How does an ultrasound show early-stage liver cancer?

Written by Cui Fang Bo
Oncology
Updated on April 07, 2025
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Liver cancer can be detected in its early stages through Doppler ultrasound examination, which may reveal single or multiple abnormal masses within the liver. These masses often vary in size and have irregular edges, with blood flow signals inside. If liver cancer is suspected from the Doppler ultrasound, further examination with an abdominal CT or MRI can provide more detailed information about the lesions to aid in judgment. A definitive diagnosis relies on surgical removal or percutaneous liver biopsy to obtain local tissue for pathological confirmation. Patients with early-stage diagnosed liver cancer should undergo surgical treatment as soon as possible, and those who can have radical resection generally have a better prognosis.

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How to rule out liver cancer when experiencing right shoulder pain?

Some liver cancer patients may experience abdominal pain that radiates to the shoulder and back, resulting in right shoulder pain. Therefore, when a patient presents with right shoulder pain, to rule out the possibility of liver cancer, some laboratory tests or radiological examinations can be conducted, and if necessary, histopathological examinations can also be performed. If hematological examination does not show an abnormal increase in AFP levels, and radiological examinations do not reveal any abnormal liver conditions such as large masses, nodular tumors, or diffuse liver lesions, and there is no history of hepatitis or cirrhosis, it is generally possible to rule out right shoulder pain caused by liver cancer. To determine the exact cause of the pain, examinations such as X-rays of the right shoulder, CT scans, and if necessary, MRI or bone scans can be conducted to exclude right shoulder pain caused by liver cancer lesions.

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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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Does early-stage liver cancer cause itchy skin?

Liver cancer is one of the common malignant tumors in the digestive system. In the early stages of liver cancer, most patients do not exhibit symptoms of skin itching. It is only when the cancer progresses and causes obstructive jaundice that patients clinically develop symptoms of skin itching. Early-stage liver cancer patients typically do not show typical clinical symptoms, or they may not have any significant symptoms at all. This is because early-stage liver cancer lesions are small and localized, without external invasion or metastasis. Therefore, the impact on the entire body is minimal, and clinically it generally manifests as mild abdominal bloating, discomfort, nausea, diarrhea, and some patients may experience a dull ache or discomfort in the liver area. Because the symptoms of early-stage liver cancer are atypical, many patients are already in the middle to late stages by the time they seek medical attention, missing the opportunity for clinical cure.

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

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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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.