Does early-stage liver cancer metastasize?

Written by Yan Chun
Oncology
Updated on February 11, 2025
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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.

Other Voices

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

Primary liver cancer generally refers to tumors whose cancer cells originate from the liver itself or from the intrahepatic bile ducts. Secondary liver cancer usually refers to cancer that has metastasized to the liver from other parts of the body, which is the main difference between the two. Additionally, primary liver cancer might progress rapidly, potentially resulting in a short survival time, especially in cases of large, inoperable tumors, where most survival times range from half a year to about a year. In contrast, secondary liver cancer might have a longer survival time, and initial symptoms are generally milder. Also, tumor markers like alpha-fetoprotein (AFP) tend to be higher in primary liver cancer, whereas in secondary liver cancer, this marker may be normal.

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Written by Yan Chun
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Early-stage liver cancer: how to exercise daily

Patients with early-stage liver cancer can engage in light and low-intensity exercises daily, such as slow walking and strolling. This is because early-stage liver cancer patients generally have an acceptable physical condition, although most of them have low immunity. Doing some appropriate exercises can enhance the patients’ immune system and has minimal impact on their overall physical condition. Moreover, patients with early-stage liver cancer usually undergo curative surgery for treatment. In most cases, post-surgery, they do not require radiation, chemotherapy, or targeted therapy for tumor treatment. With close follow-up, as long as there is no recurrence or metastasis, most patients can achieve clinical cure. Early exercise is beneficial for the recovery of patients, thus it is recommended. In addition, for patients with early-stage liver cancer, close follow-up of the disease changes after curative surgery is crucial to provide timely treatment.

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Written by Sun Wei
Surgical Oncology
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What can people with primary liver cancer eat?

Primary liver cancer, commonly referred to as liver cancer, is a type of malignant tumor of the digestive system. As for diet, there are generally no specific prohibitions. However, it is recommended to stick to a light and easily digestible diet. High-protein foods and high-quality proteins, such as fish, eggs, and protein powder, are very good options. It is best to avoid spicy, pickled, smoked, or grilled foods, as these are not conducive to health. Also, any food that is clearly moldy should definitely be avoided. The main causes of primary liver cancer include infection with aflatoxin and contaminated drinking water, which are two main causes of primary liver cancer. Other causes, like hepatitis virus infections, are also major contributors to primary liver cancer.

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Written by Ye Xi Yong
Infectious Diseases
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Can hepatitis B develop into liver cancer?

Hepatitis B, also known as Type B Hepatitis, can develop into liver cancer. In China, most liver cancer patients are caused by Hepatitis B. To prevent Hepatitis B from developing into liver cancer, the key is to seek early, timely, and standardized treatment. For specific treatment guidelines and treatment plans, consult a qualified hospital.

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Written by Cui Fang Bo
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What should I do if I have liver cancer and a fever of 38 degrees Celsius?

Liver cancer patients experiencing a fever of 38°C can be seen in the following scenarios: The first type is tumor-related fever. In liver cancer patients, especially those in the advanced stages or with large tumors, a fever of around 38°C can occur in the absence of infection symptoms. This tumor fever is related to various mediators released into the blood by the tumor. The second type is infectious fever. Cancer patients undergoing anti-tumor treatment may experience immunosuppression and concurrent infections. This type of fever often exceeds 38.5°C but can also occur around 38°C in the early stages, often accompanied by symptoms of infection such as coughing, sputum production, abdominal pain, and diarrhea. The third type is treatment-related fever. Patients with liver cancer may experience a fever of around 38°C on the day of and several days following interventional treatments.