Related examinations for diagnosis of liver cancer

A 53-year-old male patient was diagnosed with advanced liver cancer at a local hospital. There was a mass in the liver area with pain. The blood test was positive and there was a tumor of 8.9 on the liver. After taking the medicine, the pain and mass disappeared. Is it liver cancer?

The patient had a lump and pain in the liver area. A lump was found on the liver, but it has not yet been determined whether it is a malignant tumor. Therefore, further examination is needed.

Clinical tests to confirm liver cancer include:

1. Pathological diagnosis

1. Patients with primary liver cancer confirmed by liver histological examination

2. Histological examination of extrahepatic tissue confirmed hepatocellular carcinoma

2. Clinical diagnosis

1. AFP is currently one of the most specific methods for diagnosing hepatocellular carcinoma. It plays a positive role in diagnosis, judging efficacy, estimating prognosis, and preventing recurrence. It is often used as an auxiliary examination for B-ultrasound and CT. When AFP>200ug/L, continues to rise for more than 2 months, and excludes pregnancy, active liver disease, gonadal embryonic tumors and other diseases, it can be diagnosed as liver cancer in combination with imaging examination results.

2. Patients with clear intrahepatic solid space-occupying lesions on imaging examinations, who can exclude hepatic hemangioma and metastatic liver cancer, and who meet one of the following conditions:

1. AFP>20ng/ml

2. Typical imaging manifestations of primary liver cancer

3. No jaundice but significant increase in AKP or r-GT

4. There are clear metastatic lesions at a distant site or bloody ascites or cancer cells are found in ascites

5. Cirrhosis with positive hepatitis B markers