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Letter to the Editor| Volume 68, ISSUE 4, P854-855, April 2018

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Rapidly growing, moderately differentiated HCC: A clinicopathological characteristic of HCC occurrence after IFN-free DAA therapy?

  • Yasuhiko Nakao
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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  • Satoru Hashimoto
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

    Department of Gastroenterology and Hepatology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
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  • Seigo Abiru
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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  • Atsumasa Komori
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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  • Kazumi Yamasaki
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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  • Shinya Nagaoka
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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  • Akira Saeki
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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  • Shigemune Bekki
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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  • Yuki Kugiyama
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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  • Tamotsu Kuroki
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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  • Masahiro Ito
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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  • Kazuhiko Nakao
    Affiliations
    Department of Gastroenterology and Hepatology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
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  • Hiroshi Yatsuhashi
    Correspondence
    Corresponding author. Address: Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Kubara 2-1001-1, Omura, Nagasaki 856-8562, Japan. Tel.: +81 957 52 3121; fax: +81 957 54 0292.
    Affiliations
    Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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Published:November 13, 2017DOI:https://doi.org/10.1016/j.jhep.2017.11.011
      We read with great interest the report by Reig et al. describing unexpected early tumor recurrence in patients with hepatitis C virus-related hepatocellular carcinoma (HCC) undergoing treatment with interferon (IFN)-free direct-acting antivirals (DAA).
      • Reig M.
      • Marino Z.
      • Perello C.
      • Inarrairaegui M.
      • Ribeiro A.
      • Lens S.
      • et al.
      Unexpected early tumor recurrence in patients with hepatitis C virus -related hepatocellular carcinoma undergoing interferon-free therapy: a note of caution.
      There is some debate as to whether DAA therapy increases the risk of liver cancer. We report herein a clinicopathological case series of patients who experienced HCC occurrence after DAA therapy, in order to shed some light on this emerging issue.
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