Epidemiology

British Journal of Cancer (2007) 96, 1127–1134. doi:10.1038/sj.bjc.6603649 www.bjcancer.com
Published online 3 April 2007

Worldwide variation in the relative importance of hepatitis B and hepatitis C viruses in hepatocellular carcinoma: a systematic review

S A Raza1,2, G M Clifford2 and S Franceschi2

  1. 1Department of Surgery, The Aga Khan University, Stadium Road, PO Box 3500, Karachi 74800, Pakistan
  2. 2International Agency for Research on Cancer, 150 cours Albert Thomas, 69372 Lyon cedex 08, France

Correspondence: Dr S Franceschi, E-mail: franceschi@iarc.fr

Received 29 November 2006; Revised 24 January 2007; Accepted 29 January 2007.

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Abstract

We combined information published worldwide on the seroprevalence of hepatitis B surface antigen (HbsAg) and antibodies against hepatitis C virus (anti-HCV) in 27 881 hepatocellular carcinomas (HCCs) from 90 studies. A predominance of HBsAg was found in HCCs from most Asian, African and Latin American countries, but anti-HCV predominated in Japan, Pakistan, Mongolia and Egypt. Anti-HCV was found more often than HBsAg in Europe and the United States.

Keywords:

hepatitis B virus, hepatitis C virus, hepatocellular carcinoma, meta-analysis

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