Liver Cancer Treatment – Cirrhosis Liver Cancer Metastasis USA

Liver cancer is a type of cancer that develops in the cells of the liver. Hepatocellular is the most common type of liver cancer which starts in the hepatocyte (the main type of liver cell). There are other types of liver cancer also but these types are not so common such as interhaptic cholangiocarcinoma and hepatoblastoma.

Liver Cancer

Image result for liver cancer"

Diagnosis tests for liver cancer are:

Medical history & physical exam

In order to know about your disease, symptoms and possible risk factors your doctor may ask you about your medical history. Signs of liver cancer and other health problems are also examined by your doctor and your doctor may pay particular attention to the abdomen and check your skin and if there is any yellowish color in your eyes which can be the sign of jaundice.

If there is any symptom or there is any doubt of liver cancer then the doctor may ask you for more tests. These tests may include lab tests, imaging tests and/or liver cancer biopsy.

Imaging tests

In imaging tests image of inside of body is created with the help of magnetic fields, sound waves or sound waves. Imaging tests are helpful:

  • To point out the area that might be cancerous.
  • To know about Liver cancer (how far it might have spread).
  • To check if the treatment is working or not.
  • To help a doctor in biopsy it guide biopsy needle into doubtful area to take sample.
  • To look if Liver cancer coming back or not.

 

Ultrasound

Ultrasound used high-frequency waves to produce image on screen of computer. Mostly it is recommended as a first test to look at liver. This test shows tumor or lump in liver which can be tested for Liver cancer.

 

Computed tomography (CT)

 

Computed tomography (CT)

Basically CT scan is an x-ray test which is capable of making detailed image of your body. Many types of liver tumor can be identify with the help of CT scan of abdomen. With the help of this technique, particular information of any tumor can be obtained such as its size, shape and location or elsewhere in the abdomen as well as nearby blood vessels. CT scan is also useful in CT-guided needle biopsy in which it is used to guide biopsy needle exact into doubtful area.

 

Magnetic resonance imaging (MRI)

Magnetic resonance imaging (MRI)

MRI is also used to get a detailed image of soft tissues of body like CT scan but in MRI strong radio and magnetic waves are used to produce image. This method can be very useful to focus at tumors in liver. Sometimes they give us information of malign tumor that can form dangerous one. They are also used to check if Liver cancer has spread to its surrounding or not.

 

 

Angiography

Angiography

 

In order to look at blood vessels an angiography  is done which is kind of x-ray test.

 

 

Bone Scan

Bone scan test is done to check if cancer has spread to bones or not. Usually doctors not order this test unless you feel any symptoms such as pain in bone, or if there is any chance of liver transplant to treat your Liver cancer.

 

 

Other tests and procedure

Doctors may order other tests also if they feel that you might have liver cancer but imaging results are not enough.

 

 

Biopsy

Biopsy

 

Liver biopsy is a method in which liver cell’s tissue is collected with the help of a needle that is inserted into the liver to analyze it more closely in the lab. Mostly liver biopsy is performed to point out the cause of

  • persistent abnormal liver blood tests
  • yellowing of skin which is unexplained (jaundice)
  • Abnormality is shown in the liver during CT scan, ultrasound, and nuclear scan

There are some ways of biopsy:

  1. Needle Biopsy: In a needle biopsy, a hollow needle is set on the skin in the abdomen and into the liver. This method is performed with the help of ultrasound and CT scan to guide the needle.
  2. Laparoscopic biopsy: Doctors can take specimens of biopsy during laparoscopy also. This type of biopsy is helpful for doctors to see and check the surface of the liver and to take a sample of abnormal appearing areas.
  3. Surgical biopsy: An incisional biopsy (removal of a piece of tumor) or an excisional biopsy (removal of the total tumor and some normal tissues from its surrounding ) can be done with surgery.

 

Is liver biopsy safe

Is liver biopsy safe

 

In most cases, liver biopsy has no complication but in very rare cases internal bleeding may occur or bile-leakage from liver or gallbladder happens.

 

Lab tests

There are many reasons for lab tests such as:

  • To help diagnose liver cancer.
  • To check the cause of liver cancer.
  • To check if your liver working perfectly or not.
  • To check if the treatment really working.

Liver cancer is a type of cancer that develops in the cells of liver. Hepatocellular is most common type of liver cancer which starts in the hepatocyte (main type of liver cell). There are other types of liver cancer also but these types are not so common such as interhaptic cholangiocarcinoma and hepatoblastoma.

Diagnosis tests for liver cancer are:

 

 

Medical history & physical exam

In order to know about your disease, symptoms and possible risk factors your doctor may ask you about your medical history. Signs of liver cancer and other health problems are also examine by your doctor and your doctor may pay particular attention to abdomen and check your skin and if there is any yellowish color in your eyes which can be the sign of jaundice.

If there is any symptom or there is any doubt of liver cancer then doctor may ask you for more tests. These tests may include  lab tests, imaging tests and/or liver biopsy.

 

 

Imaging tests

In imaging tests image of inside of body is created with the help of magnetic fields, sound waves or sound waves. Imaging tests are helpful:

  • To point out the area that might be cancerous.
  • To know about cancer (how far it might have spread).
  • To check if the treatment is working or not.
  • To help a doctor in biopsy it guides biopsy needle into doubtful area to take a sample.
  • To look if cancer coming back or not.

