The role of psychosocial factors in the progression of hepatocellular carcinoma.

Abstract:

:The number of deaths per year from hepatocellular carcinoma (HCC) exceeds 250000, placing it sixth as the cause of death from cancer worldwide. The primary etiology of most cases of HCC in the US is hepatitis B and/or C. Extensive research has demonstrated that the relationship between hepatitis B infection and the progression to HCC is mediated by the immune system. A substantial, but unrelated literature, describes the relationship between psychosocial factors (e.g., stress, psychiatric morbidity), immune system reactivity, and disease progression in patients with cancer. However, the role of these factors in the progression of HBV-HCC has not been explored. An understanding of the relationship among virology, immunology, and behavior in the development and recurrence of HCC may provide alternative methods for secondary prevention of HCC (e.g., behavioral) until a vaccine and/or pharmacological treatments are developed, feasible, and affordable.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Steel J,Carney M,Carr BI,Baum A

doi

10.1016/s0306-9877(03)00263-9

keywords:

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

86-94

issue

1

eissn

0306-9877

issn

1532-2777

pii

S0306987703002639

journal_volume

62

pub_type

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