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Alpha-fetoprotein screening in patients with hepatitis C-induced cirrhosis who achieved a sustained virologic response in the direct-acting antiviral agents era |
Marco Spadaccini a , b , Ana Lleo a , b , Roberto Ceriani a , Giovanni Covini a , Lorenza Rimassa c , Guido Torzilli d , Luca Di Tommaso e , Alessio Aghemo a , b , ∗ |
a Internal Medicine and Liver Unit, Humanitas Research Hospital, Rozzano, Milan, Italy
b Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
c Medical Oncology and Hematology Unit, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy
d Division of Hepatobiliary and General Surgery, Department of Surgery, Humanitas Clinical and Research Center - IRCCS, Humanitas University, Rozzano,
Milan, Italy
e Pathology Unit, Humanitas Research Hospital, Rozzano, Milan, Italy
∗ Corresponding author at: Internal Medicine and Liver Unit, Humanitas Research Hospital, Rozzano, Milan, Italy.
E-mail address: alessio.aghemo@hunimed.eu (A. Aghemo). |
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Abstract Hepatocellular carcinoma (HCC) is the most common primary liver tumor and the third cause of cancer-related deaths worldwide. HCC is the consequence of malignant transformation of hepatocytes and mainly occurs in patients with cirrhosis. Hepatitis C virus (HCV) chronic infection is a leading cause of end-stage liver disease and HCC in the Western countries [1]. The approval of direct-acting antiviral agents (DAAs) for the treatment of HCV has revolutionized the management of the disease, as no absolute contraindication to treatment exists and sustained virological response rates (SVR) exceeding 90% can be achieved independently of disease severity [2].
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