Can early cancerous changes in cirrhosis be cured?

Written by Huang Gang
Gastroenterology
Updated on February 22, 2025
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If the patient has early-stage cirrhosis and develops cancerous changes, there are currently many treatment methods for liver cancer due to advanced science, so there is no need for immediate worry. The treatment for liver cancer can generally involve methods like microwave therapy, anhydrous alcohol injections, or surgery, including liver transplantation. One can choose the specific treatment method based on their individual medical condition. However, if suffering from hepatitis B or C-induced cirrhosis, it is recommended to take antiviral medications while treating liver cancer. This can help control the condition and delay its progression. It is also important to closely monitor the condition with frequent check-ups. If there is a possibility of recurrence of the liver condition, it is advisable to consider surgery or a liver transplant at an early stage.

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Written by Wu Hai Wu
Gastroenterology
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Do you need a liver transplant in the early stages of cirrhosis?

In the early stages of cirrhosis, liver transplant is not necessary. Early-stage cirrhosis requires timely and comprehensive auxiliary examinations to determine the cause of the cirrhosis. This includes determining whether it is due to viral hepatitis, cholestatic hepatitis, or drug-induced hepatitis, among others. Once a patient exhibits early signs of cirrhosis, it is crucial to treat the specific cause and symptoms actively, and undertake proactive liver protection treatments. It is also essential to prevent complications associated with cirrhosis, such as esophageal and gastric variceal bleeding, primary liver cancer, hepatorenal syndrome, liver disease, and ascites.

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Written by Wu Hai Wu
Gastroenterology
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What will happen if someone with cirrhosis occasionally stays up late?

Patients with cirrhosis occasionally staying up late may also exacerbate the extent of liver function impairment, thereby accelerating the progression of cirrhosis and causing some complications such as spontaneous peritonitis, liver failure, hepatic encephalopathy, etc. Therefore, patients with cirrhosis should also not stay up late occasionally. Patients with cirrhosis should pay attention to rest, combine work with rest, avoid staying up late, and avoid eating overly spicy and stimulating food. They should also consume more fresh vegetables and fruits rich in vitamins, regularly check liver function, and take treatments targeting the cause of cirrhosis and liver protection, etc.

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Written by Si Li Li
Gastroenterology
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What are the complications of late-stage liver cirrhosis?

Late-stage cirrhosis can lead to many complications, such as bleeding from esophageal and gastric varices, which is one of the more common and severe complications of cirrhosis. Other complications include spontaneous peritonitis, liver cancer, hepatorenal syndrome, hepatic encephalopathy, portal vein thrombosis, and symptoms like ascites, palmar erythema, and spider angiomas. Additionally, there may be symptoms such as dark skin or hyperpigmentation and jaundice. Once cirrhosis is diagnosed, timely intervention and treatment are necessary to delay the progression of the disease.

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Written by Wu Hai Wu
Gastroenterology
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How long does it take to see the effects of Chinese medicine in the early stages of cirrhosis?

As for how long it takes to see the effects of traditional Chinese medicine in the early stages of cirrhosis, it depends on the specific cause of the disease. Depending on different causes, the time to see effects may vary. For instance, if it is early-stage alcoholic cirrhosis or drug-induced early-stage cirrhosis, after abstaining from alcohol and stopping the use of some liver-damaging medications, then supplementing with traditional Chinese medicine treatment, effects can be seen quite quickly. If it is caused by viral hepatitis and has not undergone standard antiviral treatment, relying solely on oral intake of traditional Chinese medicine, it might take a relatively long time to see some effects. Furthermore, the effects will be better after undergoing antiviral treatment.

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Written by Shen Jiang Chao
Radiology
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Can liver cirrhosis be detected by an ultrasound B-scan?

Liver cirrhosis can be diagnosed with an ultrasound. In the early stages of cirrhosis, there are no specific changes in the sonographic pattern visible on ultrasound. Typically, cirrhosis manifests as a decrease in liver volume, with imbalanced proportions of the liver lobes; both the left and right lobes may shrink, with compensatory hypertrophy observed in some cases in the left lobe. The liver capsule appears serrated, and the echoes from the liver area are coarser and stronger, with uneven distribution. It's possible to observe nodules with low or high echoes. The liver vessels vary in thickness, the hepatic veins may narrow, and the portal vein can widen. An enlarged portal vein can lead to symptoms like splenomegaly and ascites.