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:
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CLD: Chronic Liver Disease
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Chronic Liver Disease encompasses a variety of liver disorders that persist for more than six months.
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These conditions can cause inflammation and damage to the liver over time.
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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
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Untreated CLD can lead to cirrhosis, liver failure, and an increased risk of developing HCC.
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HCC: Hepatocellular Carcinoma
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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.
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The primary risk factor for HCC is chronic liver disease, particularly cirrhosis.
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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.
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Surveillance programs (regular screenings) are often recommended for individuals with CLD and cirrhosis to detect HCC at an early, more treatable stage.
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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
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In summary, chronic liver disease increases the risk of developing hepatocellular carcinoma. Understanding both conditions is crucial for prevention, early detection, and effective management.