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Liu Wu Cai
Hepatobiliary Surgery
About me
Deputy Chief Physician, has repeatedly visited provincial tertiary hospitals for further training in general surgery.
Proficient in diseases
Standardized treatment for gallstones, tumors, gastrointestinal tumors, as well as general surgery such as thyroid and breast surgery.
Voices
Can liver cysts heal on their own?
Generally speaking, liver cysts cannot heal themselves, as regardless of their size, liver cysts are mostly caused by congenital factors. Therefore, although they do not require special treatment, the body cannot cure them either. When liver cysts are present, first of all, the decision should be based on the cause and size of the cysts. For patients with small liver cysts, there are generally no obvious symptoms and no special treatment is needed. Regular follow-up with ultrasound should be done to monitor any changes in size. For patients with larger liver cysts, local compression symptoms may occur, and if liver function abnormalities appear, surgical removal is necessary to achieve treatment benefits and prevent worsening of the condition.
Can gallbladder cancer be detected by cancer embryonic antigen test?
The use of cancer embryo antigen in patients with gallbladder cancer has certain reference value, but it is not absolute. Patients with gallbladder cancer typically show a significant increase in embryonic antigen. Gallbladder cancer is difficult to diagnose early as it generally does not show specific symptoms. Some patients may experience mild discomfort in the upper right abdomen, but this is often overlooked or misdiagnosed as other diseases, such as chronic gastritis. Therefore, once diagnosed with gallbladder cancer, it is usually already at a middle to late stage. Although the cancer embryo antigen in tumor marker tests of gallbladder cancer patients can be elevated, this is not absolute. Therefore, when discomfort in the upper right abdomen occurs, further comprehensive examinations like color ultrasound, CT, and other related tests are necessary to differentiate it.
If a liver cyst is malignant, will it grow very quickly?
If a liver cyst worsens, it will noticeably increase in size in a short period, and the growth rate is too rapid, so it is important to pay attention. If malignant transformation occurs, surgery should be performed as soon as possible to improve the prognosis of the patient. For liver cysts that are relatively small, there generally won't be any noticeable discomfort, and no special treatment is needed. However, regular follow-up with ultrasound is necessary to dynamically observe changes in size. Early detection, diagnosis, and treatment of malignant transformation can be achieved, and early surgical removal can improve the patient's prognosis. Additionally, patients with liver cysts should also avoid spicy and irritating foods to reduce inflammatory stimulation.
Will CA199 also be high with gallbladder cancer?
Gallbladder cancer CA199 levels are likely to be elevated. In the case of gallbladder cancer, it is a common malignant tumor of the digestive system. When tumor markers are evaluated, an increase in CA199 can be observed. For patients with gallbladder cancer, it is advisable to undergo surgical removal as early as possible to improve prognosis. Generally, early-stage gallbladder cancer patients do not show specific symptoms, and some may only experience upper abdominal bloating and discomfort, which is often overlooked. Therefore, once diagnosed with gallbladder cancer, it is usually at a mid-to-late stage. At this point, treatment can only be symptomatic and not curative, and the treatment outcome is relatively poor. However, active management is still necessary to prevent the worsening of the condition.
Difference between early-stage and mid-stage gallbladder cancer
For gallbladder cancer, its staging is mainly based on the size of the tumor and whether there are metastases to other parts of the body, including lymph node metastases. In early-stage gallbladder cancer patients, the tumor is generally small and there are no metastases to other parts of the body. At this stage, patients typically do not show specific symptoms. Additionally, for patients with mid-stage gallbladder cancer, they may experience discomfort or dull pain in the upper right abdomen, and may also experience weight loss, possibly even developing cachexia. Therefore, gallbladder cancer patients can undergo surgical removal and a pathological examination can provide a better assessment of the pathological stage, leading to a better treatment plan.
Do you get a fever during the early stages of tetanus?
Tetanus symptoms can potentially begin with a fever during the early stage, generally occurring between six and ten days after injury, meaning symptoms can appear within 24 hours or several weeks post-injury. The shorter the incubation period, the more severe the symptoms and the higher the risk. Some patients may experience fatigue, headache, dizziness, restlessness, and possibly fever. Subsequently, typical symptoms of tetanus occur, primarily characterized by intense muscle contractions starting with the facial muscles. This includes difficulties in opening the mouth and lockjaw, among others. Thus, prevention is crucial for tetanus. When there is a local tissue injury, it is essential to promptly disinfect with hydrogen peroxide or iodine, followed by cleaning and suturing the wound and timely tetanus vaccination to prevent the disease.
Is targeted therapy or immunotherapy better for gallbladder cancer?
The treatment of gallbladder cancer cannot be judged as whether targeted therapy or immunotherapy is better, but should be analyzed based on the specific condition of the disease. For early-stage gallbladder cancer patients, if no metastasis has occurred, the best treatment at this time is primarily surgical removal. Early-stage surgical removal can achieve a cure, and regular postoperative ultrasound checks to monitor the disease progression are sufficient. However, if the gallbladder cancer progresses to a late stage, there might be metastasis to other parts of the body, corresponding symptoms appear, and the disease progresses rapidly. The opportunity for surgical treatment may have been missed, and only systemic chemotherapy or other comprehensive treatments are available to alleviate symptoms.
Can people with liver cysts eat bird's nest?
Patients with liver cysts can eat bird's nest. Bird's nest is a type of food relatively rich in nutrients and can be consumed at this time. Additionally, patients with liver cysts should mainly avoid spicy and stimulating foods, such as chili peppers, barbecue, and garlic. A light diet, focusing on fresh vegetables and fruits, should be adopted to better control the condition. Generally, patients with smaller liver cysts will not experience significant symptoms and do not need special treatment; regular ultrasound check-ups are sufficient. However, patients with larger liver cysts may experience local compression symptoms or even liver function abnormalities, so early surgical removal and treatment are advised for a better prognosis.
What are the serious consequences of cholecystitis?
The severe consequences of cholecystitis include gangrene and perforation of the gallbladder, leading to obvious signs of peritonitis throughout the abdomen, with noticeable tenderness and rebound pain. For patients with recurrent cholecystitis, it is advisable to use antibiotics for anti-infection treatment as soon as possible, as the condition can only be alleviated after the inflammation is under control. During recurrent episodes, surgical treatment should also be considered promptly. Removal of the gallbladder through surgery is the only way to achieve a radical cure. In most cases, laparoscopic cholecystectomy is chosen because it has the advantages of smaller incisions, less damage, and faster recovery, and is therefore often the preferred option in clinical settings. Patients who have undergone surgery should also avoid spicy and irritating foods to reduce inflammation and better facilitate recovery.
Does acute cholecystitis fear cold?
Patients with acute cholecystitis may exhibit chills. Due to the acute inflammation of the gallbladder in patients with acute cholecystitis, symptoms such as chills, high fever, fatigue, and loss of appetite which are characteristic of systemic infections may occur. Additionally, patients may experience significant pain in the upper right abdomen, which tends to worsen after eating. In cases of acute cholecystitis, it is crucial to use antibiotics for anti-infection treatment as soon as possible. Only when the inflammation is controlled can the condition be alleviated. In cases where gallstones cause cholecystitis, surgical treatment should be employed promptly. A complete cure can only be achieved by surgically removing the gallbladder. Therefore, it is essential to take acute cholecystitis seriously and seek medical attention promptly to actively manage the condition and significantly improve the patient's prognosis.