Like other organs in our body, the liver is susceptible to diseases, including cancer. There are several types of cancer that can develop in the liver of adults, including:
hepatocellular carcinoma, also known as hepatoma (most common type of liver cancer)
Liver cancer can also be classified as primary or secondary. Primary liver cancer is cancer that has originated in the liver. Secondary liver cancer is cancer that has spread to the liver from another location in the body.
Children can develop a rare type of liver cancer called "hepatoblastoma." Since hepatoblastoma is very rare and is a childhood cancer, this article will solely reference adult primary liver cancer.
Liver Cancer Causes and Risk FactorsThe exact causes of liver cancer aren't known at this time. Researchers have identified several known risk factors for liver cancer, though. Cirrhosis, a condition marked by scarring of the liver, is a major risk factor for liver cancer. It has several causes, with excessive, long-term alcohol consumption being a primary cause. Smoking, alcohol abuse and being infected with hepatitis are all factors that increase the chance of developing liver cancer.
Other risk factors include hemochromatosis, primary schlerosing cholangitis (PSC) and primary biliary cirrhosis (PBC).
Symptoms of Liver CancerLiver cancer does not present any symptoms in the early stages. As the disease progresses, symptoms of liver cancer include:
- jaundice (the yellowing of the skin and eyes)
- unintentional weight loss
- loss of appetite
- pain and/or discomfort on the right side of the abdomen
- pain or discomfort that occurs in the right shoulder blade
Diagnosis of Liver Cancer
Blood work (such as liver function tests), a hepatitis panel, and tumor markers are often the first steps in diagnosing liver cancer. One specific test, the alpha-fetoprotein tumor maker test (AFP), may be ordered for screening liver diseases. A tumor marker test measures the amount of substances in the body released by cells and organs. Many times, an increase in the level of these substances can indicate certain diseases. The AFP test can indicate liver cancer if there is a spike in certain levels.
Your doctor may also recommend that you have an ultrasound. During an ultrasound, a technician uses a small instrument that glides along your skin, showing your organs on a screen. It is completely painless and allows doctors to get a good look at the liver.
Other imaging tests that help diagnose liver cancer include: MRI and CT Scan.
Ultimately, it is a biopsy that determines whether cancer is present or not. During a liver biopsy, a fine needle in inserted in to the liver through a small incision made in the skin. The biopsy needle retrieves a small sample of liver tissue, and the needle is removed. You are given a local anesthetic for the procedure, and it is performed usually on an outpatient basis at a hospital.
A liver biopsy can be obtained during laparoscopic surgery as well. Transjugular biopsy is less common, but it is an option when there is a concern about blood clotting or excessive fluid in the abdomen.
Liver Cancer TreatmentHow liver cancer is treated differs, depending on the stage of the disease. Some treatment plans may include standard treatments, such as chemotherapy, while some plans will include clinical trials of new drugs and treatment methods. Regardless of what type of treatment plan you and your doctor choose, you should know all the options that are available.
There are a couple of different options for treating liver cancer surgically. These options include:
Chemotherapy may be prescribed to treat liver cancer. Treatment drugs work by eliminating rapidly multiplying cancer cells; however, there are other healthy cells in the body that multiply just as quickly, such as hair follicle cells. Unfortunately, many chemotherapy drugs may not be able to discern the two, attacking healthy cells and causing side effects, such as hair loss.
- Chemotherapy Side Effects
- Hair Loss and Chemotherapy: Can It Be Prevented?
- Combating Fatigue During Chemotherapy