The treatment options are dictated by the stage of Liver Cancer and the overall condition of the patient. The treatment to be given depends mainly on the size, number, and site of tumors in the liver. Before planning the appropriate treatment the functioning of the Liver is checked as also the spread of the cancer within and outside the liver is to be tested
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Liver Cancer Care and Treatment in India
Liver cancer or Hepatocellular carcinoma (HCC) is one of
the commonest cancers in the world which have a high
incidence of Hepatitis B infection. Apart from Hepatitis
B, it may be caused by other diseases that lead to
cirrhosis of the liver such as Hepatitis C infection, and
alcohol abuse.
Unfortunately, like many other cancers, liver cancer may go undetected until a late
stage. It is often brought to attention by an ultrasound or CT scan done for pain in
the upper abdomen or another unrelated symptom. Liver cancers are malignant
tumors that grow on the surface or inside the liver.
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Typers of liver cancer are
HepatocellularCarcinoma,
Cholangiocarcinoma , Hepatoblastoma and
Angiosarcoma or Hemangiosarcoma
The liver cancer symptoms are often indistinct Following are some indications of Liver cancer.
The major symptoms are :
Abdominal pain or tenderness, especially in the upper-right part
Weight loss and poor appetite
Easy bruising or bleeding
Enlarged abdomen
Yellow skin or eyes (jaundice)
Ascites - an accumulation of fluid around the liver and intestine
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Diagnosis of Liver Cancer
Although there are no standard or routine screening tests for
liver cancer, the following tests are being used or studied to
screen for it
Physical examination : Physical examination may show an
enlarged, tender liver. Also, your skin and eyes may be checked
for signs of jaundice.
Blood tests :Physical examination may show an enlarged, tender
liver. Also, your skin and eyes may be checked for signs of
jaundice.
Imaging Studies like Abdominal CT scan and Abdominal Ultrasound test
Liver biopsy or Aspiration.
Liver enzymes (liver function tests)
PET Scan
Bone Scan- to check if the cancer has spread to the bones.
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The treatment options are dictated by the stage of Liver
Treatment Options Cancer and the overall condition of the patient. The
treatment to be given depends mainly on the
size, number, and site of tumors in the liver. Before
planning the appropriate treatment the functioning of the
Liver is checked as also the spread of the cancer within
and outside the liver is to be tested. The Various
treatment options available are as follows:
Surgery : Surgery is the removal of the tumor and
surrounding tissue during an operation. It is likely to be
the
most
successful
disease-directed
treatment, particularly for patients with small tumors. A
surgical oncologist is a doctor who specializes in treating
cancer using surgery.
Hepatectomy : When a portion of the liver is removed, the surgery is called a Hepatectomy.
A Hepatectomy can be done only if the cancer is in one part of the liver, and the liver is
working well. The remaining section of liver takes over the functions of the entire liver and
may regrow to its normal size within a few weeks
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Liver Transplantation :Liver transplant may be the best option for some people with small
liver cancers. At this time, liver transplants are reserved for those with small tumors (either
1 tumor smaller than 5 cm across or 2 to 3 tumors no larger than 3 cm) that have not
invaded nearby blood vessels. In most cases, transplant is used for tumors that cannot be
totally removed, either because of the location of the tumors or because the liver is too
diseased for the patient to withstand removing part of it.
Radiation Therapy :Radiation therapy is the use of high-energy x-rays or other particles to
kill cancer cells. A doctor who specializes in giving radiation therapy to treat cancer is called
a radiation oncologist. A radiation therapy regimen (schedule) usually consists of a specific
number of treatments given over a set period of time. External-beam radiation therapy is
radiation given from a machine outside the body.
Targeted Therapy :Targeted therapy is a treatment that targets the cancer’s specific genes,
proteins, or the tissue environment that contributes to cancer growth and survival. This type
of treatment blocks the growth and spread of cancer cells while limiting damage to normal
cells. Recent studies show that not all tumors have the same targets. To find the most
effective treatment, your doctor may run tests to identify the genes, proteins, and other
factors in your tumor.
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