Epidemiology and treatment of hepatocellular carcinoma in Thailand

Soonthorn Chonprasertsuk1, Ratha-Korn Vilaichone1

  • 1Gastroenterology unit, Department of Medicine, Thammasat University Hospital, Pathumthani, Thailand.

Insights

Hepatocellular carcinoma (HCC) is a common liver cancer in Thailand, often linked to chronic hepatitis B virus (HBV) infection. Early detection and prevention of HBV transmission are key to improving outcomes for this prevalent malignancy.

Area of Science:

  • Hepatology
  • Oncology
  • Infectious Diseases

Background:

  • Hepatocellular carcinoma (HCC) is the most frequent malignant liver tumor in Thailand.
  • High incidence rates are linked to endemic chronic hepatitis B virus (HBV) infection.
  • Many patients present with advanced HCC, facing limited treatment options and poor prognosis.

Purpose of the Study:

  • To provide an updated overview of Hepatocellular Carcinoma (HCC) in Thailand.
  • To cover epidemiology, diagnosis, clinical manifestations, and treatment strategies for HCC.

Main Methods:

  • Review and synthesis of current information on HCC in Thailand.
  • Analysis of diagnostic criteria and staging systems, including the Barcelona Clinic Liver Cancer (BCLC) system.
  • Examination of treatment modalities based on HCC stage.

Main Results:

  • HCC is a significant public health issue in Thailand, predominantly associated with HBV.
  • The BCLC staging system guides treatment, differentiating between curative and palliative approaches.
  • Preventive measures, including HBV vaccination and infection treatment, are crucial.

Conclusions:

  • Effective HCC management in Thailand requires a comprehensive approach, from prevention to tailored treatment.
  • Addressing chronic HBV infection is paramount for reducing HCC incidence and improving patient survival.
  • Continued updates on HCC epidemiology and treatment are essential for clinical practice.