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Pathology
A 40-year-old man has a history of intravenous drug use. Physical examination shows needle tracks in his left antecubital fossa. He has mild scleral icterus. Serologic studies for HBsAg and anti-HCV are positive. He develops hepatocellular carcinoma 15 years later. Which of the following viral characteristics best explains why this patient developed hepatocellular carcinoma?
Viral integration in the vicinity of proto-oncogenes
Viral capture of proto-oncogenes from host cellular DNA
Viral inflammatory changes with genomic damage
Viral inactivation of RB and p53 gene expression
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