Diagnosis Profile and Therapeutic of Hepatocellular Carcinoma (HC)

Objective: Showing up the epidemiological aspect, in clinic or para-clinical and anatomopathological ways of first cancers of liver. Patients and Methods:Retrospective study with descriptive including all medical records for the patient aftercare for the first cancers of liver in the Carcinology and Radiotherapy Service of the Brazzaville Teaching Hospital from January 1st 2010 to December 2014. We studied the relative frequency with the age, the sex, discovery circumstances and some elements of clinic exam, Para-clinical data, the anatomopathological, the classification and the evolution. Results:Two hundred and eighty six (286) patients of medium age around 45.02 years old within the two sexes to the extremes of 20 and 72 years old. We noticed that there was male predominance of 201(70.27%). The diagnostic circumstances were given by an abdominal mass 286 (100%) often associated with an icterus in more of 50%. The clinic exam was suggestive 271(94.75%). The abdominal sonogram scan showed up a big hetero-multinodular liver 208(72.72%); the ascites 119(41%). The tom-densitometry reveal a taken of liver with contrast in arterial. The alpha fetoprotein was increased to a volume of 257(89.86%) its serum concentration was on average at 988 ng/ml. One hundred and sixty seven (167) patients that is to say 58.39% had an anatomopathological proof. Analgesic Radiotherapy could not be performed. Following the six (6) months of the first symptoms appearance of 209(73.07%), the evolution to death was inevitable. Conclusion:To conclude, within this study, it emerges from this that a relatively high frequency of hepatocellular carcinomas with a high impact concerning young. Also, the diagnosis was late each one takes into account the prevention programs.