July 13, 2026 · Gastroenterology · DOI: 10.1053/j.gastro.2026.06.022

Long-term incidence of hepatocellular carcinoma after hepatitis B surface antigen seroclearance

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The authors aimed to assess the long-term incidence of hepatocellular carcinoma (HCC) in patients with chronic hepatitis B (CHB) who achieved hepatitis B surface antigen (HBsAg) seroclearance, compared to the general population. Their findings indicate that individuals who clear HBsAg, particularly younger men and women without cirrhosis, exhibit a very low risk of developing HCC, suggesting that routine surveillance may not be necessary for these groups.

Soleiman El-Debeiky, Tony Hiu-Fung Lam, Mandy Sze-Man Lai, Yee-Kit Tse, Vicki Wing-Ki Hui, Jimmy Che-To Lai, Henry Lik-Yuen Chan, Vincent Wai-Sun Wong, Grace Lai-Hung Wong, Terry Cheuk-Fung Yip

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