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Liver Cancer

From Mediwikis

Common types are hepatocellular carcinoma (HCC) and cholangiocarcinomas.

Hepatocellular Carcinoma

Presentation

  • Abdo mass
  • Abdo pain
  • Vomiting
  • Back pain
  • Jaundice
  • Pruritus
  • Weight loss

Investigations

  • α fetoprotein – tumour marker
  • CT imaging to diagnose
  • Biopsy helps diagnosis but not always needed

Risk Factors

Cholangiocarcinoma

Presentation

  • Sweating
  • Jaundice
  • Abdo pain
  • Hepatomegaly
  • Weight loss

Investigations

  • CA19-9 – tumour marker
  • USS and CT used to diagnose
  • ERCP and biopsy also helpful

Risk Factors

Metastatic liver cancer

50% are from the GI tract Other common sites are breast, ovary, kidney and bronchus. Spread due to blood supply. Gets lodged in hepatic portal system.