Doctor insights on:
Swollen Abdomen Liver Cancer
My wife's health has gotten worse. From the liver cancer she has developed escitis (spelled wrong) the swelling of her abdomen. What can I expect?
Ascites: I'm sorry about your wife. When this develops, the cancer is usually not going to be curable. The decision about what to do next is hers. Insist on getting the facts, and if she chooses hospice, you can expect she will be cared for humanely and the most distressing symptoms that attend on this fairly common situation can be managed. ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Sir in the sonogram report of upper abdomen concludes the small hypoechoic S.O.L. in the right lobe of the liver. Is this ths sign of liver cancer?
Not necessarily: A hypoechoic lesion is a very nonspecific term and it could indicate from simple cyst to a malignant lesion. The key is to correlate with patient perspective and analyze what further investigation to be done or not to be done. A competent physician will take all of these things into consideration in determining what should be the next step. If you have not sought any help, you should. ...Read more
I have a hemangioma lesion on liver found on scan also gallstone in gallbladder swollen abdomen bk pain flank pain what test now need doing?
Check with your prim: Tests need to be looked at along with the labs. Hemangiomas generally don't cause any pain. Symptomatic gallstones can cause epigastric discomfort at times radiating to back along with nausea. R flank pain can be from gallbladder disease or from kidney stones. I see you are on metronidazole, you didn't state why? You need a complete bloodwork. Please check with your doctor who ordered the ct. ...Read more
I have a hemangioma lesion on liver found on scan also gallstones in gallbladder swollen abdomen bk pain flank pain what test now need doing?
Hemangioma Gallstone: The hemangioma does not cause symptoms and needs no further evaluation or treatment. You can forget about it unless you ever need a liver biopsy for an unrelated issue or have abdominal trauma (because it could bleed if injured). The gallstones may be causing your symptoms and a hida scan might be useful to see if the stones are blocking the opening in the gallbladder that lets them out. ...Read more
Gas, bloated, increased waist size, swollen abdomen, pain= lower abdomen, back & leg, constipation, frequent urination & pain in sex. Overian cancer?
Not necessarily: Liver cancer is a pretty bad diagnosis, depends whether it is primary or metastatic. There is treatment though including transplant if you are young and in good shape, and there are many other novel treatments as well. You need close follow up with your doctors at this point and to evaluate all the options. Good luck! ...Read more
Not common: There are essentially 2 types of liver cancer, hepatoma (HCC, malignant liver cells) and cholangiocarcinoma (from the bile duct cells). They are both uncommon in the USA but more common in certain parts of Asia. Risk factors HCC include, hepatitis B and C, cirrhosis (whether alcohol related or not), exposure to aflatoxin (toxin released from certain mold fungus). ...Read more
Liver Cancer: For screening, it depends on the liver center/physician. At a minimum a liver ultrasound is recommended for patients at risk for liver cancer as recommended by society guidelines. In practice, we alternate a good quality ultrasound with a CT scan or MRI of the liver every 6 months with an AFP blood test. If liver cancer is diagnosed, then a CT scan or MRI is needed to guide treatment. ...Read more
Yes: Overall, it is, but it's still pretty rare. Some studies show that it may be related to the rise of obesity within the United States. Long-term obesity causes unhealthy fat deposits within the liver, which can lead to scarring, cirrhosis, and finally liver cancer after many years. The other causes for liver cancer include alcohol abuse and exposure to certain viruses. ...Read more
If this cancer is a primary stage 4 liver cancer, treatments consist mainly of chemotherapy drugs, biologic drugs, radiation therapy or other palliative therapies.
