Abstract

PERNALETE, Beatriz et al. Hepatocellular carcinoma: frequency in the service gastroenterology of hospital militar "Dr. Carlos Arvelo "in 5 years. Gen [online]. 2012, vol.66, n.2, pp.81-85. ISSN 0016-3503.

Hepatocellular carcinoma is the most common primary neoplasm liver with an increasing incidence worldwide whose prognosis is linked to early diagnosis. Objetives: To determine the frequency of hepatocellular carcinoma in patients from the Gastroenterology Service of the Military Hospital "Dr. Carlos Arvelo" during the period 2006-2011. Methods: Retrospective and descriptive. Were collected from medical records of 39 patients with that diagnosis. Results: The demographic features were similar to those described in the West: predominantly men (71.79%), average age between 60 and 69 (35.8%). The first cause was hepatitis C (35.89%), followed by alcohol (25.64%) and hepatitis B (15.38%). For staging criteria were used Barcelona Clinic Liver Cancer, being at the time of diagnosis, stage D the most common (68.57%). The 28.20% received treatment. Sorafenib was the most used, (7 patients) admitted to the hospital since end-stage limiting therapeutic options. 12.8% of patients were alive at the time of the study. Conclusions: Hepatocellular carcinoma is a rare tumor in our environment. Often produces few symptoms, manifesting as decompensation of liver function in patients with cirrhosis and should be intensified screening to achieve early diagnosis and improve prognosis.

Keywords : Hepatocellular carcinoma; Cirrhosis.