Liver Cancer Treatment Options Available at Best Cancer Hospitals in India

Livercancer or Hepatocellular carcinoma (HCC) is one of the commonest cancers in the world which have a high incidence of Hepatitis B infection. Apart from Hepatitis B, it may be caused by other diseases that lead to cirrhosis of the liver such as Hepatitis C infection, and alcohol abuse. 

Unfortunately, like many other cancers, liver cancer may go undetected until a late stage. It is often brought to attention by an ultrasound or CT scan done for pain in the upper abdomen or another unrelated symptom. Liver cancers are malignant tumors that grow on the surface or inside the liver. Typers of liver cancer areHepatocellular Carcinoma 

, Cholangiocarcinoma , Hepatoblastoma and Angiosarcoma or Hemangiosarcoma

Each person is unique, each cancer is unique

No treatment or treatment plan is right for every person or every cancer. Only by working closely with their doctor can patients decide what treatment or combination of treatments may best fit their unique situation.

Factors in treating liver cancer

Recommended treatments for liver cancer can depend on:

·         a patient’s age, overall health, physiology and pre-existing conditions

·         the number of tumors and degree of invasion of other tissues (stage)

·         the degree of liver damage or dysfunction

·         the tumor location(s) and proximity to major blood vessels, bile ducts or other organs

·         the type of cancer, including whether it is primary or secondary

·         the degree of cancer cell resemblance to surrounding tissue (grade)

·         a patient’s individual preferences

Treatment strategies

Treatments for cancer may involve:

·         surgical removal of cancerous tissue

·         destroying cancerous tissue with drugs or other chemicals

·         using hot or cold energy, such as from microwaves, ultrasound, radiofrequency or super-cooled high pressure gases

·         radiation

Many treatment plans attack cancer by using multiple therapies, enabling customization to the unique physiologies, conditions and preferences of patients.

Resection methods

Surgeons often use two methods to perform a surgical liver resection: laparoscopic surgery or open surgery. A laparoscopic surgery is a minimally invasive procedure that allows the surgeon to access the liver through a few small "porthole" incisions. The surgeon performs the procedure using a laparoscope, a device that provides a camera view of the liver. The surgeon will also access the organ through ports for the surgical instruments. During open surgery, the surgeon makes a larger incision in the abdomen to access the liver directly.

Chemotherapy is a treatment that uses drugs to destroy cancerous tissue in the body. Normal cells typically grow and die in a controlled cycle; cancerous cells keep dividing, uncontrollably forming more cells. Chemotherapy drugs destroy cancer cells by stopping them from growing or multiplying. These drugs can also be harmful to healthy cells, especially those that divide quickly. This may cause side effects such as hair loss. Healthy cells usually can repair themselves after chemotherapy.

Some types of cancer respond better than others to chemotherapy. The chemotherapy drug(s) selected depend on the type of cancer and other factors.

Because some drugs work better in combination with others than alone, two or more drugs are often given at the same time. This is called combination chemotherapy.

A transplant is when one organ, or part of an organ, is transferred from a donor to a recipient. For liver cancer patients, a liver transplant is one treatment option that is considered to be potentially curative, provided the cancer is indeed confined to the liver.

Few patients with liver cancer are candidates for a liver transplant. It is not an option for people withsecondary liver cancer, and it is an option for only a small percentage of people with primary liver cancer. In most cases, since liver cancer symptoms may not manifest until later stages of the disease, the cancer may be too large or have spread outside the liver by the time it is diagnosed.

 

Complete livertransplant

Liver transplantation is an option for some patients if the cancer has not spread to other organs, is below a total maximum size and a suitable liver can be found. The most common transplant procedure involves complete replacement with a healthy liver from a non-living donor. This is sometimes called deceased donor liver transplant (DDLT).

The average wait time for a donor liver is 796 days.¹ Due to tumor growth (progression) while waiting for a matching liver, most eligible people will need other medical interventions, such aslocal ablation, before receiving a liver. These other interventions may help control tumor growth so the patient can remain on the transplant list. If the cancer spreads outside the liver or grows too large while a person awaits a liver, he or she may become ineligible.

Radiation Therapy

Radiation therapy, sometimes called radiotherapy, is the delivery of high doses of radiation to a defined local area of the body.

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