Common "Liver Cancer" queries answered by top doctors | iCliniq

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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My father has hepatocellular carcinoma. Will he survive?

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 and metastases. The CT scan was advised when his blood test result showed high alkaline phosphatase with a count ...  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 »

A 55-year-old woman has adenocarcinoma. Please help.

Query: Hello doctor,The patient is 55-year-old female weighing 121 pounds 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 the cance...  Read Full »

Kindly share insights about the medication Sorafenib.

Query: Hello doctor,My relative was recently diagnosed with liver cancer, and the doctor suggested taking a medication called Sorafenib. Can you provide some information on how the medication Sorafenib works in treating liver cancer? I am trying to understand its potential benefits and any side effects tha...  Read Full »

Dr. Arshad Hussain Shah

Answer: Hello, Welcome to I can understand your concern. Liver cancer is a very bad cancer with a poor prognosis except if the tumor can be resected completely at a very early stage. For advanced liver cancers (HCC- Hepatocellular carcinoma), immunotherapy using Nivolumab or Pembrolizumab is...  Read Full »

Please review the tumor marker test results.

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 »

Does whiter liver indicate hepatocellular carcinoma?

Query: Hello doctor, Please help me understand my report. I need help interpreting the impression part. Does this ultrasound indicate that I potentially have HCC or liver cancer? Report: Examination: Ultrasound Abdomen. Indication: HCC screening. Comparison: None. Technique: Multiplanar gray-scale im...  Read Full »

Dr. Vivek Chail

Answer: Hi, Welcome to Thanks for writing to us. I hope you are not in much discomfort. The ultrasound report scan shows increased echogenicity, which means that the liver is mildly whiter than the normal liver on the images (attachments removed to protect the patient's identity). This can ...  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 »

My father has hepatitis and IHCC. Can chemotherapy be done?

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 »

I have amyopathic dermatomyositis. Is it dangerous?

Query: Hi doctor, I was just diagnosed with amyopathic dermatomyositis, and I have been put through a lot of cancer screenings as this does not run in my family. All tests are normal, except regular ultrasound of the abdomen showed two non-specific liver lesions up to 3.2 cm. The previous CT scan of the a...  Read Full »

Dr. Sadaf Mustafa

Answer: Hello, Welcome to Usually, non-specific liver lesions are mentioned as hemangiomas. CT scan without contrast would not pick them that easily, they may have been present then. Even if hemangiomas were not there, they may have developed over time and are benign. Having said that, it is ...  Read Full »

Please suggest medicines based on the endoscopy report.

Query: Hi doctor, I am a patient having a chronic liver disease with HCC. Currently, I am taking Novidat 500 mg for five days, Spasfon, Risek 500 mg for 14 days and Uroso 250 mg for 14 days. Even after taking these medicines, I still have pain in my stomach. There is no benefit. My endoscopy reports show ...  Read Full »

Dr. Ajeet Kumar

Answer: Hi, Welcome to From your description, HCC (hepatocellular carcinoma) causes stomach pain in you. It occurs when you have significant necrosis within the center of HCC with the presence of vascular or capsular involvement. I suggest you do a complete CT (computed tomography) scan with ...  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 »

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