Treatment FAQ

what is treatment for liver cancer

by Jeffry Hills Published 3 years ago Updated 2 years ago
image

Treatment options might include ablation, embolization, or both for the liver tumor(s). Other options may include targeted therapy, immunotherapy, chemotherapy (either systemic or by hepatic artery infusion), and/or radiation therapy.Jul 27, 2021

Medication

Treatments for liver cancer include: Surgery for Liver Cancer. Ablation for Liver Cancer. Embolization Therapy for Liver Cancer. Radiation Therapy for Liver Cancer. Targeted Drug Therapy for Liver Cancer. Immunotherapy for Liver Cancer. Chemotherapy for Liver Cancer.

Procedures

For people whose liver is functioning well enough (Child-Pugh class A or B), initial treatment options might include: The immunotherapy drug atezolizumab (Tecentriq) plus the targeted drug bevacizumab (Avastin) Either of the targeted drugs sorafenib (Nexavar) or lenvatinib (Lenvima)

Therapy

Liver Transplant Advances. Liver transplantation has proven to be the most effective treatment for patients with hepatocellular carcinoma, a common type of liver cancer. If a patient has liver disease, such as cirrhosis, liver transplantation can also further reduce further the risk of recurrence following treatment.

Nutrition

Two types of surgery are used to treat HCC: Hepatectomy. When a portion of the liver is removed, the surgery is called a hepatectomy. A hepatectomy can be done only if the cancer is in 1 part of the liver and the liver is working well. The remaining …

How much does it cost to treat a liver cancer?

A type of radiotherapy called selective internal radiation therapy (SIRT) is sometimes used to treat liver cancer. This is where radioactive beads are injected into your liver's blood supply to stop the cancer growing. You may have SIRT for liver cancer if you're an adult and: your liver has not been too badly damaged

What are some other treatments given to treat liver cancer?

Oct 27, 2021 · Treatment of liver cancer in adults depends on the stage. Treatment options include hepatectomy, liver transplant, ablation, electroporation therapy (EPT), embolization therapy, targeted therapy, and/or radiation therapy.

How to cure liver cancer using 17 alternative remedies?

Cryotherapy, or freezing the tumor, and radiofrequency ablation (RFA), using radio waves to destroy the tumor, may be used to treat some cases of …

How do I choose the best alternative liver cancer treatment?

You can lower your risk of getting liver cancer in the following ways— Keep a healthy weight. Get vaccinated against Hepatitis B. The Hepatitis B vaccine is recommended for all infants at birth and for adults who may be at increased risk. Get tested for Hepatitis C, and get medical care if you have it. Don’t smoke, or quit if you do.

See more

Jan 09, 2019 · The treatment given for stage 4 liver cancer are: Biological therapy Biological therapy is known as a treatment that acts on the different processes in the cells. This treatment can even change the way cells signal each other sometimes and they can even stimulate the body to attack cancer cells or control the growth of them.

image

Can liver cancer be cured completely?

Any liver cancer is difficult to cure. Primary liver cancer is rarely detectable early, when it is most treatable. Secondary or metastatic liver cancer is hard to treat because it has already spread. The liver's complex network of blood vessels and bile ducts makes surgery difficult.Jan 20, 2022

What is the life expectancy of liver cancer?

5-year relative survival rates for liver cancer
SEER stage5-year relative survival rate
Localized35%
Regional12%
Distant3%
All SEER stages combined20%
Mar 1, 2022

What is the best treatment for liver cancer?

Liver transplantation has proven to be the most effective treatment for patients with hepatocellular carcinoma, a common type of liver cancer. If a patient has liver disease, such as cirrhosis, liver transplantation can also further reduce further the risk of recurrence following treatment.

Does liver cancer spread quickly?

Liver cancer can spread quickly depending on the type of cancer. Hemangiosarcoma and angiosarcoma types of liver cancer are fast spreading, whereas hepatocellular carcinoma spreads late in the disease.Aug 12, 2020

Is liver cancer a death sentence?

The good news is that while liver cancer was once considered a death sentence, there is now effective treatment when HCC is caught at an early stage. Individuals at risk for HCC: Cirrhosis is the number one cause of HCC.

