The HepCar registry : report on a one-year registration program of hepato- cellular carcinoma (HCC) in Belgium. What is daily practice in HCC?
| Journal | Volume 68 - 2005 |
| Issue | Fasc.4 - Original articles |
| Author(s) | H. Van Vlierbergh, I. Colle, J. Henrion, P. Michielsen, J. Delwaide, H. Reynaert, I. Borbath, J.P. Martinet, D. Sprengers, R. Brenard |
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| (1) Department of Gastroenterology and Hepatology, Ghent University Hospital, Gent, Belgium ; (2) Department of Gastroenterology and Hepatology, Hôpital Jolimont, Haine-St-Paul, Belgium ; (3) Department of Gastroenterology and Hepatology, University Hospital, Antwerp, Belgium. ; (4) Department of Gastroenterology and Hepatology, University Hospital, Liège, Belgium ; (5) Department of Gastroenterology and Hepatology, Free University Brussels, Belgium ; (6) Department of Gastroenterology, Cliniques St Luc, UCL, Woluwe, Belgium ; (7) Department of Gastroenterology, Cliniques Universitaires UCL de Mont-Godinne, Belgium ; (8) Department of Gastroenterology, Sint-Augustinus Ziekenhuis, Antwerp, Belgium ; (9) Department of Gastroenterology, Hôpital St Joseph, Gilly, Belgium. |
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Introduction : Due to a rise in HCV induced liver cirrhosis, hepatocellular carcinoma becomes more prevalent in Western European countries. The HepCar registry is an initiative in which patients with hepatocellular carcinoma, their treatment and follow up are registered. Materials and Methods. Belgian physicians were asked to report all new cases of hepa- tocellular carcinoma which were seen between January 2003 and December 2003. Reporting was done on a voluntary basis. Data reported were : demographic figures, the nature of the underlying liver disease, presentation characteristics of the tumour, laborato- ry findings and choice of therapy. Every six months, a reminder was sent to determine survival. Results : 131 patients (94 male/37 female) were reported. Mean age was 63 years ± 13. Underlying liver disease was HCV (n = 54, 41%), HBV (n = 22, 17%), alcoholic liver disease (n = 39, 30%) and miscellaneous (n =16, 12%). Diagnosis of hepatocellular car- cinoma was made by surveillance in 47 (36%) patients. After logis- tic regression, survival was 5 times better for patients inside the Milan criteria (one lesion less than 5 cm in diameter or less than 3 nodules each less than 3 cm in the absence of vascular invasion and metastasis). Discussion : Tumours inside the Milan criteria have a better survival. The majority of the patients have an underlying cirrho- sis as background for the development of a HCC. (Acta gastro- enterol. belg., 2005, 68, 403-411). |
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© Acta Gastro-Enterologica Belgica. |