Clinical trials are available.
http://www. Cancer. Gov/cancertopics/pdq/treatment/adult-primary-liver/healthprofessional/page6. ...Read more
Yes: Hepatocellular carcinoma is the 5th leading cancer worldwide. Risk factors are cirrhosis and/or hepatitis. Commonly asymptomatic, hcc is usually diagnosed at an advanced stage. Most patients are beyond cure at diagnosis. Many patients have poor liver function and cannot tolerate aggressive treatment. Survival rate can be >50% at 5 yrs for surgical candidates but is 1 year or less in most patients. ...Read more
Too late: By the time someone has symptoms from liver cancer (weight loss, pain, jaundice, loss of appetite), the cancer is usually advanced. To catch liver cancer at an early stage requires regular check with a doc. If a blood test shows abnormal liver tests, then an ultrasound can be obtained. Those at risk for liver ca, (family history, hep b or hep c) should have regular ultrasounds and lab tests. ...Read more
Suffer?: Many primary liver cancers are curable. Heavy, less-treatable liver cancer, primary or metastatic, in the liver used to be fatal in most cases within a year. The key, though, is when to contact hospice. It's Dad's choice, or his health care proxy's, to decide when aggressive treatment stops and hospice starts. The latter will make your life much easier. ...Read more
It is a bad cancer: Liver cancer is a very serious type of cancer and carries a high mortality. If it is surgically removable (stage 1/2), then there is a chance for cure. For stage 3 it will take a lot of effort between multiple specialists involved to try controlling it but the chances for success are small. You should seek treatment by a specialist at a cancer center. ...Read more
Progression: Sounds like you are using the TNM classification for liver cancer staging. The risk is progression, worsening liver failure and death. Liver transplant is the only way to survive. Prognosis & survival can be prolonged by minimally invasive interventional radiology procedures - chemo-embolization, radio-embolization, & thermal-ablation. These can also be done as a bridge to liver transplantation! ...Read more
Prognosis is gaurded:
See this web site from the american cancer society for guidance.
http://www. Cancer. Org/cancer/livercancer/detailedguide/liver-cancer-survival-rates. ...Read more
Cancer: Your oncologist will discuss with you the treatment options. ...Read more
Stage: It will depend on the stage and the overall condition of the person/ status of the liver function. A very early stage of liver cancer with a very small lesion- can be cured. In US, incidence of liver / biliiary cancer is approximately 7.9 per 100, 000 men and women per year. Incidence is higher in areas with endemic hepatitis such as Asia etc. ...Read more
It's possible: Having an enlarged abdomen can shift your weight in such a way that it creates strain on your back. However, there are medical conditions that enlarged the abdomen that can cause pain as well. To be on the safe side, you should have it checked out by your doctor. ...Read more
Could mean. ..: This could mean one of two things - metastatic to the liver means that cancer has spread from somewhere else (like colon) to the liver. Metastatic liver cancer means that the liver cancer has spread outside of the liver (usually to blood vessels, lung or bone). It is not a good thing. ...Read more
Assume you mean: Colorectal cancer metastatic to liver? A common progression pattern for those that fail. Most are assymptomatic detected by imaging, but progression can lead to liver failure, jaundice and ascites. Some limited metastasis can be treated surgically, with intra-arteial therapy with chemo or radioactive beads. Liver failure can lead to coma and GI bleeding du to varices as well. ...Read more
Depends: If the cause of the cirrhosis is hepatitis b or hepatitis c or hemochromatosis, the risk for cancer is high -- cirrhosis or no. If it is alcoholism, autoimmune hepatitis, primarily biliary cirrhosis, or metabolic syndrome, the risk is much less. Much of what we used to consider irreversible about cirrhosis is now more hopeful, and perhaps you'll receive a transplant. ...Read more
liver fails ; other:
this is graded from 0 to 4:
grade 0 (subclinical) - normal mental status, but minimal changes in memory, concentration, intellectual function, co-ordination. Grade 1 - mild confusion, euphoria or depression, decreased attention, slowing of ability to perform mental tasks, irritability, disorder of sleep pattern, such as inverted sleep cycle. Grade 2 - drowsiness, lethargy, g. ...Read more
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
An enlarging abdomen over what is normal for you, can develop over a period of hours to weeks. This excludes obesity, common causes are gas in the intestine, fluid in the abdomen, pregnancy, and rarely cancer. A CAT scan or ultrasound will show what is going on. Would be helpful to know if there are other symptoms, such as pain, ...Read more
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