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題 名 | C型肝炎在雲嘉地區肝癌的重要性=Hepatitis C Is One Major Viral Etiology of Hepatocellular Carcinoma in Chiayi and Yingling |
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作 者 | 王景弘; 盧勝男; 許朝添; | 書刊名 | 內科學誌 |
卷 期 | 9:3 1998.09[民87.09] |
頁 次 | 頁120-125 |
分類號 | 415.5362 |
關鍵詞 | 肝癌; B型肝炎表面抗原; C型肝炎抗体; 甲型胎兒蛋白; Hepatocellular carcinoma; Hepatitis B surface antigen; HBsAg; Anti-hepatitis C virus antibody; Anti-HCV; Alpha-fetoprotein AFP; |
語 文 | 中文(Chinese) |
中文摘要 | B型肝炎是台灣肝病的主因。僅不到三成的肝癌病患為C型肝炎抗體 (anti-HCV)陽性。依據本院過去分析住院的肝癌病患的病因,發現C型肝炎是 嘉義地區肝癌的主因。為證實這個發現,選擇嘉義地區一家積極治療肝癌的區 域醫院,進行肝癌之病毒性病因研究。收集該院自民國八十五年八月至八十七 年二月間所有經細胞學或組織學證實之原發性肝細胞癌病例,男110例、女29 例,共139例。其中15例來自嘉義市、58例來自嘉義縣、47例來自雲林縣及19 位來自其它縣市。僅66例(47%)之甲型胎兒蛋白大於400ng/ml。 雲嘉地區男 性之病因中HBsAg(-)/anti-HCV(-)、(+)/(-)、(+)/(+)及(-)/(+)依序為9.7%、 37.6%、11.8%及40.8%;而女性則依序為3.7%、22.2%、14.8%及59.3%。因女性 病例數不多,僅就anti-HCV的陽性率分析,男性則以嘉義縣40.4%顯著低於嘉 義市之72.7%(p=0.05)及雲林縣之62.9%(p=0.04)。HBsAg陰性、anti-HCV陽 性及女性肝癌病患之年齡較大,而且三者皆達統計上顯著水準。線性複迴歸分 析,發現與年齡相關唯一顯著因子為anti-HCV,其進入迴歸方程式後HBsAg 及性別則變為不顯著。anti-HCV陽性之平均年齡為65.8±10.4歲,而陰性為 56.7±13.3歲。在雲嘉地區,特別是嘉義市及雲林沿海,C型肝炎是肝癌的主因 之一。台灣雖小但肝癌之病因是有地域性的差別。如能全面推廣類似研究,各 醫院的結果加總的結果將對台灣肝病流行病學有更清處的了解,進而對防治工 作有相當的幫助。因不同的地區有不同的病因,應該有不同的防治策略。 不同的地區有不同的病因,應該有不同的防治策略。 |
英文摘要 | In Taiwan, hepatitis B is the major cause of liver disease. Only less than 30% of hepatocellular carcinoma (HCC) cases were anti-HCV-positive. According a previous hospital-based analysis, the proportion of anti-HCV-positive HCC cases from Chiayi was significantly higher than that of Taiwan as a whole. In this study, we collected HCC cases from a regional hospital in Chiayi to elucidate the major viral etiology of HCC in Chiayi and Yingling. From August 1996 to February 1998, a total of 139 (M: 110, F:29)cytologically and/or pathologically proven HCC cases were recruited in the hospital. Fifteen of them were from Chiayi city, 58 from Chiayi county, 47 from Yingling county and 19 from other areas in Taiwan. Only 66(47%) of them were with alpha-fetoprotein (AFP) higher than 400m ng/ml. Among 93 male cases from Chiayi city, Chiayi county and Yingling county, the proportions of HBsAg(+)/anti-HCV(-)/(+), (+)/(+)and (-)/(-)were 37.6%, 40.9%, 11.8% and 9.7%, respectively. Among 27 female cases, they were 22.2% 59.3%, 14.8% and 3.7%, respectively. Due to limited female cases, only males were further analyzed on geographic difference. There was higher anti-HCV-positive rate in those cases from Chiayi city (72.7%) and from Yingling county (62.9%) than from Chiayi county (40.4%). AFP level was not associated to viral etiology. The mean ages of cases were different by HBsAg, anti-HCV and sex. Using multiple linear regression for age, anti-HCV is the only significant variable. The mean ages of anti-HCV-positive and-negative groups were 65.8 ± 10.4 and 56.7 ± 13.3 years, respectively (p<0.0001). In Chiayi and Yingling, especially in Chiayi city and coastal areas of Yingling, HCV is one major viral etiology of HCC Geographic difference of viral hepatitis exists in Taiwan. Multicentric study might provide enough cases numbers to elucidate the distributions of viral etiology of HCC in whole Taiwan. It shall be conducted. Control strategy on liver disease sould be modified for the different viral etiology in different areas. (J Intern Med Taiwan 1998;9:120-125) |
本系統中英文摘要資訊取自各篇刊載內容。