4.7 Article

Enhanced Liver Fibrosis Score Stratifies Hepatocellular Carcinoma Risk in Patients With Hepatitis B Surface Antigen Seroclearance

期刊

CLINICAL INFECTIOUS DISEASES
卷 75, 期 12, 页码 2257-2259

出版社

OXFORD UNIV PRESS INC
DOI: 10.1093/cid/ciac387

关键词

hepatitis B virus (HBV); enhanced liver fibrosis (ELF); functional cure; hepatocellular carcinoma ( HCC)

资金

  1. SK Yee Medical Foundation [2171213]
  2. Health and Medical Research Fund of the Hong Kong Special Administrative Region [16171251]

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This prospective study found that enhanced liver fibrosis (ELF) in chronic hepatitis B patients before spontaneous HBsAg seroclearance was associated with hepatocellular carcinoma (HCC). Furthermore, a 97% reduction in ELF was found to significantly decrease the risk of HCC development in patients aged 50 or above after spontaneous seroclearance.
In this prospective study involving 337 chronic hepatitis B patients who achieved spontaneous hepatitis B surface antigen (HBsAg) seroclearance (SC), serum enhanced liver fibrosis (ELF) before SC was associated with hepatocellular carcinoma (HCC) (hazard ratio 2.588), and ELF 97% reduction in risk of HCC development in patients with age SC >= 50 (n = 190).

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