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Hepatoma


A hepatoma is a cancer that starts in the liver. It is the most common type of cancer originating in the liver.

Symptoms

The first signs of the disease may include:

  • Abdominal pain
  • Weight loss
  • Large mass that can be felt in the upper right section of the abdomen

People who have had cirrhosis for a long time may also experience:

  • Sudden feeling of illness
  • Fever
  • Sudden abdominal pain and shock (very low blood pressure) caused by a rupture or bleeding of the tumor



Causes and Risk Factors

Risk factors for hepatoma include:

  • Long-standing cases of cirrhosis (severe scarring of the liver)
  • Chronic infection with hepatitis B
  • Chronic infection with hepatitis C
  • Certain food fungi


Diagnosis

At first, symptoms may not offer clues that the disease is present. When the person has had cirrhosis for a long time and a tumor can be felt in the abdomen, the doctor will suspect hepatoma.

Other ways to detect the disease include:

  • Ultrasound
  • Computed tomography (CT) scans
  • Magnetic resonance imaging (MRI)scans
  • Liver biopsy. For this, a small sample of tissue is taken for examination under a microscope.

Treatments

The survival rate for people with hepatoma is poor. This is because the tumor is usually discovered at a later stage.

Treatment options include:

  • Surgery, if the tumor is small
  • Chemotherapy. This can slow the growth of the tumor but not cure the cancer

by: http://www.cedars-sinai.edu/Patients/Health-Conditions/Hepatoma.aspx

MEDICAL NOTES:

Hepatoma is a type of primary liver cancer often associated with cirrhosis and/or hepatitis B infection. Symptoms of malignant hepatoma are often similar to those of other liver diseases which include pain and swelling in the liver area, loss of appetite and weight, jaundice (yellowing of the skin and whites of eyes), fatigue and fever. To diagnose malignant hepatoma, the patient’s medical history is checked for risk factors, physical exam shows swollen, hard and sore liver, blood test may show abnormal liver function test. Ultrasound or CT scan maybe done to detect any live tumor. A sample of liver tissue for a biopsy is needed to confirm diagnosis of malignant hepatoma but in this particular case his doctor feared fatal bleeding may ensue after biopsy hence it was not done. With the current results we have, we cannot be certain if the liver mass is hepatoma or a non-cancerous growth.

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