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Effects of a 24-week course of interferon-alpha therapy after curative treatment of hepatitis C virus-associated hepatocellular carcinoma.

Effects of a 24-week course of interferon-alpha therapy after curative treatment of hepatitis C virus-associated hepatocellular carcinoma. Research Abstract Details 

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  • Effects of a 24-week course of interferon-alpha therapy after curative treatment of hepatitis C virus-associated hepatocellular carcinoma. Abstract Text:

    soo cheol jeongSoo Cheol Jeong,hiroshi aikataHiroshi Aikata,yoshio katamuraYoshio Katamura,takahiro azakamiTakahiro Azakami,tomokazu kawaokaTomokazu Kawaoka,hiromi sanetoHiromi Saneto,kiminori ukaKiminori Uka,nami moriNami Mori,shintaro takakiShintaro Takaki,hideaki kodamaHideaki Kodama,koji wakiKoji Waki,michio imamuraMichio Imamura,hiroo shirakawaHiroo Shirakawa,yoshiiku kawakamiYoshiiku Kawakami,shoichi takahashiShoichi Takahashi,kazuaki chayamaKazuaki Chayama,

    AIM: To assess whether a 24-wk course of interferon (IFN) could prevent hepatocellular carcinoma (HCC) recurrence and worsening of liver function in patients with hepatitis C virus (HCV)-infected patients after receiving curative treatment for primary HCC. METHODS: Outcomes in 42 patients with HCV infection treated with IFN-alpha, after curative treatment for primary HCC (IFN group), were compared with 42 matched curatively treated historical controls not given IFN (non-IFN group). RESULTS: Although the rate of initial recurrence did not differ significantly between IFN group and non-IFN group (0%, 44%, 61%, and 67% vs 4.8%, 53%, 81%, and 87% at 1, 3, 5, and 7 years, P = 0.153, respectively), IFN group showed a lower rate than the non-IFN group for second recurrence (0%, 10.4%, 28%, and 35% vs 0%, 30%, 59%, and 66% at 1, 3, 5 and 7 years, P = 0.022, respectively). Among the IFN group, patients with sustained virologic response (SVR) were less likely to have a second HCC recurrence than IFN patients without an SVR, or non-IFN patients. Multivariate analysis identified the lack of SVR as the only independent risk factor for a second recurrence, while SVR and Child-Pugh class A independently favored overall survival. CONCLUSION: Most intrahepatic recurrences of HCV-related HCC occurred during persistent viral infection. Eradication of HCV is essential for the prevention of HCC recurrence and improvement of survival.

    Effects of a 24-week course of interferon-alpha therapy after curative treatment of hepatitis C virus-associated hepatocellular carcinoma. Publishing Authors By Initials

    sc jeongSC Jeong,h aikataH Aikata,y katamuraY Katamura,t azakamiT Azakami,t kawaokaT Kawaoka,h sanetoH Saneto,k ukaK Uka,n moriN Mori,s takakiS Takaki,h kodamaH Kodama,k wakiK Waki,m imamuraM Imamura,h shirakawaH Shirakawa,y kawakamiY Kawakami,s takahashiS Takahashi,k chayamaK Chayama,

    For similar investigative techniques: epidemiologic methods: data collection: vital statistics: mortality: survival rate research abstracts see: investigative techniques: epidemiologic methods: data collection: vital statistics: mortality: survival rate research

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    Effects of a 24-week course of interferon-alpha therapy after curative treatment of hepatitis C virus-associated hepatocellular carcinoma. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: World journal of gastroenterology : WJG

    VOLUME: 13

    Page Numbers: 5343-50

    Journal Abbreviation: World J. Gastroenterol.

    ISSN: 1007-9327

    DAY: 28

    MONTH: Oct

    YEAR: 2007

    Effects of a 24-week course of interferon-alpha therapy after curative treatment of hepatitis C virus-associated hepatocellular carcinoma. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 100883448

    Effects of a 24-week course of interferon-alpha therapy after curative treatment of hepatitis C virus-associated hepatocellular carcinoma. Keywords Mesh Terms:

    KEYWORDS: Survival Rate

    MESH TERMS: prevention & control

    Chemical & Substance for Abstract: Effects of a 24-week course of interferon-alpha therapy after curative treatment of hepatitis C virus-associated hepatocellular carcinoma. Information

    Substance Name: Interferon-alpha

    Registry Number: 0

    Grant and Affiliation Information for Effects of a 24-week course of interferon-alpha therapy after curative treatment of hepatitis C virus-associated hepatocellular carcinoma.

    AFFILIATION: Department of Medicine and Molecular Science, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan.

    Country: China

    China Research PublicationChina Research Publication

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    MEDLINETA: World J Gastroenterol

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