PLoS ONE (Jan 2022)

Better survival of patients with hepatitis B virus-related hepatocellular carcinoma in South Korea: Changes in 16-years cohorts.

  • Sang Il Choi,
  • Yuri Cho,
  • Moran Ki,
  • Bo Hyun Kim,
  • In Joon Lee,
  • Tae Hyun Kim,
  • Seong Hoon Kim,
  • Young Hwan Koh,
  • Hyun Beom Kim,
  • Eun Kyung Hong,
  • Chang-Min Kim,
  • Joong-Won Park

DOI
https://doi.org/10.1371/journal.pone.0265668
Journal volume & issue
Vol. 17, no. 3
p. e0265668

Abstract

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AimsThe incidence and mortality of hepatocellular carcinoma (HCC) have decreased over time in South Korea, where hepatitis B virus (HBV) in endemic. This study investigated the changes in the characteristics and clinical outcomes of HCC patients in Korea.MethodsPatients initially diagnosed with HCC and treated at the National Cancer Center, Korea between 2000 and 2015 (n = 4,291) were followed up until February 2017. Differences in patient characteristics and outcomes were compared between chronological cohorts: cohort A (2000-2004, n = 1,157) vs. B (2005-2009, n = 1,678) vs. C (2010-2015, n = 1,456).ResultsThe median age of the patient cohort was 57 years (range, 13-98 years), and male predominance was noted (81.6%). HBV infection was the most common etiology (74.8%). The proportion of patients diagnosed with good liver function and small tumors (ConclusionsThe survival of patients with HCC, especially HBV-related HCC, has improved significantly over time in Korea.