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Giant cavernous liver hemangiomas： is it the time to change the size categories？

Hepatobiliary & Pancreatic Diseases International 2016年第1期15卷 21-29页

作者： isidoro di carlo renol koshy saif al mudares annalisa ardiri gaetano bertino adriana toro departments of general surgery hamad general hospitalDohaQatar department of surgical sciences and advanced technologies"g.f.ingrassia" university of cataniaCataniaItaly hepatology unit department of medical and pediatric scienceuniversity of cataniaCataniaItaly department of surgery patti hospitalMessinaItaly

BACKGROUND： Four different sizes （4, 5, 8 and 10 cm in diameter） can be found in the literature to categorize a liver hemangioma as giant. The present review aims to clarify the appropriateness of the size category ＂giant＂ for liver heman- gioma. DATA SOURCES： We reviewed the reports on the categoriza- tion of hemangioma published between 1970 and 2014. The number of hemangiomas, size criteria, mean and range of hemangioma sizes, and number of asymptomatic and symp- tomatic patients were investigated in patients aged over 18 years. Liver hemangiomas were divided into four groups：〈5.0 cm, 5.0-9.9 cm, 10.0-14.9 cm and 〉15.0 cm in diameter. Inclu- sion criteria were noted in 34 articles involving 1972 （43.0%） hemangiomas （〉4.0 cm）. RESULTS： The patients were divided into the following groups： 154 patients （30.0%） with hemangiomas less than 5.0 cm in diameter （small）, 182 （35.5%） between 5.0 cm and 9.9 cm （large）, 75 （14.6%） between 10.0 and 14.9 cm （giant）, and 102 （19.9%） more than 15.0 cm （enormous）. There were 786 （39.9%） asymptomatic patients and 791 （40.1%） symptomatic patients. Indications for surgery related to symptoms were reported in only 75 （3.8%） patients. Operations including 137 non-anatomical resection （12.9%） and 469 enudeation （44.1%） were undearly related to size and ***： The term ＂giant＂ seems to be justified for liver hemangiomas with a diameter of 10 cm. Hemangiomas categorized as ＂giant＂ are not indicated for surgery. Surgery should be performed only when other symptoms are apparent.

关键词： giant hemangioma cavernous hemangioma liver hemangioma

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Chronic hepatitis C:This and the new era of treatment

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World Journal of Hepatology 2016年第2期8卷 92-106页

作者： Gaetano Bertino annalisa ardiri Maria Proiti Giuseppe Rigano Evelise Frazzetto Shirin Demma MariaIrene Ruggeri Laura Scuderi Giulia Malaguarnera Nicoletta Bertino Venerando Rapisarda Isidoro Di Carlo Adriana Toro Federico Salomone Mariano Malaguarnera Emanuele Bertino Michele Malaguarnera Hepatology Unit-Department of Clinical and Experimental Medicine University of Catania95123 CataniaItaly Internal Medicine Unit ARNAS Civic Hospital90142 PalermoItaly Research Centre“La Grande Senesce” University of Catania95100 CataniaItaly Department of Biomedical Sciences University of Catania95100 CataniaItaly Faculty of Pharmacy University of Catania95123 CataniaItaly Occupational Medicine Unit Department of Clinical and Experimental MedicineUniversity of Catania95100 CataniaItaly Department of Surgical Sciences Organ Transplantation and Advanced TechnologiesUniversity of Catania95100 CataniaItaly Gastroenterology Unit Acireale Hospital95024 AcirealeCataniaItaly

Over the last years it has started a real revolution in the treatment of chronic hepatitis C. This occurred for the availability of direct-acting antiviral agents that allow to reach sustained virologic response in approximately 90% of cases. In the near future further progress will be achieved with the use of pan-genotypic drugs with high efficacy but without side effects.

关键词： Direct-acting antiviral agents Nucleosideinhibitors Boceprevir Sofosbuvir Telaprevir HepatitisC Simeprevir Daclatasvir Ledipasvir Faldaprevir Ritonavir Ombitasvir Dasabuvir

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Hepatocellular carcinoma and the risk of occupational exposure

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World Journal of Hepatology 2016年第13期8卷 573-590页

作者： Venerando Rapisarda Carla Loreto Michele Malaguarnera annalisa ardiri Maria Proiti Giuseppe Rigano Evelise Frazzetto Maria Irene Ruggeri Giulia Malaguarnera Nicoletta Bertino Mariano Malaguarnera Vito Emanuele Catania Isidoro Di Carlo Adriana Toro Emanuele Bertino Dario Mangano Gaetano Bertino Occupational Medi-cine Unit Department of Clinical and Experimental MedicineUniversity of Catania Department of Biomedical Sciences Human Anatomy and Histology Section University of Catania Department of Biomedical Sciences University of Catania Hepatology Unit Department of Clinical and Experimental Medicine University of Catania Internal Medicine Unit ARNAS Civic Hospital Research Centre "La Grande Senescenza" University of Catania Faculty of Pharmacy University of Catania Department of Surgical Sciences Organ Transplantation and Advanced TechnologiesUniversity of Catania

Hepatocellular carcinoma(HCC)is the most common type of liver *** main risk factors for HCC are alcoholism,hepatitis B virus,hepatitis C virus,nonalcoholic steatohepatitis,obesity,type 2 diabetes,cirrhosis,aflatoxin,hemochromatosis,Wilson’s disease and *** exposure to chemicals is another risk factor for *** the relationship between occupational risk and HCC is unclear and the reports are fragmented and *** review aims to summarize the current knowledge regarding the association of infective and non-infective occupational risk exposure and HCC in order to encourage further research and draw attention to this global occupational public health problem.

关键词： Hepatocellular carcinoma Autophagy Epigenetic events Hepatitis B virus Hepatitis C virus Occupational exposure Chemical agents Mitophagy Arsenic Cadmium

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