCC, 44% were Child-Pugh B/C and 57% were BCLC B-D, it appears that a significant group of HCC patients were diagnosed at advanced stages. Of 540 patients, 271 (50.2%) were referred or applied with the diagnosis of HCC. Patients with HCC at presentation had larger tumor size (median (min-max) 6.6 (0-30) vs. 4.8 (0-90) cm, P < .001) and more advanced BCLC stage (Stage C-D in 40.8% vs. 26.4%, respectively, P = .005), compared to patients who were diagnosed during follow-up. CONCLUSIONS Our findings revealed that HBV infection was the leading etiology and a moderate-to-advanced disease was evident in more than half of patients at the time of diagnosis. HCC patients diagnosed at follow-up had smaller tumor size and earlier BCLC stage.
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Affiliation(s)
- Ulus Salih Akarca
- Department of Gastroenterology, Ege University Faculty of Medicine, Izmir, Turkey
- Corresponding author: Ulus Salih Akarca, e-mail:
| | - Belkis Unsal
- Clinic of Gastroenterology, Izmir Ataturk Training and Research Hospital, Izmir, Turkey
| | - Orhan Sezgin
- Department of Gastroenterology, Mersin University Faculty of Medicine, Mersin, Turkey
| | - Kendal Yalcin
- Department of Gastroenterology, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Meral Akdogan
- Clinic of Gastroenterology, Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Can Gonen
- Clinic of Gastroenterology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey
| | - Feyza Gunduz
- Clinic of Gastroenterology, Marmara University Faculty of Medicine Pendik Training and Research Hospital, Istanbul, Turkey
| | - Seren Ozenirler
- Department of Gastroenterology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Abdullah Sonsuz
- Department of Gastroenterology, Istanbul University Cerrahpasa Faculty of Medicine, Istanbul, Turkey
| | - Dinc Dincer
- Department of Gastroenterology, Akdeniz University Faculty of Medicine, Antalya, Turkey
| | - Salim Basol Tekin
- Department of Oncology, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Idris Yucel
- Department of Oncology, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey
| | - Hakan Akbulut
- Department of Oncology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Canan Alkım
- Clinic of Gastroenterology, Sisli Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - Ozgur Ozyilkan
- Department of Oncology, Adana Baskent University Faculty of Medicine, Adana, Turkey
| | - Arzu Baygul
- Department of Biostatistics, Koc University School of Medicine, Istanbul, Turkey
| | | | - Ramazan Idilman
- Department of Gastroenterology, Ankara University Faculty of Medicine, Turkey
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