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Primary  Liver Cancer is a malignant tumour that begins in the liver. There are different types:

– Hepatocellular carcinoma (HCC) or hepatoma, is the most common type of primary liver cancer and it starts in the main cell type in the liver, the hepatocytes

– Cholangiocarcinoma, or bile duct cancer, starts in the cells lining the bile ducts (which connect the liver to the bowel and gall bladder)

– Angiosarcoma, which starts in the blood vessels. This is a rare type of liver cancer that is more likely to occur in people over 70.

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Liver Cancer

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Liver Cancer

Secondary cancer in the liver is cancer that started in another part of the body but has spread to the liver. If you have secondary cancer in the liver, it may be useful to read information about the primary cancer in conjunction with this information or about cancer of unknown primary.

Liver cancer is frequently manageable, though treatment can pose challenges. The choice of treatment depends on various factors:

– Whether the cancer originated in the liver (primary) or spread from elsewhere (secondary). Treatments for primary and secondary liver cancer are generally similar.

– The size and type of cancer.

– Its location and extent of spread.

– Your overall health.

Treatment options may encompass surgery, chemotherapy, thermal ablation (using heat to destroy the cancer), targeted medicines, and radiotherapy. Your dedicated care team will:

– Explain the treatments, outlining benefits and potential side effects.

– Collaborate with you to devise a personalized treatment plan.

– Assist in managing any side effects, including dietary adjustments to aid digestion.

Regular check-ups and additional tests or scans will be conducted during and after treatments. If any concerning symptoms or side effects arise, it’s advised to communicate promptly with your specialists without waiting for scheduled check-ups.

Surgery:

In cases where the cancer is identified early, is small, and hasn’t spread extensively, surgical removal may be an option. Surgery involves the removal of a portion or the entirety of the liver. Complete removal may necessitate a liver transplant using a donated organ. Recovery from this type of cancer surgery can be prolonged.

Chemotherapy:

Chemotherapy utilizes medications to eliminate cancer cells. For liver cancer, the chemotherapy medicine is typically delivered directly into the cancerous blood vessels, a technique known as chemoembolization. Chemoembolization aims to impede cancer growth and is often employed to reduce tumor size or manage symptoms in situations where surgery is not viable due to severe illness or inoperability.

Thermal Ablation:

Thermal ablation involves using electric current or microwaves to destroy cancer cells. This method may be considered for liver cancer treatment when surgery is not feasible due to severe illness or inoperability.

Radiotherapy:

Radiotherapy involves targeted radiation pulses to eliminate cancer cells. Methods include external beam, stereotactic radiotherapy, and internal radiotherapy. Treatment duration varies, with side effects like chest pain, fatigue, and skin reactions, typically resolving post-treatment.

Targeted Medicines:

Targeted cancer medicines are designed to halt cancer growth. Treatment with targeted medicines may be recommended if surgery is not an option due to severe illness or if the cancer has spread to other parts of the body.

Radiotherapy:

Radiotherapy, employing radiation to eradicate cancer cells, may include a technique called selective internal radiation therapy (SIRT) for liver cancer. SIRT involves injecting radioactive beads into the liver’s blood supply to impede cancer growth. It may be considered for adults with limited liver damage and when surgery is not possible.

Advanced Liver Cancer:

If you receive the difficult news that your liver cancer cannot be cured, the focus of treatment shifts to limiting the cancer and its symptoms, aiming to prolong life. A specialized team known as the palliative care or symptom control team will assist you in managing symptoms, providing comfort, and offering support for you and your loved ones.

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