Abstract
Background: Intrahepatic cholangiocarcinoma is the second most common primary liver cancer, with a reportedly rising incidence.
Methods: A literature review was conducted on the epidemiology and risk factors worldwide. Results: The reported rising incidence of intrahepatic cholangiocarcinoma likely reflects a true increase in the disease, as well as misclassification by cancer registries due to vagaries in coding. Most patients with intrahepatic cholangiocarcinoma do not harbor a recognized risk factor. The incidence of intrahepatic cholangiocarcinoma is higher in parts of Asia due to endemic liver fluke infection and hepatolithiasis. In the West, obesity, diabetes, and nonalcoholic fatty liver disease are increasingly recognized risk factors for intrahepatic cholangiocarcinoma. Other risk factors shared in common with hepatocellular carcinoma include viral hepatitis, alcohol, and cirrhosis.
Conclusions: The prevalence of intrahepatic cholangiocarcinoma varies worldwide due to differences in environmental, socioeconomic, and potentially modifiable lifestyle risk factors.
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Katkhuda, R., Chun, Y.S. (2019). Epidemiology and Risk Factors. In: Pawlik, T., Cloyd, J., Dillhoff, M. (eds) Intrahepatic Cholangiocarcinoma. Springer, Cham. https://doi.org/10.1007/978-3-030-22258-1_1
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