Hepatocellular Carcinoma: Clinical-pathological features and HIV infection in Mozambican patients
Maputo; HHS Public Access; 2019. 19 p. Tab., Graf., Map..
No convencional
en Inglés
| RSDM
| ID: biblio-1344496
Biblioteca responsable:
MZ1.1
ABSTRACT
Mozambique had been ranked among the countries with the highest global incidence of HCC with chronic hepatitis B infection and high exposure to aflatoxin-B1 (AFB1) being major risk factors. Indeed, HCC remains one of the most frequent cancer in Maputo. On the other hand, Mozambique has a high prevalence of infection with Human Immunodeficiency virus (HIV). Our study aims to describe the epidemiology, clinicopathological and serological features of patients with HCC in Maputo Central Hospital and its relationship with HIV. A series of 206 patients, diagnosed with HCC via fine needle aspiration, were consecutively included in the study. Patient data was collected using a questionnaire and all patients were tested for HBV, HCV, HIVMedian age was 49 years old and the M F sex ratio was 2.4. A total of 114 (56.2%) of the patients were HBsAg positive. Hepatitis C antibodies were present in 8.9% of cases, and coinfection with HBV and HCV (HBsAg/anti-HCV) was observed in 4 (2.0%) cases. The remainder, 36.3%, were neither hepatitis B- nor C-related. HIV was detected in 34 cases (18.0%) cases. HIVHBV or HIV-HCV co-infections were observed in 22 (68.8%) and 2 (6.2%) cases. Overall, positivity for HIV was associated with younger age, and especially in patients with HBsAg+/antiHCV+. Our data emphasize the need for a reinforcement of secondary prevention measures in Mozambique. Serological screening for HBV in people born before universal antihepatitis B immunization (2001), effective screening, and specific management in HIV(+) patients are urgently needed.
Texto completo:
Disponible
Colección:
Bases de datos nacionales
/
MZ
Contexto en salud:
ODS3 - Salud y Bienestar
Problema de salud:
Meta 3.3: Poner fin a las enfermedades desatendidas y detener enfermedades transmisibles
Base de datos:
RSDM
Asunto principal:
Anticuerpos Antihepatitis
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Infecciones por VIH
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VIH-1
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VIH
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Hepatitis C
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Anticuerpos contra la Hepatitis C
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Hepatitis B
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Inmunidad
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Mozambique
Tipo de estudio:
Factores de riesgo
País/Región como asunto:
Africa
Idioma:
Inglés
Año:
2019
Tipo del documento:
No convencional