Does hepatitis c lead to liver cancer? how?

Yes, it can.: Any type of long-standing irritation to the liver can cause cancer. These types of irritation include iron overload, alcohol overuse, and yes, hepatitis exposure. Basically, the body attacks cells with the hepatitis C virus inside. The body heals, and when this happens many times over the years, the new liver cells are disorganized in how they grow, to the point that they form cancer.

Yes: Like any chronic condition affecting the liver, hcv leads to liver cancer over time, usually preceded by cirrhosis histologically. The average time from infection to cancer is about 20 to 30 years.