Malignant neoplasms of liver or intrahepatic bile ducts
Definition
The most frequent and important hepatic neoplasm is the primary hepatocellular carcinoma (HCC). In many parts of the world, in particular Africa and Asia, it poses a significant disease burden. In these high incidence regions, chronic infection with hepatitis B virus (HBV) is the principal underlying cause, with the exception of Japan which has a high prevalence of hepatitis C infection. HBV vaccination has become a powerful tool in reducing cirrhosis and HCC, but implementation is still suboptimal in several high risk regions. In Western countries, chronic alcohol abuse is a major aetiological factor. Hepatic cholangiocarcinoma has a different geographical distribution, with peak incidences in Northern Thailand. Here, it is caused by chronic infection with the liver fluke, Opisthorchis viverrini, which is ingested through infected raw fish.
Exclusions
2 subordinate codes
Also indexed as
Nearby in Malignant neoplasms of digestive organs
2B70Malignant neoplasms of oesophagus2B71Malignant neoplasms of oesophagogastric junction2B72Malignant neoplasms of stomach2B80-2C0ZMalignant neoplasms of intestine2C10Malignant neoplasm of pancreas2C11Malignant neoplasms of other or ill-defined digestive organs2C13Malignant neoplasms of gallbladder2C14Malignant neoplasms of proximal biliary tract, cystic duct