What are the signs of end of life with liver cancer?

Signs of approaching death
  • Worsening weakness and exhaustion.
  • A need to sleep much of the time, often spending most of the day in bed or resting.
  • Weight loss and muscle thinning or loss.
  • Minimal or no appetite and difficulty eating or swallowing fluids.
  • Decreased ability to talk and concentrate.

What are the symptoms of stage 1 liver cancer?

Symptoms
  • 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 (jaundice)
  • White, chalky stools.
May 18, 2021

What is the main cause of liver cancer?

Chronic viral hepatitis

Worldwide, the most common risk factor for liver cancer is chronic (long-term) infection with hepatitis B virus (HBV) or hepatitis C virus (HCV). These infections lead to cirrhosis of the liver and are responsible for making liver cancer the most common cancer in many parts of the world.
Apr 1, 2019

Can you see liver cancer on a CT scan?

Computed tomography (CT)

A CT scan of the abdomen can help find many types of liver tumors. It can give specific information about the size, shape, and location of any tumors in the liver or elsewhere in the abdomen, as well as nearby blood vessels.
Apr 1, 2019

Can chemo cure liver cancer?

In most cases, chemotherapy is not a cure for liver cancer. Because traditional chemotherapy is not effective in treating liver cancer, physicians sometimes recommend a different form of chemotherapy called hepatic artery infusion (HAI).

Can I survive liver cancer?

Survival rates depend on several factors, including the stage of the disease. For the 43% of people who are diagnosed with liver cancer at an early stage, the 5-year survival rate is 35%. If the cancer has spread to surrounding tissues or organs and/or the regional lymph nodes, the 5-year survival rate is 12%.

Which Treatments Are Used For Liver Cancer?

In creating your treatment plan, important factors to consider include the stage (extent) of the cancer and the health of the rest of your liver. B...

Which Doctors Treat Liver Cancer?

Depending on your situation, you may have different types of doctors on your treatment team. These doctors may include: 1. A surgeon: a doctor who...

Making Treatment Decisions

It is important to discuss all of your treatment options, including their goals and possible side effects, with your doctors to help make the decis...

Help Getting Through Treatment

Your cancer care team will be your first source of information and support, but there are other resources for help when you need it. Hospital- or c...

Potentially Resectable Or Transplantable Liver Cancers (Stage I and Some Stage II Tumors)

Potentially resectable: If your cancer is early stage and the rest of your liver is healthy, surgery (partial hepatectomy) may cure you. Only a sma...

Unresectable Liver Cancers (Some T1 to T4, N0, M0 Tumors)

Unresectable cancers include cancers that haven’t yet spread to lymph nodes or distant sites, but can’t be removed safely by partial hepatectomy. T...

Inoperable Liver Cancers With only Local Disease

These cancers are small enough and in the right place to be removed but the patient isn’t healthy enough for surgery. Treatment options include abl...

Advanced (Metastatic) Liver Cancers (Includes All N1 Or M1 Tumors)

Advanced liver cancer has spread either to the lymph nodes or to other organs. Because these cancers are widespread, they cannot be treated with su...

What is the treatment for a hepatic artery tumor?

Other options may include targeted therapy, immunotherapy , chemotherapy (ei ther systemic or by hepatic artery infusion), and/or radiation therapy. For some of these cancers, treatment may shrink the tumor (s) enough so that surgery (partial hepatectomy or transplant) may become possible.

Can unresectable liver cancer be removed?

Unresectable (inoperable) liver cancers that have not spread. Unresectable cancers include cancers that haven’t yet spread to lymph nodes or distant sites, but that can’t be removed safely by partial hepatectomy. This might be because: The tumor is too large to be removed safely.

What are the stages of liver cancer?

Although the AJCC (TNM) staging system (see Liver Cancer Stages) is often used to describe the spread of a liver cancer, doctors use a more practical system to determine treatment options. Liver cancers are often categorized as: 1 Potentially resectable or transplantable cancer 2 Unresectable (inoperable) cancer that has not spread 3 Advanced cancer

Can liver cancer be resectable?

