原创力文档arsenic, vinyl chloride, viral hepatitis, and hepatic angiosarcoma a hospital-based study and review of literature in taiwan砷、氯乙烯、病毒性肝炎和肝血管肉瘤以医院为基础的研究和审查的文学在台湾.pdfVIP
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arsenic, vinyl chloride, viral hepatitis, and hepatic angiosarcoma a hospital-based study and review of literature in taiwan砷、氯乙烯、病毒性肝炎和肝血管肉瘤以医院为基础的研究和审查的文学在台湾
Huang et al. BMC Gastroenterology 2011, 11:142
/1471-230X/11/142
RESEARCH ARTICLE Open Access
Arsenic, vinyl chloride, viral hepatitis, and hepatic
angiosarcoma: A hospital-based study and review
of literature in Taiwan
Neng-Chyan Huang1,2,5, Shue-Ren Wann1,2, Hong-Tai Chang1,2, Shoa-Lin Lin2,3, Jyh-Seng Wang2,4 and
How-Ran Guo5,6,7*
Abstract
Background: Hepatic angiosarcoma (HAS) is a rare type of liver cancer that is often fatal, and arsenic and vinyl
chloride monomer (VCM) are two major causal agents. Whereas Taiwan is an endemic area of liver cancer,
epidemiologic data on HAS are limited. We reviewed the cases observed at a teaching hospital to evaluate the
roles of VCM, arsenic, and viral hepatitis in the occurrence of HAS.
Methods: We reviewed the medical records of patients with pathological proof of HAS from January 2000 to
August 2010 at a teaching hospital which is adjacent to the major VCM processing area in Taiwan and nearby an
endemic area of arsenic exposure from drinking water. We also conducted a literature review and included all
patients of HAS reported in Taiwan.
Results: Six male and three female cases aged from 56 to 83 years (64.6 ± 8.2 years) were identified at the
hospital. The differences in clinical features between men and women were not statistically significant. None of
them had exposure to VCM or arsenic in drinking water. Two had evidence of hepatitis C infection, but none had
evidence of hepatitis B infection. Five male and four female cases aged 30 to 82 years (58.6 ± 15.5 years) were
identified in the literature, including two with arsenic exposure and one with chronic hepatitis B infection.
Conclusions: HAS is rare in Taiwan, and we found no evidence supporting a major role of VCM, arsenic in drinking
water, or viral hepatitis in its occurrence.
Keywords: hepatic angiosraco
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