Liver Cancer Flashcards
1
Q
What percentage of liver tumours are metastasis?
A
90%
2
Q
Where are the mets in liver cancer usually from?
A
GI tract
Breast
3
Q
What are the symptoms of liver mets?
A
Fever Malaise RUQ pain Anorexia Weight loss Jaundice
4
Q
What is jaundice indicative of?
A
Jaundice is indicative of late disease
5
Q
What are the signs of liver mets?
A
RUQ mass
- Hepatomegaly
- Can be nodular
- Can be irregular
- NOT SMOOTH
6
Q
Blood tests?
A
All LFTs
FBC
Clotting screen
Hepatitis serology
AFP levels
7
Q
Investigations?
A
USS
CT
Liver biopsy
ERCP if intra lobular cholangiocarcinoma suspected
8
Q
What will be a sign of cholangiocarcinoma?
A
Painless obstructive jaundice
9
Q
What is the treatment path of most liver cancers?
A
Palliative
- Chemotherapy
- Radiotherapy
10
Q
What can be done for solitary liver mets?
A
Resection
