Presentation
HCC presents a variable appearance at CT and MRI. [scielo.br]
May present with severe, acute abdominal pain with bleeding into the abdomen, leading to shock. Other rare presentations include obstructive jaundice. [patient.info]
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]
Fibro-Lamellar CarcinomaFibro-Lamellar Carcinoma Presents in young pt (5-35)Presents in young pt (5-35) Not related to cirrhosisNot related to cirrhosis AFP is normalAFP is normal CT shows typical stellate scar with radialCT shows typical stellate scar [slideshare.net]
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]
[…] 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]
The side effects of a hepatectomy may include pain, weakness, fatigue, and temporary liver failure. The health care team will watch for signs of bleeding, infection, liver failure, or other problems that need immediate treatment. [cancer.net]
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 often do not have abdominal pain. Amebic abscess has a more indolent presentation, with fever and right upper quadrant pain, in a person who has travelled to an endemic area. [clinicaladvisor.com]
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]
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]
Symptoms Common signs and symptoms that may 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 [fortherecordmag.com]
- Abdominal Mass
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]
A palpable mass may be noticed by the patient. May present with severe, acute abdominal pain with bleeding into the abdomen, leading to shock. Other rare presentations include obstructive jaundice. [patient.info]
Imaging approach Ultrasound examination is the principal screening modality for identification of a suspected intra-abdominal mass in a child. [cancerimagingjournal.biomedcentral.com]
- Right Upper Quadrant Pain
Right upper quadrant pain or fullness is the most common symptom. Examination is usually normal but there may be hepatomegaly and/or an arterial bruit over the right upper quadrant. [patient.info]
If the patient presents with sudden onset of severe right upper quadrant pain or sudden hypotension, then lesional bleeding and or rupture should be considered. [clinicaladvisor.com]
Adenomas may rupture and bleed, causing right upper quadrant pain. The two most common liver lesions causing hepatic hemorrhage are HA and HCC. [radiologyassistant.nl]
There may be symptoms of right upper quadrant pain. No specific treatment is required and the main purpose of management is to distinguish the lesion from neoplasms. [surgwiki.com]
- Upper Abdominal Pain
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]
Presentation and symptoms An abdominal ultrasound scan (US) is used frequently as routine examination in patients presenting for a medical check-up or for clarification of symptoms such as upper abdominal pain, weight loss, anaemia, power loss, icterus [intechopen.com]
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]
Treatment
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]
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]
Adequate assessment of liver function and stage of cirrhosis prior to treatment initiation and close monitoring during anticancer treatment are inevitable. [esmoopen.bmj.com]
Treatment for liver cancer The most common treatments for primary liver cancer are tumour ablation and chemotherapy delivered directly into the cancer. [cancer.org.au]
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]
(ACS, Cancer Facts & Figures 2012) Prognosis The prognosis of patients is clearly related to the depth of tumour invasion in the intestinal wall, the number of regional lymph nodes involved, and the presence or absence of distant metastases, as defined [bead.btg-im.com]
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]
Systematic review: The association between obesity and hepatocellular carcinoma—epidemiologic evidence. [cancercarewny.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]
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
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]
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]
When doctors discover a large adenoma, they may recommend that it be surgically removed to prevent that possibility. [liverfoundation.org]
Hepatitis vaccination recommended in childhood fpr preventing HBV infection, cirrhosis, HCC, liver failure, and death. [medbullets.com]