Abstract:
:Cancer patients have unique problems associated with hepatitis C virus (HCV) infection and treatment not seen in the general population. HCV infection poses additional challenges and considerations for the management of cancer, and vice versa. HCV infection also can lead to the development of cancer, particularly hepatocellular carcinoma and non-Hodgkin lymphoma. In severely immunocompromised cancer patients, diagnosis of HCV infection requires increased reliance on RNA detection techniques. HCV infection can affect chemotherapy, and delay of HCV infection treatment until completion of chemotherapy and achievement of cancer remission may be required to decrease the potential for drug-drug interactions between antineoplastic agents and HCV therapeutics and potentiation of side effects of these agents. In addition, hematopoietic stem cell transplant (HSCT) recipients have an increased risk of early development of cirrhosis and fibrosis. Whether this increased risk applies to all patients regardless of cancer treatment is unknown. Furthermore, patients with cancer may have poorer sustained virological responses to HCV infection treatment than do those without cancer. Unfortunately, not all cancer patients are candidates for HCV infection therapy. In this article, we review the challenges in managing HCV infection in cancer patients and HSCT recipients.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Borchardt RA,Torres HAdoi
10.3748/wjg.v20.i11.2771subject
Has Abstractpub_date
2014-03-21 00:00:00pages
2771-6issue
11eissn
1007-9327issn
2219-2840journal_volume
20pub_type
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journal_title:World journal of gastroenterology
pub_type: 杂志文章
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doi:10.3748/wjg.v23.i39.7119
更新日期:2017-10-21 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2014-01-21 00:00:00
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更新日期:2010-09-21 00:00:00