Does primary liver cancer have a genetic basis?

Written by Sun Wei
Surgical Oncology
Updated on February 24, 2025
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Primary liver cancer is generally not certain to be hereditary, but it may be somewhat related to genetics. For example, there are often phenomena of family and regional clustering of liver cancer. Current research believes that primary liver cancer, commonly referred to as liver cancer, is the result of a combination of factors, closely associated with hepatitis virus infection, aflatoxin infection, and contaminated drinking water. Common scenarios include hepatitis B virus infection leading to hepatitis B followed by cirrhosis, which can further develop into primary liver cancer. Also, long-term alcohol abuse leading to alcoholic cirrhosis can also result in liver cancer.

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Written by Peng Li Bo
Oncology
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Is primary liver cancer hereditary?

Primary liver cancer is usually not hereditary, but the reason why it tends to appear in families in China is mainly due to the widespread infection of hepatitis B virus, which then leads to a significant correlation with hepatic cirrhosis caused by hepatitis B. It is well known that the hepatitis B virus is contagious and can easily be transmitted within families and from mother to child. Therefore, it is not uncommon to see several cases of liver cancer within the same family, indicating a familial aggregation. Another factor is related to dietary habits, for example, the infection of aflatoxin, which is mainly found in moldy peanuts. If the dietary habits within a family are similar, then, of course, the likelihood of occurrence is certainly higher.

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Written by Du Ning
Hepatobiliary Surgery
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Can gallbladder stones turn into liver cancer?

Long-term pathological changes from hepatobiliary calculi can lead to liver cancer. Hepatobiliary calculi generally refer to intrahepatic bile duct stones. When these stones grow in a single duct and gradually increase in number and size, they can cause obstruction of the bile duct. Obstruction of the bile duct subsequently leads to cholangitis, which involves repeated inflammatory irritation. This, in turn, can cause malignant transformation of the bile duct cells. Following this transformation, a tumor forms, which can develop into cholangiocellular carcinoma, a type of liver cancer. Therefore, if intrahepatic bile duct stones cause long-term inflammatory stimulation, it can lead to cancerous changes and result in liver cancer. Thus, if intrahepatic bile duct stones have already caused noticeable clinical symptoms such as abdominal pain, fever, and liver function abnormalities, aggressive surgical treatment should be considered.

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Written by Ye Xi Yong
Infectious Diseases
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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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Can a cystic lesion in the liver be liver cancer?

Clinically, cystic lesions in the liver are mostly not liver cancer lesions, because liver cancer is a malignant tumor occurring in the liver. Clinically, on imaging, it is mainly manifested as occupying lesions in the liver, appearing as multiple hepatic nodules fused into a mass, or as a huge single nodular lesion. These lesions generally appear as solid lesions. When the tumor is large, ischemic necrosis can occur due to insufficient blood supply to the central area, resulting in cystic changes in the central region of the solid lesion. Therefore, some patients with large liver cancer may have cystic and solid lesions on imaging, but in most cases, liver cancer lesions are solid.

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Written by Cui Fang Bo
Oncology
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How to reduce fever in late-stage liver cancer

For late-stage liver cancer patients experiencing fever, antipyretic treatment should be based on different circumstances. If the fever is due to an infection, it often exceeds 39℃ and is accompanied by symptoms and signs related to the infection, such as cough and yellow sputum, abdominal pain, diarrhea, frequent urination, urgency, and painful urination. In such cases, antibiotics should be used for anti-infective treatment, along with antipyretic analgesics for fever reduction. If the fever is due to tumor fever or interventions like liver procedures, there are no infection-related factors, usually the temperature does not exceed 38.5℃, and there are no symptoms or signs related to infection. The treatment primarily involves the use of antipyretic analgesics for fever reduction.