Potentially resectable. If your cancer is early stage and the rest of your liver is healthy, surgery (partial hepatectomy) may cure you. Only a small number of people with liver cancer are in this category. Important factors that may influence the outcome are the size of the tumor (s) and if nearby blood vessels are affected.

What are the factors that affect the outcome of liver surgery?

Important factors that may influence the outcome are the size of the tumor (s) and if nearby blood vessels are affected. Larger tumors or those that invade blood vessels are more likely to come back in the liver or spread elsewhere after surgery. How well your liver is working and your general health are also important.

Can liver cancer come back after surgery?

Larger tumors or those that invade blood vessels are more likely to come back in the liver or spread elsewhere after surgery. How well your liver is working and your general health are also important. For some people with early-stage liver cancer, a liver transplant could be another option.

Can a partial hepatectomy be done with other treatments?

Clinical trials are now looking at whether patients who have a partial hepatectomy will be helped by getting other treatments in addition to surgery. Some studies have found that using chemoembolization or other treatments along with surgery may help some patients live longer.

What is a liver biopsy?

Close. Liver biopsy. Liver biopsy. A liver biopsy is a procedure to remove a small sample of liver tissue for laboratory testing. A liver biopsy is commonly performed by inserting a thin needle through your skin and into your liver. Tests and procedures used to diagnose liver cancer include: Blood tests.

How to diagnose liver cancer?

A liver biopsy is commonly performed by inserting a thin needle through your skin and into your liver. Tests and procedures used to diagnose liver cancer include: Blood tests. Blood tests may reveal liver function abnormalities. Imaging tests. Your doctor may recommend imaging tests, such as an ultrasound, CT and MRI.

Why do you need to remove liver tissue?

Sometimes it's necessary to remove a piece of liver tissue for laboratory testing in order to make a definitive diagnosis of liver cancer. During a liver biopsy, your doctor inserts a thin needle through your skin and into your liver to obtain a tissue sample. In the lab, doctors examine the tissue ...

Why do you need to remove a piece of liver tissue for a biopsy?

Sometimes it's necessary to remove a piece of liver tissue for laboratory testing in order to make a definitive diagnosis of liver cancer. During a liver biopsy, your doctor inserts a thin needle through your skin and into your liver to obtain a tissue sample. In the lab, doctors examine the tissue under a microscope to look for cancer cells.

What tests are used to diagnose liver cancer?

Staging tests help determine the size and location of cancer and whether it has spread. Imaging tests used to stage liver cancer include CTs, MRIs and bone scans.

What is the procedure to remove a liver?

Liver transplant surgery. During liver transplant surgery, your diseased liver is removed and replaced with a healthy liver from a donor. Liver transplant surgery is only an option for a small percentage of people with early-stage liver cancer.

What happens if you have a liver transplant?

During liver transplant surgery, your diseased liver is removed and replaced with a healthy liver from a donor. Liver transplant surgery is only an option for a small percentage of people with early-stage liver cancer.

Can you remove liver cancer?

In recent years, there have been several advances in treating liver cancer. While removing liver cancer through surgery can be an effective form of liver cancer treatment for some patients, it’s not suitable for all patients.

Is liver cancer surgery effective?

In recent years, there have been several advances in treating liver cancer. While removing liver cancer through surgery can be an effective form of liver cancer treatment for some patients, it’s not suitable for all patients.

How do intra-arterial therapies help with liver cancer?

These tumors act as parasites to your body’s blood supply. In intra-arterial therapies, chemoembolization beads deliver cancer-killing medication to the tumor through the artery. These beads also block blood flow ...

Where do liver tumors get their blood?

Often, liver tumors get their blood supply from the artery that supplies the liver. These tumors act as parasites to your body’s blood supply. In intra-arterial therapies, chemoembolization beads deliver cancer-killing medication to the tumor through the artery.

Is liver transplant good for cirrhosis?

Liver Transplant Advances. Liver transplantation has proven to be the most effective treatment for patients with hepatocellular carcinoma, a common type of liver cancer. If a patient has liver disease, such as cirrhosis, liver transplantation can also further reduce further the risk of recurrence following treatment.

