Is primary liver cancer prone to metastasis?

Written by Sun Wei
Surgical Oncology
Updated on September 25, 2024
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Primary liver cancer's likelihood of metastasis depends on its pathological staging. If detected in the middle or late stages, it is more likely to metastasize. The most common sites of metastasis for primary liver cancer include intrahepatic and nearby digestive organs, such as the gastrointestinal tract and the peritoneum. Additionally, primary liver cancer can also spread through the bloodstream and the lymphatic system, reaching distant locations like the lungs, brain, and bones. If primary liver cancer cannot be surgically treated, the treatment options are limited, and the survival time is generally short, with an average lifespan of about one to two years.

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Written by Sun Wei
Surgical Oncology
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The difference between primary liver cancer and metastatic liver cancer

Primary liver cancer refers to malignant tumors that originate in the liver, while metastatic liver cancer refers to cancers that start in other parts of the body and then spread to the liver through lymphatic and blood circulation, among other routes. Another difference is that primary liver cancer is more likely to be a single lesion, while metastatic liver cancer generally involves multiple lesions. Regarding the differences between primary and metastatic liver cancer, their treatment methods also differ. For primary liver cancer, interventional chemotherapy or surgery, such as hepatic lobectomy, can be performed if the tumor is small. In contrast, metastatic liver cancer usually involves multiple lesions, making surgery alone challenging. Additionally, the primary tumor also requires treatment.

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Written by Shen Jiang Chao
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Can an MRI detect liver cancer?

Magnetic resonance imaging (MRI) can detect liver cancer. MRI has a high resolution for soft tissues and can multi-dimensionally present the water content and fat content in liver cancer, producing specific signals. MRI can clearly show the size, signal, shape, and the surrounding tissues of liver cancer. It can even detect small liver cancers as tiny as three millimeters and is a preferred method of imaging, more precise than CT.

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Written by Sun Wei
Surgical Oncology
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Is primary liver cancer contagious?

Primary liver cancer refers to malignant tumors that occur in the liver and are not metastasized from other parts of the body. Such liver cancer itself is not contagious. However, if liver cancer patients have other infectious diseases, transmission may be possible. Most primary liver cancers are related to liver cirrhosis following hepatitis, with hepatitis B being the most common. If accompanied by hepatitis B, it can be contagious, but it usually doesn't spread through regular daily contact. The main transmission routes for hepatitis B are through blood, mother-to-child transmission, and sexual transmission. This means that as long as the patient's blood does not injure someone else, contagion is generally unlikely, so there is no need for excessive worry.

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Written by Yan Chun
Oncology
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Will people with early-stage liver cancer experience weight loss?

Patients with early-stage liver cancer generally do not experience weight loss; weight loss is more commonly a clinical manifestation in patients with late-stage liver cancer. The reason for weight loss in liver cancer patients is due to the damage caused by cancerous tissue to liver function, leading to reduced synthesis of albumin. Furthermore, patients with liver cancer often experience a significant decrease in food intake, resulting in insufficient intake of nutrients such as albumin. Additionally, the progression of liver cancer tumors requires the consumption of a large amount of the body's albumin. Therefore, due to these factors, many patients with late-stage liver cancer exhibit clinical manifestations of weight loss. Moreover, besides not experiencing weight loss, patients with early-stage liver cancer also do not typically present with typical clinical symptoms. Many patients are asymptomatic, and as the lesion progresses, the cancer spreads, possibly leading to clinical manifestations associated with tumor spread. For example, pain in the liver area, a significant decrease in food intake, fatigue, fever, pain, and some patients may also exhibit symptoms of metastasis such as headaches, vomiting, abdominal pain, and abdominal distension.

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Written by Ye Xi Yong
Infectious Diseases
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Will "small three yang" lead to liver cancer?

Hepatitis B "minor three positives" refers to positivity in the first, fourth, and fifth items of the complete hepatitis B panel. It is common among patients with acute and chronic hepatitis B. There is no necessary correlation between "minor three positives" and cancer. While some patients with "minor three positives" may develop liver cancer, not all liver cancer patients necessarily progress from this condition, indicating no inevitable link between the two.