{"entities":{"Q38678":{"pageid":29044,"ns":120,"title":"Item:Q38678","lastrevid":114708,"modified":"2026-08-13T03:50:46Z","type":"item","id":"Q38678","labels":{"mul":{"language":"mul","value":"2C12"},"pt-br":{"language":"pt-br","value":"Neoplasias malignas do f\u00edgado ou ductos biliares intra-hep\u00e1ticos"},"en":{"language":"en","value":"Malignant neoplasms of liver or intrahepatic bile ducts"}},"descriptions":{"pt-br":{"language":"pt-br","value":"A neoplasia hep\u00e1tica mais frequente e importante \u00e9 o carcinoma hepatocelular prim\u00e1rio (CHC). Em muitas partes do mundo, em particular na \u00c1frica e na \u00c1sia, representa uma carga significativa de doen\u00e7as. Nessas regi\u00f5es de alta incid\u00eancia, a infec\u00e7\u00e3o cr\u00f4nica pelo v\u00edrus da hepatite B (VHB) \u00e9 a principal causa subjacente, com exce\u00e7\u00e3o do Jap\u00e3o, que tem uma alta preval\u00eancia de infec\u00e7\u00e3o por hepatite C. A vacina\u00e7\u00e3o contra o VHB tornou-se uma ferramenta poderosa na redu\u00e7\u00e3o da cirrose e do CHC, mas a implementa\u00e7\u00e3o ainda \u00e9 sub\u00f3tima em v\u00e1rias regi\u00f5es de alto risco. Nos pa\u00edses ocidentais, o abuso cr\u00f4nico de \u00e1lcool \u00e9 um fator etiol\u00f3gico importante. O colangiocarcinoma hep\u00e1tico tem uma distribui\u00e7\u00e3o geogr\u00e1fica diferente, com pico de incid\u00eancia no norte da Tail\u00e2ndia. Aqui, \u00e9 causado por uma infec\u00e7\u00e3o cr\u00f4nica com a fasc\u00edola do f\u00edgado, Opisthorchis Viverrini, que \u00e9 ingerida por meio de peixes crus infectados."},"en":{"language":"en","value":"The most frequent and important hepatic neoplasm is the primary hepatocellular carcinoma (HCC). In many parts of the world, in particular Africa and Asia, it poses a significant disease burden. In these high incidence regions, chronic infection with hepatitis B virus (HBV) is the principal underlying cause, with the exception of Japan which has a high prevalence of hepatitis C infection. HBV vaccination has become a powerful tool in reducing cirrhosis and HCC, but implementation is still suboptimal in several high risk regions. In Western countries, chronic alcohol abuse is a major aetiological factor. Hepatic cholangiocarcinoma has a different geographical distribution, with peak incidences in Northern Thailand. Here, it is caused by chronic infection with the liver fluke, Opisthorchis viverrini, which is ingested through infected raw fish."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"d633124b1e9c0e3786a4e9eead55d8074cb89917","datavalue":{"value":"https://id.who.int/icd/entity/1404966610","type":"string"},"datatype":"url"},"type":"statement","id":"Q38678$A5E8B8A4-A349-40B8-AB34-9AAE503C0EFD","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"1070fe7ea1d71e589c8c7e725095c7da577ec79b","datavalue":{"value":"CID11:2C12","type":"string"},"datatype":"string"},"type":"statement","id":"Q38678$39D73984-FA60-4101-A6C7-C7993FE19977","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"8d7dd683d16ff377e9b80c166a2037904a82b5f5","datavalue":{"value":"dki-india-2C12","type":"string"},"datatype":"string"},"type":"statement","id":"Q38678$F48D7D84-BFF4-45E5-89CB-1916D0D6DB74","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q38678$29E1888C-A71E-47C5-9631-2D879DA1F060","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q38678$4A4028C3-2215-4F17-BCA6-9832117CA2B4","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q38678$DA5372E4-EB11-4D23-8630-B05F60643173","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"ef600be3f8f4ea0ceb0a1d7666447d84b895c0ff","datavalue":{"value":{"entity-type":"item","numeric-id":13129,"id":"Q13129"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q38678$5BCAD77D-6F09-45E2-9A3A-59B7CF1F10FF","rank":"normal"}]},"sitelinks":{}}}}