Non-alcoholic steatohepatitis (NASH) and hepatocellular carcinoma

被引:99
作者
Cuadrado, A [1 ]
Orive, A [1 ]
García-Suárez, C [1 ]
Domínguez, A [1 ]
Fernández-Escalante, JC [1 ]
Crespo, J [1 ]
Pons-Romero, F [1 ]
机构
[1] Univ Hosp Marques Valdecilla, Gastroenterol & Hepatol Unit, Serv Aparato Digest, E-39008 Santander, Cantabria, Spain
关键词
obesity; liver; steatosis; hepatocellular carcinoma; insulin resistance; diabetes;
D O I
10.1381/0960892053576596
中图分类号
R61 [外科手术学];
学科分类号
摘要
Non-alcoholic fatty liver disease (NAFLD) is characterized by an excessive accumulation of fatty acids and triglycerides within the cytoplasm of the hepatocytes of non-alcohol users. The natural history varies according to the initial histological diagnosis. A current consideration is that cryptogenic cirrhosis may be representative of a late stage of non-alcoholic steatohepatitis (NASH), which has lost its features of necroinflammatory activity and steatosis in up to 80% of patients. Since NASH is able to progress to cirrhosis, hepatocellular carcinoma (HCC) development may be an end-stage of this disease. We report below two clinical cases of patients diagnosed with NASH who developed HCC. The relationship between NAFLD and HCC is reviewed.
引用
收藏
页码:442 / 446
页数:5
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