Is liver transplantation effective?

Liver transplantation has proven to be the most effective treatment for patients with hepatocellular carcinoma, a common type of liver cancer. If a patient has liver disease, such as cirrhosis, liver transplantation can also further reduce further the risk of recurrence following treatment.

Can you live longer after chemotherapy?

With newer medications, patients are living longer after receiving just chemotherapy. Chemotherapy is either given alone or combined with other therapies. In many cases, chemotherapy treatment can shrink the size of tumors so that they can be more readily removed surgically.

What should a patient talk about when they have liver cancer?

When liver cancer is found at a later stage, or the patient’s liver is not working well, the patient and doctor should talk about the goals of each treatment recommendation. At this point, the goals of treatment may focus on slowing the growth of the cancer and relieving symptoms to improve quality of life.

What is the procedure called when a portion of the liver is removed?

Hepatectomy. When a portion of the liver is removed, the surgery is called a hepatectomy. A hepatectomy can be done only if the cancer is in 1 part of the liver and the liver is working well. The remaining section of liver takes over the functions of the entire liver.

What do doctors want to learn about new treatments?

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. Your doctor can help you consider all your treatment options.

What are the treatments for a tumor?

These treatments are surgery, radiofrequency ablation, percutaneous ethanol injection, and radiation therapy.

What is a surgeon oncologist?

A surgical oncologist is a doctor who specializes in treating cancer using surgery. A hepatobiliary surgeon also has specialized training in surgery on the liver and pancreas. Sometimes, liver transplant surgeons are involved in these operations.

What is a hepatobiliary surgeon?

A hepatobiliary surgeon also has specialized training in surgery on the liver and pancreas. Sometimes, liver transplant surgeons are involved in these operations. Before surgery, talk with your health care team about the possible side effects from the specific surgery you will have.

What is it called when you have a liver removed?

When a portion of the liver is removed, the surgery is called a hepatectomy . A hepatectomy can be done only if the cancer is in 1 part of the liver and the liver is working well. The remaining section of liver takes over the functions of the entire liver. The liver may grow back to its normal size within a few weeks.

What is the treatment for liver cancer?

For liver cancer, the chemotherapy medicine is usually given into the blood vessels of the cancer. It aims to stop the cancer growing. This is called chemoembolisation. You'll usually have chemoembolisation to help make the cancer smaller, or to control and improve the symptoms.

What to do if you have liver cancer?

Surgery. If liver cancer is found early, is small and it has not spread, you may be able to have surgery to remove it. Surgery will remove part or all of your liver. If it is all removed you will need a liver transplant to replace your liver with a donated one.

Is liver cancer a treatable disease?

Liver cancer is often treatable, but it can be difficult to treat. The treatment you have will depend on: if the cancer started in the liver (primary) or spread from somewhere else (secondary), but treatments for primary and secondary liver cancer are similar. It may include surgery, chemotherapy, using heat to destroy the cancer ...

What to do if liver cancer is found early?

Surgery. If liver cancer is found early, is small and it has not spread, you may be able to have surgery to remove it. Surgery will remove part or all of your liver. If it is all removed you will need a liver transplant to replace your liver with a donated one. Recovery from surgery to treat liver cancer can take a long time.

How does chemotherapy help with liver cancer?

Chemotherapy. Chemotherapy uses medicines to kill cancer cells. For liver cancer, the chemotherapy medicine is usually given into the blood vessels of the cancer. It aims to stop the cancer growing. This is called chemoembolisation. You'll usually have chemoembolisation to help make the cancer smaller, or to control and improve the symptoms.

What is targeted medicine for liver cancer?

Targeted cancer medicines aim to stop the cancer from growing. You may have treatment with targeted medicines for liver cancer if: you cannot have surgery because you are very unwell, or the cancer cannot be removed by surgery. the cancer has spread to another part of the body. Information:

What happens if you are told your liver cancer is not cured?

If you have advanced liver cancer it might be very hard to treat. It may not be possible to cure the cancer. If this is the case, the aim of your treatment will be to limit the cancer and its symptoms, and help you live longer.

