Presentation
Pathology of Liver Diseases is a rapid reference consultation tool that uses both book and online material to present a whole range of liver disorders. [books.google.com]
May present with severe, acute abdominal pain with bleeding into the abdomen, leading to shock. Other rare presentations include obstructive jaundice. [patient.info]
HCC presents a variable appearance at CT and MRI. [scielo.br]
[…] rare malignant tumor. most common liver mass in infants. labs will show increased AFP. palpable mass, hepatomegaly. sonograhically: highly vascular solitary mass, calcifications may be present what are the three most common sources of metastatic disease [quizlet.com]
Entire Body System
- Fatigue
Side effects of sorafenib (Nexavar) include fatigue, rash, high blood pressure, sores on the hands and feet, and loss of appetite. [medicinenet.com]
Patients may experience nausea, vomiting, and fatigue. Chemotherapy: Medications are injected into the liver to kill cancer cells. [medicalnewstoday.com]
When signs and symptoms do appear, they may include: Losing weight without trying Loss of appetite Upper abdominal pain Nausea and vomiting General weakness and fatigue Abdominal swelling Yellow discoloration of your skin and the whites of your eyes [mayoclinic.org]
[…] system, or by sending "fingers" into nearby tissue May recur after removal, sometimes in areas other the original site Cells have abnormal chromosomes and DNA characterized by large, dark nuclei; may have abnormal shape Can secrete substances that cause fatigue [verywellhealth.com]
[…] appear in a patient with liver cancer are a loss of appetite, weight loss, right upper quadrant abdominal pain (which may extend into the back and right shoulder blade), bleeding or bruising that occurs easily, nausea and vomiting, general weakness and fatigue [fortherecordmag.com]
Gastrointestinal
- Abdominal Pain
Symptoms of benign liver masses Hemangiomas Pain often occurs in lesions greater than 5 to 6 centimeters in size Hepatic adenomas Many people experience no symptoms Can be associated with birth control use Focal nodular hyperplasia (FNH) Abdominal pain [upmc.com]
May present with pain in the right upper quadrant or the epigastric region. A palpable mass may be noticed by the patient. May present with severe, acute abdominal pain with bleeding into the abdomen, leading to shock. [patient.info]
They may be discovered on medical imaging (even for a different reason than the cancer itself), or may be present in patients as an abdominal mass, hepatomegaly, abdominal pain, jaundice, or some other liver dysfunction. [en.wikipedia.org]
- Nausea
Complications of chemotherapy include fatigue, easy bruising, hair loss, nausea and vomiting, swollen legs, diarrhea, and mouth sores. These side effects are usually temporary. [medicinenet.com]
The patient presented the following health conditions: Liver Disorder Rash Hepatic Neoplasm Malignant Nausea. Urso 250 dosage: Since Before Administration. [patientsville.com]
Patients may experience nausea, vomiting, and fatigue. Chemotherapy: Medications are injected into the liver to kill cancer cells. [medicalnewstoday.com]
Symptoms may include: Abdominal pain Weight loss Nausea Vomiting Large mass can be felt in upper, right part of abdomen Fever Jaundice. Yellowing of the skin and eyes. [hopkinsmedicine.org]
When signs and symptoms do appear, they may include: Losing weight without trying Loss of appetite Upper abdominal pain Nausea and vomiting General weakness and fatigue Abdominal swelling Yellow discoloration of your skin and the whites of your eyes [mayoclinic.org]
Skin
- Yellow Discoloration of the Skin
When signs and symptoms do appear, they may include: Losing weight without trying Loss of appetite Upper abdominal pain Nausea and vomiting General weakness and fatigue Abdominal swelling Yellow discoloration of your skin and the whites of your eyes [mayoclinic.org]
Workup
Workup[edit] Upon discovery of a liver tumor, the main issue in the workup is to determine whether the tumor is benign or malignant. Many imaging modalities are used to aid in the diagnosis of malignant liver tumors. [en.wikipedia.org]
A careful review of clinical workup and presentation is required to form a clinically relevant differential diagnosis in this setting. [ijpmonline.org]
Patients During the 22-month period from January 1998 through October 1999, 60 consecutive patients who were referred to our department for preoperative workup of malignant hepatic tumors suspected on previously performed sonography or CT underwent gadolinium-enhanced [ajronline.org]
The lack of canalicular staining for p-CEA or CD10 does not necessarily exclude a poorly differentiated HCC; it actually implicates additional immunostaining workup and correlation with clinical, radiological, and laboratory findings. [journals.sagepub.com]
Serum
- Aspartate Aminotransferase Increased
The patient developed the following symptoms/conditions: aspartate aminotransferase increased, musculoskeletal pain ,decreased appetite,prophylaxis,abdominal pain upper,hepatitis and was treated with Ursodeoxycholic Acid (dosage: 10 Mg, 3x/day) starting [patientsville.com]
- Hypertriglyceridemia
These lesions are associated with obesity, diabetes mellitus, hypertriglyceridemia, alcoholism, AIDS, TPN, steroids, chemotherapy, and malnutrition. On ultrasound, the fatty areas are hyperechoic and ill defined. [clinicaladvisor.com]
