Will Hepatitis B with e-antigen positive develop into liver cancer?

Written by Ye Xi Yong
Infectious Diseases
Updated on September 21, 2024
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A small portion of patients with hepatitis B major yang can develop into liver cancer, but this development process is generally long. Primary liver cancer is currently the fourth most common malignant tumor in China, and the third leading cause of tumor death, seriously threatening the lives and health of our people. Primary liver cancer includes three types, of which hepatocellular carcinoma accounts for more than 85% to 90%. A large part of patients with primary liver cancer in China, most of whom have a background of chronic hepatitis B and cirrhosis.

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Written by Ye Xi Yong
Infectious Diseases
29sec home-news-image

Can hepatitis B turn into liver cancer?

If hepatitis B is not effectively controlled, it can further develop into liver cancer. However, if patients adhere to standard treatment, regular check-ups, rest adequately, eat healthily, and abstain from alcohol, most conditions can be effectively controlled, significantly reducing the likelihood of developing liver cancer. Therefore, patients need not worry too much; maintaining a positive and optimistic attitude is more conducive to the recovery from the disease.

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Written by Yan Chun
Oncology
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Does early-stage liver cancer metastasize?

Patients with early-stage liver cancer generally do not experience metastasis. This is because for patients with early-stage liver cancer, the lesions are localized and have not spread, thus being classified as early-stage. Moreover, the general treatment for patients with early-stage liver cancer involves curative surgery. Since the lesions are localized, in most cases, there will be no recurrence or metastasis after the surgery. Therefore, for early-stage patients, there is no need to administer adjuvant radiotherapy or adjuvant chemotherapy and other anti-tumor treatments after the surgery. However, once the liver cancer lesions invade surrounding tissues and metastasize to distant sites, it indicates that the lesions have spread, and the clinical stage has progressed to mid or late stages, losing the opportunity for curative surgery. Most patients undergo comprehensive treatments such as radiotherapy, chemotherapy, and targeted therapy which generally results in a reduction in survival time.

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Written by Sun Ming Yue
Medical Oncology
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How to protect the liver in the late stages of liver cancer

If liver cancer has reached an advanced stage, this indicates that the patient's condition is very serious, and there is no possibility of cure. It is recommended that the patient take some Chinese herbal medicines for liver protection and maintenance. However, the patient must regulate their condition and control the development of the disease through medication under the guidance of a doctor, in order to prolong their life. However, the specific treatment plan should be determined based on the specific condition of each patient, following the guidance of the doctor for treatment.

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Written by Yan Chun
Oncology
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Should the gallbladder be removed in the early stage of liver cancer?

Whether early-stage liver cancer patients need to have their gallbladder removed depends on the location of the tumor. For liver cancers located close to the gallbladder, gallbladder removal is generally necessary. For liver cancer lesions that are farther from the gallbladder, it is usually sufficient to only remove the liver tumor, or to perform a resection of the local liver segment or sub-segment. Additionally, for early-stage liver cancer patients to undergo surgery, certain conditions must be met: the tumor must be five centimeters or smaller, there should be no cancerous thrombus in the main trunk of the portal vein, the liver cancer tumor should not involve the semi-dry or full-dry circumstances, and the liver function should be compensatory. Under these conditions, an effort should be made to perform liver tumor resection. Generally, cancers located in the left lobe of the liver require local resection, either of a liver segment or sub-segment, and sometimes resection of the liver lobe may be performed. Tumors located in the right lobe of the liver or the hepatic portal area require local tumor resection.

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Written by Zhang Lu
Obstetrics
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Can alpha-fetoprotein diagnose liver cancer?

Alpha-fetoprotein, also known as AFP, reflects the function of the liver and whether there are any diseases present. The accuracy and specificity of alpha-fetoprotein in diagnosing liver cancer are relatively high. In non-pregnant individuals, whether male or female, an elevated alpha-fetoprotein level should raise suspicions of liver disease, and it is advisable to promptly undergo ultrasound or CT scans to determine the presence of liver cancer or other liver diseases. However, during pregnancy, as the fetus grows and develops, a certain amount of alpha-fetoprotein is released. Therefore, when testing the blood of pregnant women, an increase in alpha-fetoprotein is observed. This condition is a physiological change and does not indicate the occurrence of liver diseases such as liver cancer in women. Thus, alpha-fetoprotein can serve as an auxiliary method for diagnosing liver cancer, but only in non-pregnant individuals.