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Topic: Resection of

                                                          Hepatocellular Carcinoma in

                                                          the Elderly






                                                          Hepatocellular  carcinoma  (HCC)  is  the  fifth  most
                                                          common malignancy globally and the third leading
                                                          cause of malignancy - related mortality worldwide. The
                                                          incidence of HCC is still higher in some African and
                                                          Eastern Asian regions. This cancer represents 3%-6%
                                                          of all solid tumours in the USA and Europe. Hepatitis
                                                          B  virus  (HBV)/hepatitis  C  virus  (HCV)  infection
                                                          and alcohol abuse seem to be the main causes of the
                                                          spread of HCC in Western countries. HCC is the most
                 Bruno Nardo, MD, PhD                     common cancer in the elderly population. Despite the

                     Department of Experimental,          established efficacy of screening programs for at-risk
                Diagnostic, and Specialty Medicine,       individuals, the diagnosis is usually performed at later
                      S. Orsola-Malpighi Hospital,
              University of Bologna, Bologna, Italy.      stages of disease. Wherein, the tumour characteristics
                    Chief of General Surgery Unit,        or liver disease progressions do not allow for curative
                  Annunziata Hospital of Cosenza,         therapeutic approach. In the past decades, particularly
                      University of Bologna, Italy.       in Western countries, the number of geriatric patients

                                                          undergoing  liver  surgery  has  increased  significantly.
                                                          Moreover,  studies  on  the  so-called  “oldest  old”  also
                                                          known as “very elderly” are lacking in this scientific
                                                          field. The aim of this special issue is to investigate the
                                                          impact  of  age  on  postoperative  outcomes  in  elderly
                                                          patients undergoing HCC resection.
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