Hepatocellular Carcinoma – HCC (1)
• HBV leads to liver cancer
• epidemiologic correlation in many populations
• risk for HCC is 12-300 times greater in HBsAg+ persons
• HBV DNA is incorporated into DNA of hepatoma cells
• Incidence
• peak incidence is in 40-60 yr olds
• in Taiwan, #1 cause of death for men >40 yrs
• 0.25-1 million deaths/year in the world
• over 1500 persons die/yr in the U.S. from HCC
• HCC is 3-4x more common in HBsAg+ men than women