Liver cancer, adult primary
- Liver cancer, adult primary
- A tumor in which the cancer starts during adulthood in cells in the liver. Also called hepatocellular carcinoma. Primary liver cancer is different from cancer that has metastasized (spread) from another place in the body to the liver. The signs and symptoms may include a hard lump just below the rib cage on the right side (from swelling of the liver), discomfort in the upper abdomen on the right side, pain around the right shoulder blade, or yellowing of the skin (jaundice). There is often an increase in the blood levels of alpha-fetoprotein (AFP) and alkaline phosphatase. A rapid deterioration of liver function may be the only clue to the presence of the tumor. Hepatocellular carcinoma is potentially curable by surgery, but surgery is the treatment of choice for only a small fraction of patients who have localized disease. Laparoscopy may detect metastatic disease, tumor in both lobes of the liver, or an inadequate liver remnant, and avoid the need for open surgery to explore the liver. Therapy other than surgery is best as part of a clinical trial. Such trials evaluate the efficacy of systemic or infusional chemotherapy, hepatic artery ligation or embolization, percutaneous ethanol (alcohol) injection, radiofrequency ablation, cryotherapy (freezing the tumor), and radiolabeled antibodies, often in conjunction with surgical resection (removal) and/or radiation therapy. The prognosis (outlook) depends on the degree of local tumor replacement and the extent of liver function impairment. Primary liver cancer (hepatocellular carcinoma) is the most common cancer in some parts of the world. It is still relatively uncommon in the US but its incidence is rising, principally in relation to the spread of hepatitis B and hepatitis C. People who have a disease of the liver called cirrhosis are also more likely to get adult primary liver cancer. Hepatitis B and C appear to be the most significant causes of hepatocellular carcinoma worldwide. People who have both hepatitis B and hepatitis C may be at a higher risk if they consume more than 3 oz. (80 grams) of alcohol a day. A first-degree relative with hepatocellular carcinoma also increases the risk.
Medical dictionary.
2011.
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Cancer, adult primary liver — A tumor in which the cancer starts during adulthood in cells in the liver. Also called hepatocellular carcinoma. Primary liver cancer is different from cancer that has metastasized (spread) from another place in the body to the liver. The signs… … Medical dictionary
Primary liver cancer, adult — A tumor in which the cancer starts during adulthood in cells in the liver. Also called hepatocellular carcinoma. Primary liver cancer is different from cancer that has metastasized (spread) from another place in the body to the liver. The signs… … Medical dictionary
Adult primary liver cancer — 1. A tumor in which the cancer starts during adulthood in cells in the liver. Also called hepatocellular carcinoma. Primary liver cancer is different from cancer that has metastasized (spread) from another place in the body to the liver. The… … Medical dictionary
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stage IIIC adult primary liver cancer — Stage III adult primary liver cancer is divided into stages IIIA, IIIB, and IIIC. In stage IIIC, the cancer has spread to nearby lymph nodes … English dictionary of cancer terms
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stage IV adult primary liver cancer — Cancer has spread beyond the liver to other places in the body, such as the bones or lungs. The tumors may be of any size and may also have spread to nearby blood vessels and/or lymph nodes … English dictionary of cancer terms
stage I adult primary liver cancer — There is one tumor and it has not spread to nearby blood vessels … English dictionary of cancer terms
stage II adult primary liver cancer — There is either (1) one tumor that has spread to nearby blood vessels; or (2) there is more than one tumor, none of which is larger than 5 centimeters … English dictionary of cancer terms
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