Risk of hepatocellular carcinoma due to aflatoxin infested areca nut consumption-a review


Author(s): Suwarna Dangore Khasbage, Rahul R. Bhowate, Swapnil C. Mohod, Mrunal Meshram

Areca nut (AN) consumption is a practice of great antiquity in India and reported to be consumed by 20 to 30% of the Indian population in last 2-3 decades. Various mechanisms have been reported with reference to its adverse effects on the liver, one of which could be ingestion of aflatoxin infected AN, as aflatoxin B1 is a known hepatotoxin. Reports are available stating that the most of the ANs available in the market are substandard and contaminated with cancer- causing fungus and chewing of such poor quality, infested ANs would definitely pose severe health problems on human beings in a long time. But, to our knowledge scanty literature is available reporting the role of aflatoxin infested AN on risk of liver cancer. The evolution of such risk factors provides insight into understanding of the future burden of the disease.

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Editors List

  • Osamu Tanaka

    Osamu Tanaka
    Assistant Professor,
    Department of Radiation Oncology
    Asahi University Hospital
    Gifu city, Gifu, Japan

  • Maher Abdel Fattah Al-Shayeb

    Department of Surgical Sciences, Ajman University, UAE

  • Andrzej Zdziennicki

    Institute of Gynecology and Obstetrics, Medical University of Lodz, I Clinic of Gynecology and Gynecological Oncology (Lodz, Poland)

  • Krzysztof Urbanski

    Head of the Oncology Gynecology Clinic, Oncology Center - Instytut im. Maria Sklodowska Curie, Department in Krakow (Krakow, Poland)

  • Andrzej Szawlowski

    Klinika Nowotworow Gornego Odcinka Uklad Digestii, Oncology Center - Institute (Warsaw, Poland)