Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 473

Hepatocellular carcinoma (HCC) incidence peaks in men age 70–74, while patients older than 75 account for 22%.³¹ In North America, hepatocellular carcinoma is predominantly a disease of older adults, with 50% of cases occurring in adults over 60. In contrast, the peak incidence of HCC in Sub‐Saharan Africa and China occurs in young to middle adulthood. Older adults are more likely to present with advanced disease, and their survival rates are significantly lower than those of younger patients.³² We can offer effective treatments to those with this cancer who have masses less than 5 cm, including eligibility for liver transplant. Therefore, screening those with cirrhosis via ultrasound every six months is of paramount importance.