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Doctor insights on: If Dr Suspected Tumour On Liver What Are Next Steps

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Dr. Lawrence Kessler
2 Doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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What are the probability that liver shadows are tumours?

What are the probability that liver shadows are tumours?

It depends: Most healthy people have spots on their liver. These are usually benign (not cancerous) cysts called "hemangiomas", which are spaces filled with fluid. The radiologist who interprets the images will know if the spots are worrisome, and will then order a different test or a biopsy. If you have had cancer, spots in your liver could be signs of spread and need to be checked more thoroughly. ...Read more

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What is the liver and thyroid tumours likelihood in humans?

What is the liver and thyroid tumours likelihood in humans?

Both not uncommon: Thyroid tumors are unique in that in spite of the excessive blood supply to the gland, metastasis is essentially never found. Stimulation from pituitary can produce glandular adenomas and conversion to Ca. The liver is not a common site of primary disease such as hepatoma from Hep B and C. Rather many of the tumors are metastatic due from colon, lung, breast. ...Read more

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Can a CT, without contrast tell the difference between liver cysts or liver tumours?

Can a CT, without contrast tell the difference between liver cysts or liver tumours?

Depends on size: If a liver lesion is less than 1 cm in size, it is technically too small to adequately characterize on a ct scan with or without contrast. Regardless, IV contrast is strongly preferred when evaluating the liver on a ct scan. The normal liver tissue enhances and makes small lesions more apparent. Also, the contrast helps differentiate between types of solid lesions. ...Read more

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Recently, my dad did a PET-CT scan. 4 tumours in liver, 2 are about 1.5cm and 2 less than 1.0 cm. These tumous are from his colon. What to expect?

Recently, my dad did a PET-CT scan. 4 tumours in liver, 2 are about 1.5cm and 2 less than 1.0 cm. These tumous are from his colon. What to expect?

Treatments available: Case should be discussed on a multi-specialty tumor board. Inoperable liver metastasis may be treated with chemotherapy, radiofrequency ablation, & Radioembolization (performed by Interventional Radiology). Radioembolization combined with chemo has shown to slow progression for colon cancer when disease has progressed following prior treatment with chemotherapy & metastases limited to the liver. ...Read more

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Is a tumor on the liver considered very serious?

Is a tumor on the liver considered very serious?

Possibly: An array of liver tumors noted. Benign cystic lesions as well as hemangiomas of no concern. Metastatic lesions from breast, colon, lung, etc will grow and destroy liver if not managed by resection or chemoembolization. Primary tumors such as hepatoma usually result of cirrhosis from Hep C and cholangioCa arising in bile duct can be very serious and must be treated early. ...Read more

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How can a tumor in the liver be identified and diagnosed?

How can a tumor in the liver be identified and diagnosed?

Include biopsy: As noted, imaging of a lesion >2cm with an elevation of AFP is diagnostic of hepatocellular carcinoma. Depending on the type of lesion, MRI and triple-phase contrast ct can suggest diagnoses, but usually a biopsy is required depending on the level of clinical suspicion and the context to make an actual diagnosis. Detection by itself is most sensitive by intraoperative ultrasound. ...Read more

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I have a benign liver tumor. Is there anything I should avoid consuming?

I have a benign liver tumor. Is there anything I should avoid consuming?

Close observation: Benign tumors proven by biopsy could be observed, by ct scans. If they are growing rapidly need to be removed for fear of rupture of liver. ...Read more

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What to do if I have a benign liver tumor. Is there anything I should avoid?

What to do if I have a benign liver tumor. Is there anything I should avoid?

Should discuss: It is hard to say without more information - a simple cyst, small hemangioma, or fibronodular hyperplasia may require no changes, but a benign adenoma may require you to stop taking oral contraceptives if you are female. Discuss with your surgeon as you may need to consider having further follow-up imaging for certain types of benign tumors. ...Read more

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What're the symptoms of a tumor in the liver if you have or may have gynocomastia?

What're the symptoms of a tumor in the liver if you have or may have gynocomastia?

May not be related: Gynecomastia is caused by hormonal imbalances of many causes. One of these is liver diseases such as cirrhosis. Other causes are medications. This problem is not clearly related to a tumor in the liver. Liver cancer is associated with cirrhosis, but gynecomastia is not a major sign typically. ...Read more

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Is there pain after liver tumor biopsy?

Is there pain after liver tumor biopsy?

SOMETIMES: Any biospy can have pain associated with it after the initial local anesthetic wears off. But not everyone experiences pain. You should have something handy that you can take by mouth if pain presents itself after your biopsy. Ask your doctor for a prescription. ...Read more

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How long does it take for liver tumor to develop from no tumor to advance stage. Is it months or years?

Depends on biology: The rate at which a tumor grows depends on the degree of differentiation. A tumor that is poorly differentiated usually has a shorter doubling time, i.e. Grows faster. If you think about a single cancer cell doubling every 100 days, it would take 10 years for the tumor to be visible on CT scan at 1 cm and weigh 1 gram. But it would only take another 2 yeas for it to get to 128 grams and be 5 cm ...Read more

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Is there a connection between getting a severe pain where the liver is due to a benign liver tumor & being upset? What should be done about it?

Is there a connection between getting a severe pain where the liver is due to a benign liver tumor & being upset? What should be done about it?

Being upset is bad: Being upset can cause all sorts of physical experiences. That's not surprising - these are mental processes. Being upset won't make the tumor worse, but over time chronic upset can do some physical damage from stress hormones. Consider supportive therapy and/or CBT to manage all this. Best! ...Read more

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How can they determine wheter a liver tumor is cancer or not?

How can they determine wheter a liver tumor is cancer or not?

