Week 2 cancer of the liver (exam 1)

Question 1

What is a primary liver tumor

Answer 1

cancer that is only in the liver (not very common)

Question 2

Liver cancer is usually due to

Answer 2

Hep B, C, and Cirrhosis

Question 3

Hepatocellular carcinoma (HCC)

Answer 3

the most common type of liver tumor that can usually not be resected due to the rate at which it metastasizes

Question 4

Signs and symptoms of Liver cancer

Answer 4

Dull continuous ache in RUQ, epigastric, or back
Weight loss, loss of strength, anorexia, anemia
jaundice if bile ducts are obstructed
ascites off portal vein is obstructed

Question 5

Dx of liver cancer

Answer 5

Liver function labs
Imaging
Biopsy - tumor markers

Question 6

Nonsurgical management of liver cancer

Answer 6

radiation therapy
chemo
percutaneous biliary drainage (for a blocked bile duct)

Question 7

Pre op care for liver transplant

Answer 7

sign consent, educate, educate on what to expect post op

Question 8

Surgical management of liver cancer

Answer 8

· Lobectomy: remove that lobe
· Cryosurgery= liquid nitrogen to destroycancer cells
· Liver transplant must be sober for 6 months

Question 9

Post op nursing care of liver transplant

Answer 9

• immunosuppressants
• no alcohol
• monitor for signs of rejection
• complications= Infection, hemorrhage, rejection