 

 

Ultrasound

Ultrasound used high-frequency waves to produce image on screen of computer. Mostly it is recommended as a first test to look at the liver Cancer. This test shows a tumor or lumps in the liver which can be tested for Liver cancer.

 

Computed tomography (CT)

Basically CT scan is an x-ray test which is capable of making detailed image of your body. Many types of liver tumor can be identify with the help of CT scan of abdomen. With the help of this technique, particular information of any tumor can be obtained such as its size, shape and location or elsewhere in the abdomen as well as nearby blood vessels. CT scan is also useful in CT-guided needle biopsy in which it is used to guide biopsy needle exact into the doubtful area.

 

Magnetic resonance imaging (MRI)

MRI is also used to get a detailed image of soft tissues of body like CT scan but in MRI strong radio and magnetic waves are used to produce image. This method can be very useful to focus at tumors in liver Cancer. Sometimes they give us information of malign tumor that can form dangerous ones. They are also used to check if Liver cancer has spread to its surroundings or not.

 

Angiography

In order to look at blood vessels an angiography  is done which is kind of x-ray test.

 

Bone Scan

Bone scan test is done to check if cancer has spread to bones or not. Usually doctors not order this test unless you feel any symptoms such as pain in bone, or if there is any chance of liver transplant to treat your Liver cancer.

 

Other tests and procedure

Doctors may order other tests also if they feel that you might have liver cancer but imaging results are not enough.

 

Biopsy

Liver Cancer biopsy is a method in which liver cell’s tissue is collected with the help of needle which is inserted into the liver to analyze it more closely in the lab. Mostly liver biopsy is performed to point out the cause of

  1. persistent abnormal liver blood tests
  2. yellowing of skin which is unexplained (jaundice)
  3. Abnormality showed in the liver Cancer during CT scan, ultrasound, and nuclear scan

There are some ways of biopsy:

  1. Needle Biopsy: In needle biopsy a hollow needle is set on the skin in abdomen and into the liver. This method is performed with the help of ultrasound and CT scan to guide the needle.
  2. Laparoscopic biopsy: Doctors can take specimens of biopsy during laparoscopy also. This type of biopsy is helpful for doctors to see and check the surface of liver and to take sample of abnormal appearing areas.
  3. Surgical biopsy: An incisional biopsy (removal a piece of tumor) or an excisional biopsy (removal of total tumor and some normal tissues from its surrounding ) can be done with surgery.

 

Is liver biopsy safe

In most cases, liver biopsy has no complication but in very rare cases internal bleeding may occur or bile-leakage from liver or gallbladder happens.

 

Lab tests

  1. There are many reasons for lab tests such as:
  2. To help diagnose liver cancer.
  3. To check the cause of liver cancer.
  4. To check if your liver working perfectly or not.
  5. To check if the treatment really working.
  6. To look at the signs that cancer has come back after treatment.
  7. To get an idea of your organs how they are working which also could affect the treatment you have.

 

 

Alpha-fetoprotein blood (AFP) test

AFP is a protein that can found in large amounts in the adult with having liver disease, liver cancer, who are pregnant or other cancer.

If someone have a tumor in liver and have very high level of AFP then there is more chance of presence of liver cancer also. But there are other reasons also other than liver cancer for a high level of AFP level. Many patient have normal AFP level at the early stage of liver cancer therefore AFP levels are not not very helpful in determining liver cancer.

However, this test can be helpful for people who already diagnosed with liver cancer. It can also helpful to determine possible treatment options. AFP level can also used to get idea that treatment is working or not if treatment is working then level of AFP go down. The test is also used to check the signs of cancer that can reccured.

  • To look the signs that cancer has has come back after treatment.
  • To get idea of your organs how they are working which also could affect treatment you have.

 

 

Alpha-fetoprotein blood (AFP) test

AFP is a protien that can found in large amount in adult with having liver disease, liver cancer, who are pregnant or other cancer.

If someone have tumor in liver and have very high level of AFP then there is more chance of presence of liver cancer also. But there are other reasons also other than liver cancer for for high level of AFP level. Many patient have normal AFP level at the early stage of liver cancer therefore AFP levels are not not very helpfiul in determining liver cancer.

However this test can be helpful for the people who already diagnosed with liver cancer. It can also helpful to determine possible treatment options. AFP level can also be used to get idea that treatment is working or not if threatment is working then level of AFP go down. The test is also used to check the signs if cancer can reccured.

  • blood test:
  • viral hepatitis test
  • this test taken for the check the hepatitis B and C

 

liver function test:

doctor need tpo know the condition of liver before starting treatment. if any part of the liver working not properly then surgery may not able to cary the cure the cancer.if the liver is damaged

the light be require removel of a large part of liver.if liver is not working well then targeted therapy or chemotherapy.

 

Blood clotting test:

liver akes proteins to help blood clot during bleeding. if the liver is damaged it cannot make proper working and cannot make clotting factors which could increase the risk of bleeding. doctor order this test to know measure this risk.

  1. kidney function test: this test taken to know how your kidneys are working called (BUN)blood urea test.
  2. complete blood test: by this test, doctor measure the level of the red cell which is the provider of oxygen throughout the body, a white cell which fights against infection platelets it helps the blood cots by this we know how the bone marrow is working.

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