Hepatocellular carcinoma in a hepatitis C patient with sustained viral response and no fibrosis

James H. Tabibian, Carmen Landaverde, Julie Winn, Stephen A. Geller, Icholas N. Nissen

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Hepatitis C poses a substantial global health burden. Three to five percent of individuals with liver cirrhosis secondary to hepatitis C will develop hepatocellular carcinoma. The development of hepatocellular carcinoma is closely associated with cirrhosis in hepatitis C infection, whereas in hepatitis B virus infection, hepato- cellular carcinoma may occur in the absence of cirrhosis. Although uncommon, hepatocellular carcinoma has been reported in hepatitis C patients without cirrhosis and, in very rare cases, in the absence of active viral replication. We report the case of a 51-year-old patient with hepatitis C who developed hepatocellular carcinoma in the absence of fibrosis and after having achieved sustained virological response with combination peginterferon and ribavirin therapy seven years prior. The patient successfully underwent surgical resection, and histopathological examination of the resected tissue demonstrated a poorly-differentiated hepatocellular carcinoma in an otherwise unremarkable liver. The patient continues to do well and has no evidence of tumor recurrence 18 months post-opera- tively. This case raises question regarding the carcino- genesis of hepatocellular carcinoma as a sequela of chronic hepatitis C in noncirrhotic liver and moreover after achieving sustained virological response.

Original languageEnglish (US)
Pages (from-to)64-67
Number of pages4
JournalAnnals of Hepatology
Issue number1
StatePublished - Jan 2009
Externally publishedYes


  • Hepatitis C
  • Hepatocellular carcinoma
  • Liver cirrhosis
  • Sustained virologic response

ASJC Scopus subject areas

  • Hepatology


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