Hepatocellular Carcinoma (jctr)

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Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer. Hepatocellular carcinoma occurs most often in people with chronic liver diseases, such as cirrhosis caused by hepatitis B or hepatitis C infection.

Risk Factors:

The risk of hepatocellular carcinoma, the most common type of liver cancer, is higher in people with long-term liver diseases. It's also higher if the liver is scarred by infection with hepatitis B or hepatitis C. Hepatocellular carcinoma is more common in people who drink large amounts of alcohol and who have an accumulation of fat in the liver.

Causes:

Doctors aren't sure exactly what causes all cases of hepatocellular carcinoma, but they've identified some things that may increase your risk for getting it:

Hepatitis B or hepatitis C. Hepatocellular cancer can start many years after you've had one of these liver infections. Both are passed through blood, such as when drug users share needles. Blood tests can show whether you have hepatitis B or C.

Cirrhosis. This serious disease happens when liver cells are damaged and replaced with scar tissue. Many things can cause it: hepatitis B or C infection, alcohol drinking, certain drugs, and too much iron stored in the liver.

Heavy drinking. Having more than two alcoholic drinks a day for many years raises your risk of hepatocellular cancer. The more you drink, the higher your risk.

Symptoms:

You might not have any symptoms when hepatocellular carcinoma is in an early stage. As the cancer grows, you may have one or more of these:

  • Pain in the upper right part of your belly
  • A lump or feeling of heaviness in your upper belly
  • Bloating or swelling in your belly
  • Loss of appetite and feelings of fullness
  • Weight loss
  • Weakness or deep fatigue
  • Nausea and vomiting
  • Yellow skin and eyes
  • Pale, chalky bowel movements and dark urine
  • Fever

Treatment:

There are many treatments for hepatocellular carcinoma. It's a big decision, so work closely with your doctor to make the right plan for you.

Your choices may include:

  • Surgery. Surgery to remove the cancer and a margin of healthy tissue that surrounds it may be an option for people with early-stage liver cancers who have normal liver function.
  • Liver transplant surgery. Surgery to remove the entire liver and replace it with a liver from a donor may be an option in otherwise healthy people whose liver cancer hasn't spread beyond the liver.
  • Radiation therapy. Radiation therapy using energy from X-rays or protons may be recommended if surgery isn't an option. A specialized type of radiation therapy, called stereotactic body radiotherapy (SBRT), involves focusing many beams of radiation simultaneously at one point in your body.
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