What is the liver cancer?

Adult primary liver cancer is a disease in which malignant (cancer) cells form in the tissues of the liver. There are two types of adult primary liver cancer. Having hepatitis or cirrhosis can affect the risk of adult primary liver cancer. Signs and symptoms of adult primary liver cancer include a lump or pain on the right side.

Can liver cancer be treated in children?

Primary liver cancer can occur in both adults and children. However, treatment for children is different than treatment for adults.

What is the primary liver cancer?

Key Points. Adult primary liver cancer is a disease in which malignant (cancer) cells form in the tissues of the liver. There are two types of adult primary liver cancer. Having hepatitis or cirrhosis can affect the risk of adult primary liver cancer. Signs and symptoms of adult primary liver cancer include a lump or pain on the right side.

What is the third leading cause of cancer-related deaths worldwide?

This type of liver cancer is the third leading cause of cancer-related deaths worldwide. This summary is about the treatment of primary liver cancer ( cancer that begins in the liver). Treatment of cancer that begins in other parts of the body and spreads to the liver is not covered in this summary.

Does cirrhosis cause liver cancer?

Having hepatitis or cirrhosis can affect the risk of adult primary liver cancer. Anything that increases your chance of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you will not get cancer.

What is the inherited disorder that can cause liver and lung disease?

Alpha-1 antitrypsin deficiency, an inherited disorder that can cause liver and lung disease. Glycogen storage disease, an inherited disorder in which there are problems with how a form of glucose (sugar) called glycogen is stored and used in the body.

What is a tumor marker test?

Serum tumor marker test: A procedure in which a sample of blood is examined to measure the amounts of certain substances released into the blood by organs, tissues, or tumor cells in the body. Certain substances are linked to specific types of cancer when found in increased levels in the blood.

Is liver cancer screening routine?

Screening for early detection of primary liver cancer is not performed routinely, but it may be considered for people at high risk for the disease. However, studies haven't determined if screening is beneficial for people who are not at increased risk.

What are the high risk patients?

Patients at high risk include patients with a condition called hemochromatosis, chronic hepatitis, and alcoholics. Additional tests include: Blood tests that measure tumor markers -- the levels of these substances rise in the blood if someone has a particular cancer -- can aid diagnosis.

What does elevated AFP mean?

An elevated AFP in adults may indicate liver cancer as it is produced in 70% of liver cancers. Elevated levels of iron may also be a tumor marker. Imaging with ultrasound is the initial diagnostic test as it can detect tumors as small as one centimeter.

Can iron be detected in liver biopsy?

High resolution CT scans and contrast MRI scans are used to diagnose and stage these tumors. A liver biopsy will distinguish a benign tumor from a malignant one.

Can a liver biopsy be used to diagnose cancer?

A liver biopsy will distinguish a benign tumor from a malignant one. However, depending on the results of other tests, a biopsy might not be required to diagnose cancer. Laparoscopy, using tools and cameras through small incisions, is useful for detecting small tumors, determining the extent of cirrhosis, or obtaining a biopsy, ...

Is liver cancer hard to cure?

Any liver cancer is difficult to cure. Primary liver cancer is rarely detectable early, when it is most treatable. Secondary or metastatic liver cancer is hard to treat because it has already spread. The liver's complex network of blood vessels and bile ducts makes surgery difficult. Most treatment concentrates on making patients feel better ...

Why is it so hard to treat liver cancer?

Secondary or metastatic liver cancer is hard to treat because it has already spread. The liver's complex network of blood vessels and bile ducts makes surgery difficult. Most treatment concentrates on making patients feel better and perhaps live longer.

How many lobes does the liver have?

The liver has four lobes. Two lobes are on the front and two small lobes (not shown) are on the back of the liver. Intrahepatic bile ducts are a network of small tubes that carry bile inside the liver. © 2010 Terese Winslow LLC, U.S. Govt. has certain rights.

How many people die from liver cancer each year?

