Epidemiology of Liver Cancer in Latin America: Current and Future Trends

Author:

Carrilho Flair Jose12,Paranaguá-Vezozzo Denise Cerqueira12,Chagas Aline Lopes12,Alencar Regiane Saraiva de Souza Melo12,da Fonseca Leonardo Gomes2

Affiliation:

1. São Paulo Clínicas Liver Cancer Group – Hospital das Clínicas Complex, Division of Clinical Gastroenterology and Hepatology, Department of Gastroenterology, University of São Paulo School of Medicine, São Paulo, Brazil

2. São Paulo Clínicas Liver Cancer Group – Hospital das Clínicas Complex, Instituto do Cancer do Estado de São Paulo, University of São Paulo School of Medicine, São Paulo, Brazil

Abstract

AbstractOver 38,000 cases of hepatocellular carcinoma (HCC) are estimated to occur in Latin America annually. The region is characterized by sociocultural heterogeneity and economic disparities, which impose barriers in addressing this major health issue. A significant proportion of patients are still diagnosed in the later stages of the disease, although efforts to implement effective screening programs have been reported by referral centers. While viral hepatitis remains the predominant etiology of liver disease among HCC cases in Latin America, a high prevalence of fatty liver disease in the region is a matter of concern, reflecting the current scenario in many Western countries. In addition, other risk factors such as alcohol, aflatoxin, and early-onset HCC in hepatitis B virus infection contribute to the burden of HCC in Latin America. Interventions to increase screening coverage, expand healthcare access, and implement continuing medical training are key challenges to be overcome.

Publisher

Georg Thieme Verlag KG

Subject

Hepatology

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