Liver Cancer Flashcards
What’s re the two main types of primary liver cancer?
HCC (common)
Cholangiocarcinoma
What are the risk factors for HCC?
Viral hepatitis (B/C)
Alcohol
NAFLD
What are the non specific symptoms associated with liver cancer?
Weight loss
Abdo pain
Nausea and vomiting
Jaundice
Pruritis
What is a specific symptom of cholangiocarcinoma which is seen in pancreatic cancer?
Painless jaundice
Investigations for liver cancer?
Alpha fetoprotein in HCC
CA19-9 in cholangiocarcinoma
Liver US
CT and MRI
ERCP to take biopsies
What is the treatment for HCC?
Liver resection in early disease
Liver transplant
Kinase inhibitors (levatinib, sorafenib etc)
What is the treatment of cholangiocarcinoma?
Surgical resection in early disease
ERCP to stent bile duct
What is the most common benign tumour of the liver?
Haemangioma
What is a benign liver cancer that is made of fibrotic tissue and has associations with oestrogen?
Focal nodular hyperplasia