2000
DOI: 10.1034/j.1600-0676.2000.020004312.x
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Hepatocellular carcinoma in Germany: a retrospective epidemiological study from a low‐endemic area

Abstract: Our study shows that liver cirrhosis is the prime risk factor for hepatocarcinogenesis in Germany. However, the very high proportion of hepatitis virus related HCC, in particular the high proportion of HBV infections, contradicts the common view that alcohol is by far the most important etiological factor for hepatocarcinogenesis in low hepatitis virus endemic areas such as Germany.

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Cited by 71 publications
(72 citation statements)
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“…In British narrative reviews of HCC, it is commonly asserted that around 80% of tumours develop in cirrhotic livers. [71][72][73] This figure is in line with the results of a few small UK series from the 1980s, in which rates of 73-80% were reported, [74][75][76] and comparable with data from elsewhere in Europe (71-88% in France, [77][78][79][80] 75-90% in Germany, [81][82][83][84][85] 77-97% in Italy [86][87][88][89][90][91][92] and 93% in Spain 93 ). The picture may be different in North America, where similar studies suggest that the proportion of HCC patients who have cirrhosis is as low as 58% 94 to 63%.…”
Section: Aetiologysupporting
confidence: 77%
“…In British narrative reviews of HCC, it is commonly asserted that around 80% of tumours develop in cirrhotic livers. [71][72][73] This figure is in line with the results of a few small UK series from the 1980s, in which rates of 73-80% were reported, [74][75][76] and comparable with data from elsewhere in Europe (71-88% in France, [77][78][79][80] 75-90% in Germany, [81][82][83][84][85] 77-97% in Italy [86][87][88][89][90][91][92] and 93% in Spain 93 ). The picture may be different in North America, where similar studies suggest that the proportion of HCC patients who have cirrhosis is as low as 58% 94 to 63%.…”
Section: Aetiologysupporting
confidence: 77%
“…No inflammatory process was observed and no cirrhotic conversion of liver tissue was noted. This contrasts with microscopic lesions frequently seen in humans, where cirrhotically altered organs are the main precursor of carcinogenesis (Kubicka et al, 2000). An important finding of our study was the 100% incidence of malignant tumour within 6-8 months after birth, and we suggest the following sequence of events: diffuse LCD merges into multiple DF and DN, with local growth towards HCC.…”
Section: Liver Pathologymentioning
confidence: 37%
“…In the past decade, a number of epidemiological studies have suggested that up to 75% of hepatocellular carcinoma (HCC) 2 cases are associated with either chronic hepatitis B virus (HBV) or hepatitis C virus (1)(2)(3)(4). Although nonstructural hepatitis B virus transactivator protein-HBx, a pivotal regulatory protein of HBV, was intimately linked to the pathogenesis of HBV infection, a comprehensive view of HBx in oncogenesis remains to be fully understood (5)(6)(7)(8).…”
mentioning
confidence: 99%