I believe that many people are particularly afraid of liver cancer. It is very likely that people do not pay much attention to the early symptoms of liver cancer, but when liver cancer develops to the middle and late stages, the symptoms are more obvious. Let the experts introduce the symptoms of liver cancer in the middle and late stages. Common symptoms of liver cancer in the middle and late stages 1. Pain in the liver area More than 100 patients have pain in the liver area, and the pain is equivalent to the location of the tumor, which is mostly persistent distending pain or dull pain. Liver pain is caused by the rapid growth of the tumor and the traction of the liver capsule. If the lesion invades the diaphragm, the pain may involve the right shoulder. When the cancer nodule ruptures, it may suddenly cause severe pain and symptoms and signs of peritonitis. If the amount of bleeding is large, it will cause syncope and shock. 2. The systemic manifestations of malignant tumors include progressive weight loss, fever, loss of appetite, fatigue, malnutrition and cachexia. A small number of patients with liver disease may have special systemic manifestations, called paraneoplastic syndrome, with hypoglycemia and polycythemia being more common, and other rare ones include hypercalcemia, hyperlipidemia, carcinoid, etc. 3. Signs of cirrhosis Patients with liver cancer and portal hypertension may have symptoms such as splenomegaly, ascites, and the formation of venous collateral circulation. Ascites increases rapidly, usually as transudate. Bloody ascites is mostly caused by cancer invasion of the liver capsule or rupture into the abdominal cavity, and occasionally by peritoneal metastasis. 4. Jaundice usually occurs in the late stage, which may be caused by liver cell damage, or by compression and invasion of the bile duct near the liver port by cancer mass, or bile duct obstruction caused by the detachment of cancer tissue and blood clots. 5. Hepatoma About 90% of patients have enlarged livers, which are progressively enlarged, hard in texture, uneven, with nodules or lumps of varying sizes, blunt and irregular edges, and often with varying degrees of tenderness. When liver cancer protrudes under the right costal arch or xiphoid process, the upper abdomen may show local bulge or fullness. 6. Symptoms of metastatic lesions If metastasis occurs to the lungs, bones, chest cavity, etc., corresponding symptoms may occur. Chest metastasis is more common on the right side, and there may be signs of pleural effusion. Bone or spinal metastasis may have local tenderness or nerve compression symptoms, and intracranial metastatic cancer may have nerve localization signs. For liver cancer, the treatment methods adopted at different stages are different. So how should it be treated in the early, middle and late stages? 1. For patients with early liver cancer, if the liver cancer is relatively limited and has not spread or metastasized, surgical resection should be actively performed to obtain the best treatment effect. 2. For patients with early liver cancer who cannot undergo surgical resection, such as those who are weak and have poor tolerance, they can receive radiofrequency ablation, intratumoral injection of anhydrous ethanol, hepatic artery embolization chemotherapy, radiotherapy and other measures to prolong the patient's survival. 3. For patients with middle and late stage liver cancer, if the above treatment measures cannot prolong the patient's survival, symptomatic treatment should be given. For example, effective analgesic treatment should be given for pain caused by liver cancer; for patients with spinal metastasis, the development of local tumors can compress the bone marrow, thereby causing paraplegia. At this time, active radiotherapy should be given to control the development of local tumors. The above are the symptoms of mid-to-late stage liver cancer introduced by experts. I hope that through these introductions, everyone can clearly understand the manifestations of mid-to-late stage liver cancer, so that you can pay more attention in life and don’t miss the best treatment period. I wish you good health! |
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