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Originally Posted by Tellesfamilia But just a few questions, hope some one can shed some light,
1. How does a person actually know they have liver cancer or cancer in general?
2. How do you get a mass on your liver?
3. If cancer is on your liver, can it be removed with out messing with the liver function?
4.Can a ct scan tell if the mass is Cancer?
5. If it is cancer, what would be the best option to do, removal, chemo or does it depend on the size of the mass?
Well thanks alot. |
Hi Tellesfamilia
I hope I can answer some of your questions but I am no doctor so at best please use my info as a base for you to ask further questions of your doctors.
1. Unfortunately many people never know they have cancer until symptoms become severe. For some the effects are more obvious such as a lump, lession or suspiscious mole. The only way to be sure of either primary liver cancer or secondary cancer to the liver (mets or Metastasis) is for a combination of tests to be carried out. these include CEA blood tests, various types of scans or xrays. There are numerous clinical symptoms to take in to account also which may include weight loss, jaundice, weakness, localized or distant pain.
2. The liver is divided into various segments (8 I think) in 2 lobes. Mass or tumors can grow anywhere inside the liver or outisde. Lessions can also occur. I dont know why or how a mass develops other than it is a mutation of cells that overtake normal cells.
3. The liver is the only organ in the body which will regrow/regenerate. My husband had massive mets to his liver as a result of of bowel cancer. He had nearly 70% of his liver removed (resected) and within 6 weeks it was functioning normally and in 6 months back to its normal size. I think the current standard is that they can remove 75% of your liver without it badly affecting you. My husband did have chemo to reduce the tumors and there are other procedures that can be done too.
4. A ct scan will only schow a map of what there is to see. It wont tell you whether a mass is malignant. I believe that a PET or MRI scan would do this. No doubt a biopsy is the best way to find out for sure.
5. If it is a malignant mass then it needs treatment or else it would engulf the liver. Sometimes a mass is on the edge of a lobe and is fairly easy to cut off cleanly. Sometimes the location of a mass can make surgery tricky and therefore chemo is maybe necessary to reduce the size of the mass prior to chemo.
If the mass is a secondary tumor (mets) then the primary cancer needs to be determined prior to the liver treatment.
Hope this all helps and that your probs are easily overcome
regards
ktee