Demographic Profile and Etiology of Hepatocellular Carcinoma in Zaria, Northern Nigeria
Muhammad Manko1, Mansur Femi Mohammed2, Maryam Shehu Ahmed1
1Department of Medicine, Ahmadu Bello University and Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Insights
Hepatocellular carcinoma (HCC) predominantly affects males aged 40-49. Viral hepatitis, especially Hepatitis B virus (HBV), is the primary cause of HCC in this patient cohort.
Area of Science:
- Hepatology
- Oncology
- Epidemiology
Background:
- Hepatocellular carcinoma (HCC) is a significant global health concern and a leading cause of cancer mortality.
- Understanding the demographic and etiological factors of HCC is crucial for targeted prevention and treatment strategies.
Purpose of the Study:
- To characterize the age and gender distribution of HCC patients at a specific medical center.
- To investigate the contribution of viral hepatitis (Hepatitis B and C) and alcohol consumption to the etiology of HCC in the studied population.
Main Methods:
- A retrospective analysis of 87 HCC patients treated at the gastroenterology unit of ABUTH from April 2015 to September 2018.
- Data collection included patient demographics (age, gender), serological markers for Hepatitis B (HBsAg) and Hepatitis C (HCV antibody), and history of alcohol consumption.
Main Results:
- The study included 68 males (78.2%) and 19 females (21.8%), with a mean age of 46.7 years.
- Hepatitis B virus (HBV) infection was the most prevalent risk factor, with 55.2% of patients testing positive for HBsAg.
- Hepatitis C virus (HCV) antibodies were found in 16.1% of patients, and significant alcohol ingestion was noted in 4.6%.
Conclusions:
- HCC in this cohort was predominantly observed in males within the 40-49 age bracket.
- Viral hepatitis, particularly HBV, emerged as the leading etiological factor contributing to HCC development among the studied patients.
Background:
HCC is a common cancer worldwide and one of the leading causes of cancer death. This aim of this study is to determine the age and gender characteristics of the HCC patients in our center and to determine the contribution of viral hepatitis (B and C) and alcohol to the etiology of HCC among our patients.
Methodology:
This is a retrospective study of HCC patients seen at the gastroenterology unit of ABUTH between April 2015 and September 2018. Data on age, gender, HBsAg, and HCV antibody status and alcohol consumption were recorded from the case files of all eligible patients.
Results:
A total of 87 patients were included in the study. They consisted of 68 males (78.2%) and 19 females (21.8%) with male to female ratio of 4:1. The mean age of the study subjects was 46.7 years (SD ± 12.5), with a range of 22 and maximum age of 80 years. Majority of the patients were within the age group 40-49 (32.2%). HBsAg was present in 48 patients (55.2%), HCV antibody was positive in 14 patients (16.1%) and 3 patients (3.4%) were positive for both HBsAg and HCV antibody. Four (4.6%) had significant alcohol ingestion and in 18 patients (20.7%), the etiology was undetermined.
Conclusion:
In our study, HCC was found predominantly among male patients in the age group 40-49 years. Viral hepatitis particularly HBV is the most important etiological factor for HCC among our patients.
More Related Videos
12:24A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
07:32Author Spotlight: Investigating Immune Cell Dynamics in the Tumor Microenvironment — Challenges and Innovations in Cancer Prognosis
Published on: April 12, 2024
Related Concept Videos
Diseases of the Liver and Gallbladder
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not related to...
Hepatitis
Viral Hepatitis I: Introduction
Cirrhosis I: Introduction
Cirrhosis II: Pathophysiology
