Interactive Medical Story

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Liver Cancer

How to get back to life?

Thomas is a 52-year-old man who was diagnosed with liver cancer during a routine checkup. His family doctor found elevated liver values in his blood. Further examinations revealed several tumors in the liver, but no tumors in the rest of the body.

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What is liver cancer?

8790

New liver cancer diagnoses annually in Germany

Men affected 3x more than women
In the last 35 years, the number of new cases has doubled for both men and women.

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Liver cancer is a cancer that begins in the cells in the liver.

The liver: a special organ

The liver is the largest and the most important organ to digest food and remove toxins.

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The liver: a special organ

It is located in the right upper part of the abdomen, below the heart.

It is supplied and drained by a vast network of blood vessels.

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The liver: a special organ

In liver cancer, abnormal growth of cells in the liver forms tumors.
Liver cancer is a cancer that begins in the cells in the liver.

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How is liver cancer noticeable?

Because the liver is not sensitive to pain, liver cancer usually causes no symptoms at first

In the advanced stage, liver cancer manifests itself in several ways.

Losing weight without trying Loss of appetite Upper abdominal pain

Increased temperature Weakness & fatigue Abdominal swelling Yellow skin discoloration

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How is liver cancer diagnosed?

1. Are tumors present in the liver? If so, how many?

2. Where are exactly the tumors located?

3. How large are these tumors?

4. What is the exact tumor type?

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Are tumors present in the liver? If so, how many?

A variety of imaging modalities can be used to find tumors in the liver, including:

Ultrasound

CT

MRI

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What is the exact tumor type?

The severity of a tumor depends on how much the cells have already changed malignantly.

The degree of change can only be determined by microscopic examination of cancer cells.

Understanding the extent of the change of the cells is important in therapy planning

A biopsy procedure takes a small sample of liver tissue to study under a microscope.

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How to treat liver cancer?

Treatment planning is influenced by how far the disease has progressed and the condition of the liver.

Furthermore, patient age and general health plays an important role.

Depending on this, there are curative and palliative treatments.

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Curative liver cancer treatment

Surgical procedures are used to remove parts of the liver that contain tumors.

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Curative liver cancer treatment

Tumors can also be treated with ablation.

For this, a needle is inserted into the tumor and heat, or microwaves, are delivered through it to destroy the tumor.

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Curative liver cancer treatment

In addition, tiny beads filled with radioactive material can be introduced into the liver vessels.

The tumor is irradiated locally from the inside, which leads to the death of the tumor cells.

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Palliative liver cancer treatment

If there is no prospect of cure, palliative therapy can slow the growth of the tumor as well as alleviate symptoms.

Special chemotherapies slow down tumor growth.

Painkillers and high-calorie foods reduce symptoms.

Pain Nausea Further weight loss

Chemotherapy Painkillers High-calorie foods

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Prognosis of liver cancer

Depends on the stage of the cancer and the condition of the liver.

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How can I prevent liver cancer?

Some risk factors for liver cancer are preventable.

  • Hepatitis B

  • Alcohol consumption

  • Overweight

  • Smoking

Vaccinate against
Hepatitis B virus
Limit alcohol
consumption

Keep weight in
a healthy range
Quit smoking

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Outcome of Thomas' Story

Thomas chooses surgical removal of the tumors.

Follow-up appointments have showed that the cancer is gone.

Healthier lifestyle now by:

Quitting smoking

Reducing alcohol

Exercising regularly



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