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Topic: The Interplay between

                                                          Direct-Acting Antivirals and

                                                          Hepatocellular Carcinoma in

                                                          Chronic Hepatitis C





                                                          Hepatocellular carcinoma (HCC) is the second cause
                                                          of cancer-related death worldwide. Hepatitis C virus
                                                          (HCV) infection is one of the leading etiologies of
                                                          HCC, which accounts for one-third of HCC patients.
                                                          Direct-acting antivirals (DAAs), the standard of care
                                                          for chronic hepatitis C (CHC), are anticipated to reduce
                                                          the risk of HCV-related HCC. Unlike interferon-based
                                                          treatment cohort studies, some debates exist between
                                                          the interplay of DAA and HCC due to the relatively
                                                          short follow-up period diverse patient characteristics

                    Prof. Ming-Lung Yu,                   and different mechanisms of action. As a consequence,
                                  MD, PhD                 unsolved issues include the beneficial effect of HCC
                  Senior Vice President, Kaohsiung        risk reduction by DAAs compared to interferon-based
                   Medical University, Kaohsiung,         regimens, and the impact of DAAs on HCC recurrence
                                       Taiwan             in terms of the incidence and tumor behaviors.
              Distinguished Professor, Hepatobiliary      Meanwhile, whether the existence of HCC compromises
                   Section, Department of Internal
                    Medicine, and Hepatitis Center,       DAAs  treatment  efficacy  is  also  an  area  of  interest.
                    Kaohsiung Medical University          Risk factors of HCC occurrence and recurrence from
                      Hospital, Kaohsiung Medical         the demographic, genetic and metabolic aspects have
                    University, Kaohsiung, Taiwan
                                                          also been raised in the DAA era. The current issue
                                                          “The Interplay between Direct-Acting Antivirals
                                                          and Hepatocellular Carcinoma in Chronic Hepatitis
                                                          C” will cover the abovementioned topics and provide
                                                          thorough information for the readers.
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