Liver Cancer is a type of cancer that starts in the liver — a large organ in the upper right part of the
abdomen that helps process nutrients, detoxifies harmful substances, and produces bile.
Types of Liver Cancer
1. Primary Liver Cancer (originates in the liver)
o Hepatocellular carcinoma (HCC) – Most common type
o Intrahepatic cholangiocarcinoma – Cancer of the bile ducts inside the liver
o Hepatoblastoma – Rare and usually occurs in children
2. Secondary (Metastatic) Liver Cancer
o Cancer that spreads to the liver from other organs (e.g., colon, breast, lung)
Risk Factors
Chronic hepatitis B or C infection
Cirrhosis (due to alcohol, non-alcoholic fatty liver disease, or hepatitis)
Excessive alcohol use
Non-alcoholic fatty liver disease (NAFLD)
Aflatoxins (toxins from moldy food)
Hemochromatosis (iron overload)
Obesity and diabetes
Smoking
Symptoms
Often silent in early stages. As the disease progresses:
Unexplained weight loss
Loss of appetite
Upper abdominal pain
Nausea or vomiting
Fatigue
Liver enlargement (mass in upper abdomen)
Yellowing of skin and eyes (jaundice)
Swelling in the abdomen (ascites)
Diagnosis
Blood tests – Liver function tests, AFP (alpha-fetoprotein) marker
Imaging – Ultrasound, CT scan, MRI
Liver biopsy – Confirms diagnosis
Staging tests – To determine spread
Staging
Stage I–IV – Based on size, number of tumors, blood vessel invasion, and spread
BCLC (Barcelona Clinic Liver Cancer) staging is also commonly used
Treatment Options
Depends on the stage, liver function, and overall health:
1. Surgical options
o Liver resection (removal of part of the liver)
o Liver transplant
2. Non-surgical options
o Ablation therapies – Radiofrequency ablation (RFA), microwave ablation
o Embolization – TACE (Transarterial chemoembolization), TARE (radioembolization)
o Targeted therapy – e.g., Sorafenib, Lenvatinib
o Immunotherapy – Checkpoint inhibitors (e.g., atezolizumab + bevacizumab)
o Radiation therapy – Sometimes used, especially if surgery is not possible
Prognosis
Early-stage liver cancer may be curable with surgery or transplant
Advanced stages have a lower survival rate but may be managed with therapy
Prognosis also depends on underlying liver health (e.g., cirrhosis)
Prevention
Vaccination for Hepatitis B
Screening and treatment of Hepatitis C
Avoid alcohol abuse
Maintain healthy weight and diet
Avoid aflatoxin-contaminated food
Regular liver screening if high risk