Liver Cancer

Liver cancer might be primary, caused by the proliferation of liver cells, or secondary, which occurs when cancer cells from other organs reach the liver. The cancer of the liver cells (hepatocytes) is the most common type of liver cancer. Cancer may also occur in the duct and blood vessels of the liver. It causes abdominal discomfort, yellowish discoloration of skin and eyes, nausea, vomiting, etc. It is treated by chemotherapy, hepatectomy, ablation, radiation, liver transplantation, etc., based on the location and extent of cancer. Liver biopsy, liver function tests, scans, and MRIs help in the diagnosis of liver cancer.

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I am a breast cancer patient on medications and my scan reports showed abnormal growth in the liver. Kindly help.

Query: Hello Doctor, I am a 60-year-old breast cancer patient for four years. My CT Scan and MRI reports show a lobulated hypodense lesion 2.3x2.4 cms (APO X T) in size in segment V of the right lobe of the liver closely abutting the right radical of the portal vein. It is also showing an arterialized patt...  Read Full »

Dr. Andrew Chellakumar Fenn

Answer: Hello, Welcome to Thank you for your query. We need the opinion of a liver surgeon on whether surgery is possible for your tumor. A PET-CT (positron emission tomography and computed tomography) scan of the whole body is advisable to rule out metastasis. An opinion of the gastroenterolog...  Read Full »

The doctor has a hard time explaining these tumor marker test results. Can you?

Query: Hello doctor, I was just curious what your translation of this might be. I am copying this information directly from a printout of medical records which I can upload if necessary. This is the tumor marker test results of a 70 year old white male. Reports from three years ago: CEA 1.4 ng/mL AFP-tu...  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to I went through your post and investigations. AFP means alfa-fetoprotein. It is elevated commonly in three conditions which are: Liver cell carcinoma. Hepatitis. Germ cell tumors. You have reported two different levels, one is 18 and the other is more than...  Read Full »

Is there treatment for hepatocellular carcinoma? Also, advise on survival chance.

Query: Hello doctor, My father’s CT scan report says there is a solitary hepatic lesion consistent with neoplasm. The possibilities reported in the CT scan are: HCC - hepatocellular carcinoma. Metastases The CT scan was advised when his blood test result showed high alkaline phosphatase with ...  Read Full »

Dr. Satya Narayan

Answer: Hello, Welcome to All the investigation are more in favor of locally advanced hepatocellular carcinoma. In such advanced cases, usually, the patient is planned for palliative treatment in the form of oral medication Sorafenib, which is used under the observation of an oncologist. Also...  Read Full »

Can liver cancer be misdiagnosed as liver hemangioma?

Query: Hello doctor,I started having right sided pain in the rib area around one year and three months ago. It got really bad last week and I went to a doctor. They did an ultrasound and found several hyperechoic nodular foci on the liver. He said this could simply represent hemangiomas but could be mucino...  Read Full »

Dr. Arshad Hussain Shah

Answer: Hello, Welcome to Do not worry and do not panic. All your reports (attachment removed to protect patient identity) are pointing towards hemangiomas. It is easy to differentiate between cancer and hemagioma by a radiologist on CT scan, MRI, or ultrasound. Your reports are clearly indic...  Read Full »

I have echogenic lesions in my liver with chronic fatigue and pain on my right side. Kindly help.

Query: Hello doctor,I have echogenic lesions in my liver which were discovered in an ultrasound. The doctor is recommending doing a follow-up MRI to characterize the lesions better. The largest one is 1.9 x 1.5 x 1.9 cm. No intrahepatic ductal enlargement. My CBC also showed a high MCHC count and low MPV. ...  Read Full »

Dr. Anshul Varshney

Answer: Hello, Welcome to I read your query and understand your concern. Ultrasound liver lesions could be liver abscesses or benign hemangioma, or liver cysts. Your symptoms are highly suggestive of acid peptic disease, but this is not related to your ultrasound findings. My high recommenda...  Read Full »

What is the treatment for adenocarcinoma found in marrow biopsy?

Query: Hello doctor,The patient is 55-year-old female weighing 55 kg and suffering from adenocarcinoma as found in marrow biopsy. She is on ventilator now.  Read Full »

Dr. Andrew Chellakumar Fenn

Answer: Hi, Welcome to The following are the questions which come to my mind, which is not provided by the information you provided: What were the complaints of your patient? Why is she on a ventilator? What is the working diagnosis of the doctors? Have the doctors informed you that t...  Read Full »

My father has been diagnosed with IHCC and has a history of hepatitis B. Can he be treated with chemotherapy?

Query: Hello doctor, My father has been detected with cancer of the liver. We have done MRI, CT, and biopsy. He has had a history of hepatitis B for ten years. There are two tumors in his liver, one more than 5 cm. Due to the tumor size and chronic condition, doctors have ruled out surgery or radiofrequenc...  Read Full »

Dr. Abdul Aziz Khan

Answer: Hello, Welcome to I read your query and can understand your concern. From your description of chronic liver disease due to hepatitis B and liver lesions, the possibility of hepatocellular carcinoma is high but based on the histopathology report (attachments removed to protect the pat...  Read Full »

Please help me understand the liver biopsy of a diabetic patient.

Query: Hello doctor, Below is the biopsy report of my father who is 72-year-old diabetic. He was not feeling well for past one month. Can you please help me understand what does it mean? The liver biopsy result states that: Gross: Linear cores of tissue largest measuring 1 cm-A/E (pJA/SH). Microscopy: sh...  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to I am very afraid to tell you that these reports (attachment removed to protect patient identity) are suggestive of liver cancer. This needs to be evaluated by further CECT (contrast-enhanced computed tomography) abdomen and PET (positron emission tomography) scan. I sup...  Read Full »

What are the options for hepatoma other than chemotherapy?

Query: Hello doctor, I want to ask about my father. He is too ill. His doctor told us about a hepatoma in his liver and the liver is enlarged. Now, kindly tell me the treatment. The doctor said about chemotherapy but we did not agree for it.  Read Full »

Dr. Arshad Hussain Shah

Answer: Hello, Welcome to Hepatoma can be benign (noncancerous) or malignant (cancerous called HCC). If cancerous, there are many types. You have not attached any reports of your respected father. If the doctor is talking about chemotherapy, that means, it is malignant or cancerous. The comm...  Read Full »

My father's CT scan reports suggests a hepatic mass in the left lobe. Is it cancer?

Query: Hello doctor, I am writing this query for my father, who is 79 years old. He was healthy and had no major health issues other than grade II prostatomegaly, and he has been using the medicine Veltam 0.4 daily once. From seven months, he was suffering from frequent constipation and thus reduced his fo...  Read Full »

Dr. Arvind Guru

Answer: Hi, Welcome to I have gone through your attached documents, and it seems your respected father is suffering from hepatocellular carcinoma (or liver cancer). I am afraid that it might be a serious situation. The tumor involves nearby structures or has partly ruptured (attachment remove...  Read Full »

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