酗酒有关的肝癌呈上升趋势

StephenW

Alcohol abuse-related liver cancer on the rise: doctors
By Stacy Hsu  /  Staff reporter

Alcohol abuse and obesity are set to overtake hepatitis B and C as the primary causes of cancer of the liver, the Taiwan Epidemiology Association said yesterday.

The association released a “national liver cancer prevention map,” which divides Taiwan into four areas: the northern area (Taipei, Taoyuan and Keelung), the southeastern coastal area (Changhua, Yunlin, Chiayi, Tainan and Kaohsiung) and the eastern mountainous area (Yilan, Hualien and Taitung), and outlying area (Penghu).

The map depicts the main causes of liver cancer for residents in these regions.

Hepatitis B is listed as the primary cause of liver cancer among people living in the north, while exposure to aflatoxin is accountable for most cases in Penghu.

In addition to hepatitis C, being overweight or obese is a common risk factor for liver cancer among people living on the southeastern coast, the map indicated.

Alcohol abuse and obesity are responsible for causing most liver cancer cases in the east, where hepatitis B and C are only a minor cause, it showed.

“The number of quacks in the southeast in the early days and the common practice of treating people who feel ill with intravenous drips led to a high occurrence of hepatitis C in the region because these practices fueled transmission of the disease via needles,” Keelung Chang Gung Memorial Hospital deputy superintendent Chien Rong-nan (簡榮南) told a press conference in Taipei.

However, thanks to the government’s 1986 implementation of a nationwide hepatitis B vaccination program and the introduction of hepatitis C medications, viral hepatitis should gradually take a backseat when it comes to liver cancer prevention, Chien said.

Nonetheless, people should be particularly vigilant against obesity-induced fatty liver disease, which can cause liver cells to burst and become inflamed and lead its sufferers on a path toward the notorious liver trilogy of hepatitis, cirrhosis and liver cancer, he said.

“At present, nearly 40 percent of the population have developed fatty livers, far higher than hepatitis B’s 15 to 20 percent and hepatitis C’s 2 to 4 percent,” Chien said.

Chien also urged people to refrain from excessive drinking, as alcohol and its toxic metabolite, acetaldehyde, can result in alcoholic fatty liver and eventually lead to hepatic fibrosis and liver cancer.

Taiwan Liver Cancer Association director-general Wang Chung-kwe (王鐘貴) said the percentage of liver cancer caused by alcoholic hepatitis, currently at 5 percent, is also expected to climb.

“Taiwanese men’s rate of drinking is significantly higher than that of their female counterparts, by 26 percent. They should exercise restraint when drinking if they do not want to end up having liver cancer,” Wang said.

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StephenW

酗酒有关的肝癌呈上升趋势：医生
通过斯泰西许/本刊记者

酗酒和肥胖将取代乙型肝炎和丙型肝炎作为肝癌的主要病因，台湾流行病学协会昨天说。

该协会发布了“国家预防肝癌的地图”，其中台湾划分为四个区域：北部地区（台北，桃园，基隆），东南沿海地区（彰化，云林，嘉义，台南，高雄）和东部山区（宜兰，花莲，台东），及离岛区（澎湖）。

在地图上描绘了用于在这些区域的居民肝癌的主要原因。

乙型肝炎被列为肝癌的生活在北方的人之间的首要原因，而暴露于黄曲霉毒素是大多数情况下，在澎湖负责。

除了C型肝炎，超重或肥胖是生活在东南沿海人民肝癌常见的危险因素，在地图表示。

酗酒和肥胖是负责对导致大多数肝癌病例中东部，乙型和丙型肝炎只是一个次要的原因，它表现。

“江湖医生在东南亚数量在初期和治疗的人谁感到不适与导致高发生在该地区的丙型肝炎的点滴，因为这些做法，通过针，助长了疾病传播的通常做法”张基隆长庚纪念医院院长副简荣南（简荣南）告诉记者，在台北召开新闻发布会。

然而，由于政府的1986年实现全国范围的乙肝疫苗接种计划，并引进了丙型肝炎药物，病毒性肝炎应逐步采取后座，当谈到预防肝癌，简说。

尽管如此，人们应该对肥胖引起的脂肪肝患者，可引起肝细胞破裂，发炎，并导致其对患者的肝炎，肝硬化和肝癌的肝臭名昭著的三部曲的道路上特别警惕，他说。

“目前，有近40％的人口已经制定脂肪肝，远远超过乙肝的15％到20％和丙型肝炎的2％至4％，高于”简说。

简还敦促人们过度饮酒切莫，酒精及其代谢产物的毒性，乙醛，可导致酒精性脂肪肝，最终导致肝纤维化和肝癌。

台湾肝癌协会总干事王仲-KWE（王钟贵）说，肝癌由酒精性肝炎引起的，目前以5％的比例，预计也将攀升。

“台湾人的饮酒率的比他们的女性同行显著较高，26％。喝酒，如果他们不希望最终有肝癌时，他们应该保持克制，“王说。

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jaylongli

感谢分享，不过意义不大，就跟抽烟一样，乙肝并发谁都不知道