Treatment
The patient presented with: Hepatic Neoplasm Malignant Off Label Use which developed after the beginning of treatment. [patientsville.com]
Doctors want to learn whether the new treatment is safe, effective, and possibly better than the standard treatment. Clinical trials can test a new drug, a new combination of standard treatments, or new doses of standard drugs or other treatments. [cancer.net]
When clinical trials show that a new treatment is better than the standard treatment, the new treatment may become the standard treatment. Patients may want to think about taking part in a clinical trial. [cancer.gov]
In case of hepatocellular carcinoma, percutaneous approach was done when tumor location wat suitable for procedures and patients wanted local treatment. [ndsl.kr]
What is the medical treatment for liver cancer? The medical treatment chosen depends upon how much the cancer has spread and the general health of the liver. [medicinenet.com]
Prognosis
The TNM system may predict prognosis better than other systems for patients who are having tumor resection (and possibly transplantation ), whereas the Barcelona system may predict prognosis better for patients who are not having surgery(for more information [merckmanuals.com]
Patients with compensated liver cirrhosis, whose prognosis is mostly determined by the cancer, should be considered for antitumour treatment. [esmoopen.bmj.com]
Prognosis of liver cancer Prognosis means the expected outcome of a disease. An individual's prognosis depends on the type and stage of cancer, as well as their age and general health at the time of diagnosis. [cancer.org.au]
The specification of these data is important for staging liver tumors and prognosis.[citation needed] Tumor characterization is a complex process based on a sum of criteria leading towards tumor nature definition. [en.wikipedia.org]
Etiology
Treatment Hepatocellular carcinoma Summary Epidemiology Etiology Clinical features Diagnostics Laboratory tests Imaging Liver biopsy Differential diagnoses Malignant liver tumors Benign liver tumors Treatment [amboss.com]
The book emphasizes not only the pathology seen in biopsy and surgical material, but also the most pertinent clinical and laboratory findings including epidemiology, etiologic and pathophysiologic concepts, and the differential diagnoses. [books.google.com]
The median survival is approximately 6 months, with 5-year survival of 29 Etiology Possible etiologic factors are much less well established than for HCC, and most cases have no known etiology, but it is clear that disorders that cause chronic inflammation [nature.com]
This is especially true for patients with cirrhosis of any etiology. [scielo.org.co]
Epidemiology
Epidemiology Fifth most common malignancy worldwide Highest incidence in Southeast Asia and Africa Peak incidence in the US: 70–75 years ♂ > ♀ References:[1] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
The book emphasizes not only the pathology seen in biopsy and surgical material, but also the most pertinent clinical and laboratory findings including epidemiology, etiologic and pathophysiologic concepts, and the differential diagnoses. [books.google.com]
Colorectal Cancer Epidemiology: Incidence, Mortality, Survival, and Risk Factors. Clin Colon Rectal Surg. 2009 November; 22(4): 191–197. [bead.btg-im.com]
"The epidemiology of hepatoblastoma". Pediatric Blood & Cancer. 59 (5): 776–9. doi:10.1002/pbc.24215. PMID 22692949. ^ a b Emre, S; McKenna, GJ (December 2004). "Liver tumors in children". [en.wikipedia.org]
American journal of epidemiology, 155(4): 323-31 [ CR ] [ PM ] [ EČ ][ GS ] Fan, Z., Rijn, M., Montgomery, K., Rouse, R.V. (2003) Hep par 1 antibody stain for the differential diagnosis of hepatocellular carcinoma: 676 tumors tested using tissue microarrays [scindeks.ceon.rs]
Pathophysiology
The book emphasizes not only the pathology seen in biopsy and surgical material, but also the most pertinent clinical and laboratory findings including epidemiology, etiologic and pathophysiologic concepts, and the differential diagnoses. [books.google.com]
Pharmacotherapy: A Pathophysiologic Approach (5th Ed). DiPiro JT, Talbert RL, Yee GC et al (Eds). McGraw-Hill: New York, 2002, pg. 273-303. [nlm.nih.gov]
In collaboration with clinical centers, we investigate how the knowledge gained from our fundamental studies can be translated in the understanding of the pathophysiology of human biliary diseases, including cholangiocarcinoma. [deduveinstitute.be]
Prevention
Abuse and Neglect in Healthcare 2.00 ADD COURSE Preventing Allergic Reactions to Natural Rubber Latex in the Workplace 2.00 ADD COURSE Preventing Needlestick Injuries in Health Care Settings 2.00 ADD COURSE Prevention of Hepatitis A Through Active or [ceuprofessoronline.com]
Prevention[edit] Prevention of cancers can be separated into primary, secondary, and tertiary prevention. Primary prevention preemptively reduces exposure to a risk factor for liver cancer. [en.wikipedia.org]
Hepatitis vaccination recommended in childhood fpr preventing HBV infection, cirrhosis, HCC, liver failure, and death. [medbullets.com]
When doctors discover a large adenoma, they may recommend that it be surgically removed to prevent that possibility. [liverfoundation.org]