Liver cancer Flashcards
1
Q
What is the main risk factor for the developing of hepatocellular carcinoma?
A
Liver cirrhosis e.g. secondary to hepatitis B and C
2
Q
How does HCC present? (3)
A
Usually presents late
Features of liver cirrhosis or failure
Jaundice usually a late feature
3
Q
When should screening be considered?
A
Patients with liver cirrhosis
4
Q
What is used for screening?
A
Liver USS +/- alpha fetoprotein
5
Q
Which tumours commonly metastazise to liver?
A
Breast, bronchus, GI
6
Q
In what type of cancer might jaundice be an early feature?
A
Cholangiocarcinoma
7
Q
Commonest benign liver tumours?
A
Haemangioma
8
Q
Investigation for suspected liver cancer?
A
USS/CT/MRI
Liver biopsy
9
Q
Signs of liver cancer
A
Hepatomegaly
Jaundice
Ascites
10
Q
Management options (5)
A
Early disease- surgical resection Liver transplant Chemotherapy Radiofrequency ablation Transarterial chemoembolisation
