Hepatocellular Carcinoma in South Indian Population: Clinical Profile and AFP Correlation with Radiological Tumor Size

Objectives: To study the clinical profile of hepatocellular carcinoma (HCC) in a tertiary care hospital and alpha fetoprotein correlation (AFP) with radiological tumor size. Materials and Methods: A prospective observational study was conducted from February 2023 to August 2024. There were 57 cases...

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Main Authors: Sahil Ahmad, Shubha Seshadri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-06-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_1864_24
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author Sahil Ahmad
Shubha Seshadri
author_facet Sahil Ahmad
Shubha Seshadri
author_sort Sahil Ahmad
collection DOAJ
description Objectives: To study the clinical profile of hepatocellular carcinoma (HCC) in a tertiary care hospital and alpha fetoprotein correlation (AFP) with radiological tumor size. Materials and Methods: A prospective observational study was conducted from February 2023 to August 2024. There were 57 cases of HCC enrolled. Patient details were noted, such as demographics, clinical characteristics, tumor characteristics, disease severity and their treatment. The data was compiled and analyzed. The outcome measures were association of tumor size with AFP levels. Results: Patients had a mean age of 63.1 years and a BMI of 27.02 kg/m². Common risk factors were diabetes mellitus and alcohol in 47.4% and 43.9%, respectively. The common symptoms were abdominal pain (right hypochondrium) in 40 (70.2%) patients, abdominal distension in 36 (63.2%), jaundice in 19 (33.3%), weight loss in 10 (17.5%), fever in 8 (14.0%). Hepatomegaly was present in 29 (50.9%) patients, ascites in 27 (47.4%), splenomegaly in 10 (17.5%), liver bruit and pleural effusion in 6 (10.5%) patients each, and hepatic encephalopathy in 4 (7.0%) patients. Conclusion: HCC patients were primarily older men with diabetes and alcohol being common risk factors. Abdominal pain and distention remain common findings with complications of cirrhosis, esophageal varices, and pleural effusion. AFP levels and imaging modalities were the most important aids for the diagnosis, management and prognosis. Majority of the treatment remains supportive in the form of transarterial chemoembolization (TACE), transarterial radioembolization (TARE), stereotactic body radiation therapy (SBRT) etc. with few cases demanding interventional therapies.
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spelling doaj-art-cc9b8c66ef85477e8ea5d64c5a77881d2025-08-20T03:31:39ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-06-0117Suppl 2S1940S194510.4103/jpbs.jpbs_1864_24Hepatocellular Carcinoma in South Indian Population: Clinical Profile and AFP Correlation with Radiological Tumor SizeSahil AhmadShubha SeshadriObjectives: To study the clinical profile of hepatocellular carcinoma (HCC) in a tertiary care hospital and alpha fetoprotein correlation (AFP) with radiological tumor size. Materials and Methods: A prospective observational study was conducted from February 2023 to August 2024. There were 57 cases of HCC enrolled. Patient details were noted, such as demographics, clinical characteristics, tumor characteristics, disease severity and their treatment. The data was compiled and analyzed. The outcome measures were association of tumor size with AFP levels. Results: Patients had a mean age of 63.1 years and a BMI of 27.02 kg/m². Common risk factors were diabetes mellitus and alcohol in 47.4% and 43.9%, respectively. The common symptoms were abdominal pain (right hypochondrium) in 40 (70.2%) patients, abdominal distension in 36 (63.2%), jaundice in 19 (33.3%), weight loss in 10 (17.5%), fever in 8 (14.0%). Hepatomegaly was present in 29 (50.9%) patients, ascites in 27 (47.4%), splenomegaly in 10 (17.5%), liver bruit and pleural effusion in 6 (10.5%) patients each, and hepatic encephalopathy in 4 (7.0%) patients. Conclusion: HCC patients were primarily older men with diabetes and alcohol being common risk factors. Abdominal pain and distention remain common findings with complications of cirrhosis, esophageal varices, and pleural effusion. AFP levels and imaging modalities were the most important aids for the diagnosis, management and prognosis. Majority of the treatment remains supportive in the form of transarterial chemoembolization (TACE), transarterial radioembolization (TARE), stereotactic body radiation therapy (SBRT) etc. with few cases demanding interventional therapies.https://journals.lww.com/10.4103/jpbs.jpbs_1864_24clinical profilehepatocellular carcinomaoutcomes
spellingShingle Sahil Ahmad
Shubha Seshadri
Hepatocellular Carcinoma in South Indian Population: Clinical Profile and AFP Correlation with Radiological Tumor Size
Journal of Pharmacy and Bioallied Sciences
clinical profile
hepatocellular carcinoma
outcomes
title Hepatocellular Carcinoma in South Indian Population: Clinical Profile and AFP Correlation with Radiological Tumor Size
title_full Hepatocellular Carcinoma in South Indian Population: Clinical Profile and AFP Correlation with Radiological Tumor Size
title_fullStr Hepatocellular Carcinoma in South Indian Population: Clinical Profile and AFP Correlation with Radiological Tumor Size
title_full_unstemmed Hepatocellular Carcinoma in South Indian Population: Clinical Profile and AFP Correlation with Radiological Tumor Size
title_short Hepatocellular Carcinoma in South Indian Population: Clinical Profile and AFP Correlation with Radiological Tumor Size
title_sort hepatocellular carcinoma in south indian population clinical profile and afp correlation with radiological tumor size
topic clinical profile
hepatocellular carcinoma
outcomes
url https://journals.lww.com/10.4103/jpbs.jpbs_1864_24
work_keys_str_mv AT sahilahmad hepatocellularcarcinomainsouthindianpopulationclinicalprofileandafpcorrelationwithradiologicaltumorsize
AT shubhaseshadri hepatocellularcarcinomainsouthindianpopulationclinicalprofileandafpcorrelationwithradiologicaltumorsize