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What is CLD and HCC?

Published in Liver disease 2 mins read

CLD stands for Chronic Liver Disease, and HCC stands for Hepatocellular Carcinoma, which is a primary liver cancer that often develops in individuals with underlying chronic liver disease.

Here's a breakdown:

  • CLD: Chronic Liver Disease

    • Chronic Liver Disease encompasses a variety of liver disorders that persist for more than six months.

    • These conditions can cause inflammation and damage to the liver over time.

    • Common causes of CLD include:

      • Viral hepatitis (Hepatitis B, Hepatitis C)
      • Alcohol abuse
      • Non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH)
      • Autoimmune diseases
      • Genetic conditions
    • Untreated CLD can lead to cirrhosis, liver failure, and an increased risk of developing HCC.

  • HCC: Hepatocellular Carcinoma

    • Hepatocellular Carcinoma is the most common type of primary liver cancer. This means it originates in the liver, rather than spreading from another part of the body.

    • The primary risk factor for HCC is chronic liver disease, particularly cirrhosis.

    • While most HCC cases occur in patients with CLD and cirrhosis, up to 25% of patients diagnosed with HCC may not have a known history of cirrhosis or identifiable risk factors.

    • Surveillance programs (regular screenings) are often recommended for individuals with CLD and cirrhosis to detect HCC at an early, more treatable stage.

    • Treatment options for HCC vary depending on the stage of the cancer and the overall health of the patient, and can include:

      • Surgery (resection or liver transplantation)
      • Ablation therapies (radiofrequency ablation, microwave ablation)
      • Chemotherapy
      • Targeted therapies
      • Immunotherapy

In summary, chronic liver disease increases the risk of developing hepatocellular carcinoma. Understanding both conditions is crucial for prevention, early detection, and effective management.

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