Cancer is a disease in which cells in the body grow out of control. When cancer starts in the liver, it is called liver cancer. Each year in the United States, about 24,500 men and 10,000 women get liver cancer, and about 18,600 men and 9,000 women die from the disease.

What is the job of the liver?

The liver does many jobs, including—. Storing nutrients. Removing waste products and worn-out cells from the blood. Filtering and processing chemicals in food, alcohol, and medications. Producing bile, a solution that helps digest fats and eliminate waste products.

Where is the liver located?

The liver is in the upper abdomen near the stomach, intestines, gallbladder, and pancreas. The liver has four lobes. Two lobes are on the front and two small lobes (not shown) are on the back of the liver. Intrahepatic bile ducts are a network of small tubes that carry bile inside the liver.

What is the name of the disease that starts in the liver?

download icon Download Image [JPG] Cancer is a disease in which cells in the body grow out of control. When cancer starts in the liver, it is called liver cancer. Each year in the United States, about 24,500 men and 10,000 women get liver cancer, and about 18,600 men and 9,000 women die from the disease.

Can liver cancer be seen?

In its early stages, liver cancer may not have symptoms that can be seen or felt. However, as the cancer grows larger, people may notice one or more of these common symptoms. It’s important to remember that these symptoms could also be caused by other health conditions.

What are the symptoms of liver cancer?

Liver cancer symptoms may include—. Discomfort in the upper abdomen on the right side. A swollen abdomen. A hard lump on the right side just below the rib cage.

What is stage 4 liver cancer?

Stage 4 liver cancer, is the most advanced state of liver cancer and is also known as metastatic liver cancer.

Is chemotherapy good for hepatocellular cancer?

The only aim if chemotherapy given at this stage is to lower the symptoms and slow down the growth of cancer. Chemotherapy has limited benefits for people with hepatocellular cancer and may even cause severe side effects for those with cirrhosis.

Can liver cancer be treated with surgery?

Advanced or metastatic liver cancer has spread to the lymph nodes or other organs and because these cancers are wide spread they can not be treated with surgery.#N#If the patient’s liver is functioning well, targeted therapy might be started and if the targeted therapy drugs used don’t work, immunotherapy might be started. Radiation might also be given to to relieve pain and symptomatic relief.

What is biological therapy?

Biological therapy. Biological therapy is known as a treatment that acts on the different processes in the cells. This treatment can even change the way cells signal each other sometimes and they can even stimulate the body to attack cancer cells or control the growth of them.

image

Diagnosis

Treatment

Clinical Trials

Alternative Medicine

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves medications, therapies and surgeries.
Medication

Chemotherapy: Chemoembolization uses strong anti-cancer drugs directly to the liver to kill cancer cells.

Doxorubicin . 5-fluorouracil . Cisplatin

Procedures

Cryoablation: Cryoablation uses extreme cold temperature inside the body to destroy cancer cells.

Radioablation: By using extreme heat to destroy the cancer cells.

Percutaneous ethanol injection: Injecting pure alcohol into the tumor to kill cancer cells.

Hepatectomy: Surgical procedure to remove cancerous part of the liver.

Liver transplantation: Replacement of diseased liver with healthy liver from a donor.

Therapy

Radiation therapy:High-powered energy from X-rays and protons are used to destroy cancer cells and shrink tumors.

Nutrition

Foods to eat:

  • Protein rich foods such as chicken, fish, and eggs.
  • Low fat dairy products such as milk, yogurt, and cheese
  • Nuts and nut butter
  • Beans
  • Soy foods
  • Whole grain foods such as oatmeal, Whole wheat bread, and brown rice.
  • Fruits and vegetables
  • Olive oil

Foods to avoid:

  • Excessive sweets
  • Sugar
  • alcohol
  • Caffeine

Specialist to consult

Hepatologist
Specializes in the diagnosis and treatment of diseases related to liver, the biliary tree, the gallbladder and the pancreas.
Oncologist
Specializes in the diagnosis and treatment of cancer.

Coping and Support

Preparing For Your Appointment

  • Treatments for primary liver cancer depend on the extent (stage) of the disease as well as your age, overall health and personal preferences.
See more on mayoclinic.org

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9