SANPOJ KOMTONG, M.D.
INTERNAL MEDICINE, GASTROENTEROLOGIST AND HEPATOLOGIST
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Liver cancer or hepatocellular carcinoma, is a disease caused by abnormal liver cells that multiply uncontrollably, forming a tumor in the liver. Cancer cells may also spread to other organs, such as the lungs and bones.
Most liver cancer cases arise from cirrhosis, which can result from various factors, including regular alcohol consumption, fatty liver disease, and chronic infections with hepatitis B or C viruses. Additionally, liver cancer may develop from chronic hepatitis B infection or long-term fatty liver disease without necessarily having cirrhosis.
Liver cancer often has no signs or symptoms in its early stages. Symptoms become noticeable as the cancer progresses, which may include:
The treatment is considered for patients with well-functioning livers, tumors smaller than 5 centimeters, and no spread to nearby blood vessels or other organs.
This option is considered for liver cancer patients with cirrhosis, as it can treat both cancer and cirrhosis simultaneously. This method is most effective when the tumor is small and has not spread to nearby organs.
This treatment uses high-frequency waves that convert into heat energy to destroy liver cancer cells. It is effective for tumors that are not too large, generally those smaller than 3 centimeters and away from major blood vessels.
TACE Treatment involves injecting chemotherapy drugs or radiopharmaceuticals directly into the tumor, which destroys cancer cells. It also consists in injecting substances to block blood flow to the tumor. TACE is suitable for patients whose tumors are too large or located near vital organs, making surgery impossible.
This option is considered for patients who do not respond to the aforementioned treatments. Current treatment choices include targeted chemotherapy and immunotherapy, which are assessed on a case-by-case basis by the physician.
Last updated:
September 14, 2022
INTERNAL MEDICINE, GASTROENTEROLOGIST AND HEPATOLOGIST
MEDICAL ONCOLOGY
Radiotherapy and Oncology
Internal Medicine, Medical Oncology