实用肝脏病杂志 ›› 2018, Vol. 21 ›› Issue (5): 821-824.doi: 10.3969/j.issn.1672-5069.2018.05.046

• 综述 • 上一篇    

NAFLD与肝细胞癌的相关性研究进展*

邴浩 综述, 李异玲 审校   

  1. 110001 沈阳市 中国医科大学附属第一医院消化内科
  • 收稿日期:2017-12-11 出版日期:2018-09-10 发布日期:2018-09-27
  • 通讯作者: 李异玲,E-mail: lyl-72@163.com
  • 作者简介:邴浩, 女,24 岁,硕士研究生。主要从事非酒精性脂肪性肝病的基础与临床研究。E-mail: 2247725858@qq.com
  • 基金资助:
    国家自然科学基金资助项目(编号:81570519)

Correlation between non-alcoholic fatty liver disease and hepatocellular carcinoma:Fact or fiction

Bing Hao, Li Yiling.   

  1. Department of Gastroenterology,First Affiliated Hospital,China Medical University,Shenyang 110001,Liaoning Province,China
  • Received:2017-12-11 Online:2018-09-10 Published:2018-09-27

摘要: 非酒精性脂肪性肝病(NAFLD)已成为世界范围内最常见的慢性肝脏疾病,被认为是代谢综合征在肝脏的表现,其疾病谱从轻微肝细胞脂肪变性到非酒精性脂肪性肝炎(NASH),进一步可发展为肝硬化或肝细胞癌(HCC)。随着肥胖及胰岛素抵抗问题的日益严重,NAFLD、NASH及其相关肝硬化、肝癌患者也日益增多。近年来研究表明,NASH可不经肝硬化阶段直接发展为HCC,具体机制尚不明确。

关键词: 非酒精性脂肪性肝病, 肝细胞癌, 代谢综合征

Abstract: Non-alcoholic fatty liver disease (NAFLD),involvement of metabolic syndrome,is being the most common liver disease worldwide. The spectrum of NAFLD ranges from simple steatosis to NASH,finally leading to liver cirrhosis and hepatocellular carcinoma(HCC). As the obesity is becoming global problem,the incidence of NAFLD,NASH and NAFLD/NASH-associated cirrhosis and NAFLD/NASH-associated HCC is increasing gradually. In recent years,many scholars believe that HCC might arise in the absence of overt cirrhosis in patients with NASH,and the mechanism for the switch remains elusive. The review will focus on the relationship between NAFLD and HCC.

Key words: Nonalcoholic fatty liver disease, Hepatocellular carcinoma, Metabolic syndrome