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At GenesisCare we use state-of-the art technology and best practice, evidence-based treatment protocols to provide the latest cancer treatments.
The liver is the largest internal organ of the human body, weighing around 1.5kg in the average adult. It is positioned on the upper right side of the abdomen, just below the rib cage.
The main roles of the liver include:
Primary liver cancer is rare. It develops when liver cells become abnormal and form malignant tumours.1
Secondary liver cancer, where cancer has spread from another place in the body such as the bowel, is far more common and happens to about 20% of people who have bowel cancer.1
Primary liver cancer is a malignant tumour that begins in the liver. There are different types:2
Secondary liver cancer (metastatic liver cancer) is more common than primary tumours.
Many cancers can spread to the liver. The most common cancer that spreads to the liver is bowel cancer. This is because the blood supply from the bowel is connected to the liver through the portal vein. Melanoma, breast, oesophagus, stomach, pancreas, ovary, kidney, or lung cancers can also spread to the liver.1,3
The biggest known risk factor for primary liver cancer is hepatitis B or C viruses which result in long term infection.2
There are also other factors that can increase the risk of developing liver cancer, including:1,2
Liver cancer symptoms are more likely to appear as the cancer grows or becomes more advanced.2
Symptoms may include:2
Your doctor will discuss your specific symptoms with you. Tests to diagnose both primary and secondary liver cancer include:
Blood tests – check how well your liver is functioning, as well as checking certain chemicals known as tumour markers, whether you have hepatitis B or C, and any genetic problems.
Ultrasound – the most commonly used method to look for primary liver cancer, it can show the size and location of abnormal tissue in your liver.
CT scan – takes three-dimensional pictures of several organs at the same time, and can help doctors plan surgery, if required. It can also see if the cancer has spread.
MRI scan – produces detailed cross-sectional pictures of the body and can show the size of a tumour and whether it is affecting the main blood vessels around the liver.
PET-CT scan – more commonly used for secondary cancers in the liver, PET– CT scans produce three-dimensional colour images that show where any cancers are in the body.
Biopsy – when a small amount of tissue is removed for examination under a microscope.
A biopsy is done by either:
If you have secondary cancer in the liver, you may have further tests to find out where the primary cancer started, if this is not already known.
Treatment for liver cancer will depend on the location and extent of the cancer, whether the cancer can be removed with surgery, likely side effects of treatment and your overall health. Your doctors will discuss the treatment options with you. They may include:
Radiation destroys cancer cells in a targeted site in your body. Treatment is carefully planned, and with the developments in technology, very little harm is done to normal body tissue surrounding the tumour.4
Some bile duct cholangiocarcinoma patients may be offered high dose rate brachytherapy. Other patients with cancer involving the liver may be offered the latest-generation Stereotactic Body Radiation Therapy (SBRT), including systems to improve image-guided radiation therapy, and surface-guided radiation therapy technologies.
Stereotactic body radiation therapy (SBRT) is an advanced, high precision radiation therapy technique that delivers radiation doses while minimising the dose to normal tissues.4
Radiation therapy can be delivered independently or alongside chemotherapy or surgery. Your doctor will discuss your specific treatment plan with you.
Chemotherapy is medication that treats your cancer by disrupting the cell cycle. The drugs kill cancer cells, preventing them from dividing and spreading further.
A cancer diagnosis is life changing. Even before your initial encounter with us you will experience a wave of emotions. It’s natural to feel disbelief, anxiety, sadness, anger and loneliness. At GenesisCare we understand these emotions and strive to strengthen your confidence, settle your emotions and create care experiences for the best possible outcomes.
Our care team know your name and get to know who you are as a person. We don’t want you to feel alone when you’re at GenesisCare. Your nursing team and oncology team are here to support you before, during and after your cancer treatment. We are here to guide you to get the support you need which may include a psychologist, exercise physiologist, physiotherapy and dietitian.
Please contact your local GenesisCare centre for more details on services available. View a list of our centres here.
General side effects:5
Specific side effects (depending on the area being treated):
Most of these side effects will ease shortly after treatment is finished. Your team will discuss any long-term considerations with you depending on the tumour type.
Whether you experience side effects and how severe they are, depends on the type and dose of drugs you are given and your reaction from one treatment cycle to the next.
You may worry about the side effects of chemotherapy. If you feel upset or anxious about how long treatment is taking or the impact of side effects, let your doctor or nurse know.
What can I do to help my treatment go smoothly?
Any procedure including treatments involving radiation carry risks, including skin irritation and associated pain. Before proceeding with a referral for treatment, patients should be advised to seek a second opinion from an appropriately qualified health practitioner. As in any medical procedure, patient experiences and outcomes will vary.