Poor screening for hepatocellular carcinoma occurs frequently among patients with chronic HCV and advanced fibrosis and can lead to tumor diagnosis at a late stage, according to recent results.Researchers evaluated hepatocellular carcinoma (HCC) surveillance data from 1,005 patients with chronic hepatitis C with cirrhosis or advanced fibrosis. All participants had been enrolled in the Hepatitis C Antiviral Long-Term Treatment against Cirrhosis Trial. Incidence of consistent surveillance (CS) — defined as ultrasound and alpha-fetoprotein (AFP) assessment performed at least once every 12 months — was recorded, along with surveillance failures (an absence of screening, follow-up or detection).
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