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Despite the overall rate of cancer deaths declining in the United States, the number of people diagnosed with liver cancer has continued to grow steadily for several decades. We understand that a liver cancer diagnosis can be one of the most frightening things you and your loved ones will experience. Mercy’s gastrointestinal cancer experts are dedicated to addressing your cancer needs from diagnosis to treatment to recovery.
Liver cancer is a type of intestinal cancer caused by cells in the liver growing out of control. However, cancer that spreads from another organ to the liver is more common than cancer that starts in the liver itself. Liver cancer is more difficult to diagnose in earlier stages than other types of cancer since signs and symptoms don’t usually appear until cancer has developed in size or spread to distant organs of the body.
The various types of liver cancer break down into two main categories: primary and secondary liver cancer.
When cancer starts in your liver, it’s called primary liver cancer. Those with liver damage (cirrhosis) are at increased risk of developing primary liver cancers. There are various types of primary liver cancer which include:
Secondary liver cancer, also known as metastatic liver cancer, occurs when cancer starts somewhere else in the body and spreads to the liver. Primary breast cancer, lung cancer and renal cancers are common cancer types that can end up in the liver.
According to the American Cancer Society, the most common causes of liver cancer are chronic infections with hepatitis B virus (HBV) or hepatitis C virus (HCV). However, there are a handful of other genetic and lifestyle risk factors that can determine someone’s likelihood of getting liver cancer.
If you have cirrhosis or active HBV or HCV infection talk to your Mercy provider about ultrasound screening for liver cancer.
Signs and symptoms of liver cancer aren't prevalent in the early stages and usually don't appear until cancer has advanced or grown in size. If you experience one or more of these symptoms over a period of time, it’s best to talk to your Mercy doctor to see if a liver cancer screening is right for you.
As the cancerous tumor develops, signs of liver cancer may include:
If you’ve been diagnosed with liver cancer, it’s natural to feel afraid. But you can take comfort in knowing that Mercy’s cancer team offers more than just the latest medical treatments for all types and stages of liver cancer. Together, we can help you understand your condition and your treatment options. That way, you can make informed and thorough decisions about your care.
Mercy gastroenterologists, oncologists, surgeons, pathologists and radiologists use advanced diagnostic testing methods to detect liver cancer, evaluate the extent of the disease and develop your treatment plan.
Laboratory tests may be used by your doctor to determine whether you have liver cancer, the possible cause of your cancer or how well your treatment is working.
Diagnostic imaging tests, which include ultrasounds, MRIs and CT scans, may be used to help your Mercy doctor pinpoint suspicious areas in the body that may be cancerous, learn how far a tumor has spread or guide specific treatments in the liver.
A biopsy is the routine removal of a small piece of tissue to determine whether liver cancer is present. A biopsy is usually performed using a needle or conducted during a laparoscopy or surgery.
Early detection of liver cancer can increase the likelihood of successful treatment. People with high or multiple risk factors should consider liver cancer screening.
Liver cancer screening uses ultrasound imaging and an alpha-fetoprotein (AFP) blood test to detect the presence of cancer in the body. This type of screening is recommended for patients who may be at higher risk, such as those patients with HBV +, HCV + or cirrhosis). Since there currently isn't a routine test available for liver cancer, it’s important to talk to your Mercy primary care provider to decide if a screening is right for you.
Minimizing your risk factors may help with liver cancer prevention. Some behavior and lifestyle modifications may include:
At Mercy, you’ll find all the expert care and emotional support you’ll need to face your fears and your cancer. The sooner you begin your treatment for liver cancer, the greater your chances of survival become.
At Mercy, we don’t just care for you, we care about you and your recovery. We’ll do everything within our power to fight your liver cancer, relieve your symptoms and ease your mind. Your treatment plan will depend on several factors, including the stage of cancer and whether it has spread beyond the liver. Your Mercy cancer team may recommend one or more of the following treatment types.
In most cases, surgery is the best treatment option for liver cancer that hasn’t spread beyond the liver. There are a couple of common types of liver cancer surgeries available to patients. Mercy gastrointestinal surgeons are skilled in using the latest surgical procedures and techniques, such as minimally invasive laparoscopic surgery, robotic surgery and endoscopic surgery, to treat your cancer. Your Mercy surgeon will help you understand what to expect during your treatment, operation and recovery.
Liver resection is usually performed to remove the cancerous portion of the liver, leaving the healthy surrounding tissue intact and in place.
Common among patients with cirrhosis, a liver transplant completely removes the diseased liver and replaces it with a healthy one. While Mercy doesn’t perform liver transplants, we’ll help coordinate care for all patients as needed.
Interventional radiology is a field within radiology that relies on imaging technology and minimally invasive techniques to treat diseases such as liver cancer.
RFA is a common interventional radiology procedure which destroys a cancerous tumor using extreme heat or cold, and embolization, which kills a tumor by cutting off its blood supply.
Most liver cancers are resistant to chemotherapy. In order to prevent liver cancer from coming back, your Mercy doctor may recommend chemotherapy. Chemo uses drugs administered orally or by infusion therapy to reach and fight cancer cells throughout the body. This may be an option for some liver cancer patients after their surgery to shrink and target cancer cells that may have been missed.
Immunotherapy treatment for liver cancer uses your immune system to fight cancer. This can be used to treat some types of liver cancers.
Targeted drug therapy for liver cancer uses drugs and other substances to precisely target cancerous cells, sparing surrounding healthy cells. It can also be used alongside other treatment types, such as chemotherapy or radiation therapy.
Your treatment type will depend on the stage of your liver cancer, as well as whether you have any co-occurring liver disease, such as cirrhosis. Your overall health will also play a big role in which treatment types your Mercy doctor will recommend.
Fighting liver cancer can take a toll on your physical and emotional health. But know that Mercy will be by your side every step of the way. Whether you need emotional or physical support, you’ll find all the strength and care you need at Mercy.
At Mercy, we offer comprehensive testing services to diagnose all types of liver cancer, including:
At Mercy, we offer compassionate care for a variety of liver cancer treatment services, including: