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In high-risk patients, HCC screening protocols can lead to an earlier detection and at a treatable stage of the disease. Keywords Multiparametric Magnetic Hepatic cancer meaning Imaging, diagnosis, hepatocellular carcinoma Rezumat Carcinomul hepatocelular CHC este cea mai frecventă tumoră malignă primară a ficatului, asociată  frecvent cu ciroza, cu o incidenţă crescândă la nivel mondial. Protocoalele de screening al CHC la pacienţii cu risc crescut pot duce la detectarea mai precoce şi într-un stadiu tratabil al bolii. Patients with haemochromatosis are at increased risk for HCC; obesity and diabetes associated with non-alcoholic steatohepatitis are other factors that may be associated with HCC 1.

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Pacienții cu forme simptomatice prezintă dureri în cadranul superior drept abdominal, senzație de greață, vărsături, febră și artralgii, însoțite sau nu de icter. Perioada medie de incubație este de 90 zile între zile de la expunere până la instalarea icterului și de 60 zile între zile de la expunere până la modificarea valorilor enzimelor hepatice. Nivelele bilirubinei pot fi normale la un procent substanțial de pacienți. Persistența nivelului crescut al ALT pentru mai mult de 6 luni indică progresia spre hepatită cronică.

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Cancerul s-a întins The cancer has spread A semnat pentru ficat la spitalul donator. He signed for the liver at the donor hospital.

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