Scan and biopsy: Most liver tumors are metastatic and a primary such as colon or lung must be recognized first. Primary liver lesions such as hepatoma are secondary to hep c. Needle biopsy using sonogram or cat scan can help in making a diagnosis which usually needs histologic examination. ...Read more

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Is it better for a hepatocellular liver tumor to be well-differentiated?

Is it better for a hepatocellular liver tumor to be well-differentiated?

Yes.: In general, well-differentiated cancers are more organized, more predictable, and less aggressive than poorly-differentiated cancers. ...Read more

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I have had test done they found 2 tumor on liver. Been sick and in pain what chances could it be cancer. They were not there a year ago?

I have had test done they found 2 tumor on liver. Been sick and in pain what chances could it be cancer. They were not there a year ago?

Get a workup: The masses are either cancer or they are not. Focal nodular hyperplasia can pop up, or a different radiologist may have spotted / chosen to report something minor. If they are primary liver cancer, you have a fair shot at a cure with today's treatment. Metastatic disease is much less likely to be curable but you may have a good year or two & you won't be abandoned. Good luck. ...Read more

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Does liver cancer mean the same as a liver tumor?

Does liver cancer mean the same as a liver tumor?

Not always...: Not all liver tumors/masses are malignant. Some liver tumors are benign (such as liver hemangiomas which are benign mass-ike collections of small blood vessels).
"liver cancer" can be a primary growth in the liver (one that started in the liver), or "liver cancer" can represent spread from another body site (metastasis).
Ask your physician to clarify terms and to be specific about word meanings. ...Read more

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Can any doc tell me what's considered a big tumor/mass on a liver?

Larger than 10 cm: Large growing tumors of the liver are usually metastat ic and in particular, derived from colon cancer. Tumors in the liver only grow in liver and can reach enormous size replacing a large part of that organ. If solitary, resection is possible even at 10-cm in size. To use radiofrequency ablation because there are several lesions in both lobes the lesion should not be more than 5 cm. ...Read more

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How is rad. Freq. Ablation performed on a liver tumor and what are the risks?

Generates heat: First, patient is put at ease under local anesthesia or conscious sedationunder; then using image guidence (cat scan or ultrasound) a probe (needle) is inserted in the target lesion (liver tumor) and heat is generated using high frequency ulternating current to destroy tumor. Results has been promissing and in good hands, it is a very safe procedure.
Like any procedure, there is potential side effects and risks: bleeding, infection, flulike symptom, heat injury to adjacent tissues, possible skin burn, irritation of diaphragm are to name a few. ...Read more

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Can focal nodular hyperplasia (benign liver tumor) cause pain in the right side under the rib?

Can focal nodular hyperplasia (benign liver tumor) cause pain in the right side under the rib?

Yes: If it is large enough and located in a site that would ordinary produce the pain. It can stretch the liver capsule which is quite sensitive. Gallstone disease is a more common cause of pain here and you'll probably want this ruled out; it tends to be colicky and less related to position. ...Read more

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A 72 year old man is diagnosed with a 7cm primary tumor in his colon, which has spread to the liver. Which of?

A 72 year old man is diagnosed with a 7cm primary tumor in his colon, which has spread to the liver. Which of?

Get all options: The standard of care for colon cancer with liver metastases has changed radically now that molecular typing of these tumors is available. I will assume this was done. A frank talk with an honest oncologist is due, and there is talk of cures depending on the molecular type. Get all the facts, and remember that comfort-measures-only is also an option. ...Read more

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I had a cats can of the abdomen with contrast and I've would that show if I had a tumor in the pancreas or liver?

I had a cats can of the abdomen with contrast and I've would that show if I had a tumor in the pancreas or liver?

Cats can; dogs can't: Hi. Yes, usually a CT scan of the abdomen will show tumors of the pancreas and liver. However, there is a limit of resolution, as with all testing, and some tumors (more common in pancreas than liver) are below the limit of detection with CT, but very problematic by way of making a hormone in an unregulated manner. Depending on your case, your doc may want more imaging. ...Read more

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Does a liver tumor give you jaundice and coagulopathy?

Yes it can: A liver tumor may cause you liver failure which may manifest as jaundice and coagulioathy. ...Read more

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I am on Abraxane. Tumor Markers started climbing after two months. Dr. Wants to add Avastin (bevacizumab). Is this a good option? Mets to abdomen, bones & Liver.

I am on Abraxane. Tumor Markers started climbing after two months. Dr. Wants to add Avastin (bevacizumab). Is this a good option? Mets to abdomen, bones & Liver.

Not a good idea: Rising tumor markers often predict tumor progression. But this is soft evidence. A more definitive way to confirm lack of response (progression) is by means of repeating Imaging studies (like X-rays/CT scan or PET scan) and compare them with prior study. If the tumor size has increased, then Abraxane is no longer useful for you. Treatment should be changed. Adding Avastin (bevacizumab) would not help the situati ...Read more

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My dad has swelling belly from liver tumor how long does he have?

My dad has swelling belly from liver tumor how long does he have?

Probably not long: Swelling of the abdomen from a liver tumor is usually from very advanced disease. The primary causes are either massive growth of the liver or fluid in the abdomen caused by blockage of blood flow through the liver because of tumor growth. Chemotherapy or radiotherapy is not likely to have much effect at such an advanced stage. Death within weeks to months would be the usual outcome. ...Read more

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Can radio frequency ablation technique fully cure small malignent liver tumor?

Can radio frequency ablation technique fully cure small malignent liver tumor?

Radiofrequency ablat: For small tumors < 1.5 inches it can be effective 85% of the time

https://www. Radiologyinfo. Org/en/info. Cfm? Pg=rfaliver ...Read more

Neoplasms (Definition)

"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more