Liver Cancer Hepatocellular Carcinoma (cont.)
John P. Cunha, DO, FACOEP
John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
In this Article
- What is liver cancer?
- What is metastatic liver cancer?
- What causes liver cancer?
- What are the risk factors for liver cancer?
- What are liver cancer symptoms and signs?
- How is liver cancer diagnosed?
- How is liver cancer staged?
- What is the treatment for liver cancer?
- What is the follow-up after treatment for liver cancer?
- What is the prognosis of liver cancer? What are the survival rates for liver cancer?
- Are there alternative and complementary therapies for liver cancer?
- Can liver cancer be prevented?
- Find a local Doctor in your town
How is liver cancer staged?
According to the American Cancer Society, "The stage of cancer is a description of how widespread it is. The stage of a liver cancer is one of the most important factors in considering treatment options. A staging system is a standard way for the cancer care team to sum up information about how far a cancer has spread. Doctors use staging systems to get an idea about a patient's prognosis (outlook) and to help determine the most appropriate treatment. There are several staging systems for liver cancer, and not all doctors use the same system."
Liver biopsy as well as imaging studies help in classifying liver cancers as per the American Joint Committee on Cancer (AJCC) TNM system, the Barcelona Clinic Liver Cancer (BCLC) staging system, the Cancer of the Liver Italian Program (CLIP) system, or the Okuda system.
What is the treatment for liver cancer?
The treatment chosen depends upon how much the cancer has spread and the general health of the liver. For example, the extent of cirrhosis (scarring) of the liver can determine the treatment options for the cancer. Similarly, the spread and extent of spread of cancer beyond the liver tissue plays an important part in treatment options.
Surgery: Liver cancer can be treated sometimes with surgery to remove the part of liver with cancer. Surgical options are reserved for smaller sizes of cancer tumors.
Liver transplant: The doctor replaces the cancerous liver with a healthy liver from another person. It is usually used in very small unresectable (not able to be removed) liver tumors in patients with advanced cirrhosis.
Ablation therapy: This is a procedure that can kill cancer cells in the liver without any surgery. The doctor can kill cancer cells using heat, laser, or injecting a special alcohol or acid directly into the cancer. This technique may be used in palliation when the cancer is unresectable.
Embolization: Blocking the blood supply to the cancer can be done using a procedure called embolization. This technique uses a catheter to inject particles or beads that can block blood vessels that feed the cancer. Starving the cancer of the blood supply prevents the growth of the cancer. This technique is usually used on patients with large liver cancer for palliation.
Radiation therapy: Radiation uses high-energy rays directed to the cancer to kill cancer cells.
Chemotherapy: Chemotherapy uses a medicine that kills cancer cells. The medicine can be given by mouth or by injecting it into a vein.
Sorafenib is an oral medication that can prolong survival (up to 3 months) in patients with advanced liver cancer.
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