Non-alcoholic fatty liver disease-related hepatocellular carcinoma: a sleeping tiger in the Asia Pacific
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Abstract
The epidemiology of hepatocellular carcinoma (HCC) in the Asia Pacific will undergo significant change over the next few decades as the prevalence of viral hepatitis declines and the burden of metabolic diseases increases. As the Asia Pacific embraces continued affluence, obesity and diabetes rates are burgeoning, becoming increasingly important to the incidence of HCC. Obesity and diabetes are established risk factors for HCC, either as substrates for non-alcoholic fatty liver disease (NAFLD) or as independent carcinogens themselves. This review summarises the epidemiological data on changing HCC trends in the Asia Pacific, particularly as it pertains to the emerging problem of NAFLD-related HCC.
Keywords
Non-alcoholic fatty liver disease Non-alcoholic steatohepatitis Hepatocellular carcinoma Asia Pacific Obesity DiabetesNotes
Acknowledgements
This work is supported by the Robert W. Storr Bequest to the Sydney Medical Foundation, a National Health and Medical Research Council Postgraduate Scholarship, grants from the National Health and Medical Research Council (1006200, 632630, 1047417, 1049857), a Strategic Research Partnership Grant and an Innovator Grant from the Cancer Council NSW, and Translational Cancer Grants from the Cancer Institute NSW and Cancer Australia.
Conflict of interest
Roslyn Vongsuvanh, David van der Poorten, and Jacob George declare no conflicts of interest, financial or otherwise, to disclose.
Compliance with Ethical Requirements
This article does not contain any studies with human or animal subjects.
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