RT Journal Article SR Electronic A1 Rizzo, Toni T1 Limited Progress in the Treatment of HCC JF MD Conference Express YR 2014 FD SAGE Publications VO 14 IS 22 SP 24 OP 26 DO 10.1177/155989771422018 UL http://mdc.sagepub.com/content/14/22/24.abstract AB The main risk factors for hepatocellular carcinoma (HCC) are hepatitis C virus, hepatitis B virus, and alcohol consumption, which can lead to cirrhosis, genomic instability, and progression to HCC. This process involves a cycle of regeneration and necrosis that induces release of cytokines, proangiogenic factors, and profibrotic factors. Fibrosis and increased cell proliferation can result in formation of a dysplastic nodule, marked genomic instability, loss of p53, and development of HCC [Farazi PA, DePinho RA. Nat Rev Cancer. 2006].