know the symptoms and causes of liver cancer in the body


know the symptoms and causes of liver cancer in the body



Generally, liver cancer patients in the early stages do not feel the symptoms are meaningful. New symptoms will be seen clearly at an advanced stage. However some of the following symptoms can be cautioned as symptoms of liver cancer:

     Feeling very tired and limp
     Stomach ache
     Itchy
     Liver organs swell
     Feeling nauseous and vomiting
     Ascites or fluid buildup in the stomach. The abdomen looks swollen.
     The limbs swell due to fluid accumulation.
     Weight loss without cause
     The skin and whites of the eyes are yellowing
     Urine is dark
     The stool is white like chalk

The symptoms above are common and not always a marker of liver cancer, but still better to do the examination. Try consulting your doctor if you have one or more of the above symptoms including people who have had cirrhosis or are infected with hepatitis.


The cause and how changes in cells in liver cancer can not be determined. However, the risk of liver cancer seems to increase with liver damage, such as cirrhosis. However, not all cases of cirrhosis will lead to liver cancer.

The link between cirrhosis and liver cancer

Liver cancer is closely related to cirrhosis, which occurs in the formation of scar tissue in the liver. In the state of cirrhosis, the normal liver tissue is replaced by scar tissue so the liver becomes hardened. As a result of cirrhosis, liver function begins to decline. Keep in mind that not all patients with cirrhosis will develop liver cancer.


In a developing country such as Indonesia, cirrhosis is commonly caused by hepatitis B and C. viral infections. In addition, cirrhosis can also be caused by non-alcoholic fatty liver disease, excessive alcohol consumption, and autoimmune disease.

Hepatitis B virus infection

Hepatitis B is a virus that spreads through contaminated blood. In addition the virus is also spread through other body fluids such as saliva, semen, and vaginal fluids. Some people with hepatitis B suffer the same symptoms as those with liver cancer and are at risk of widespread scarring of the liver. The scar is the liver tissue that forms when normal and soft tissue undergoes wounding.

Ethnic factors are thought to affect the potential risk of hepatitis B infections developing into liver cancer. Asians who are infected with hepatitis B have a higher risk of above average liver cancer, regardless of whether they also have liver cirrhosis or not. As with other hepatitis B patients, their risk for liver cancer only increases if they also have cirrhosis or other liver diseases such as hepatitis C. The combination of smoking and hepatitis B increases the risk of developing liver cancer higher.

Hepatitis C infection

In the long run, people with hepatitis C can experience inflammation and damage to the liver. If you are a person with hepatitis C, keep yourself away from cigarettes. People with hepatitis C who smoke more at risk of liver cancer later in life.

Indonesia is one of the countries with the highest rates of hepatitis C in Southeast Asia. One of the methods of spread of hepatitis C in Indonesia is the use of contaminated needles.

Non alcoholic fatty liver disease

The exact cause of non-alcoholic fatty liver disease (non-alcoholic fatty liver disease) remains unclear. However, this disease is often associated with obesity and type 2 diabetes.

Non-alcoholic fatty liver is a common condition and does not cause obvious symptoms in most sufferers. The fats that accumulate in the liver tissue cause this disease.

But in some people, the buildup of fat in high levels can cause inflammation of the liver. Over time this inflammation will cause scarring of the liver.

Due to bad liquor

Other than other organs, the liver is an organ with strong resistance. This is because the liver cells are able to regenerate after an injury.

Every time you consume liquor, this powerful and soft organ will filter out harmful substances in the alcohol from your blood. This filtering causes some liver cells to die.

The liver cells are indeed able to regenerate making new cells. But how strong is this organ, excessive consumption of alcohol and in the long run can damage the liver permanently. If you continue to consume excessive liquor for years, your heart will lose the ability to regenerate.
Factors from Other Risks

Liver cancer is also triggered by several other factors as follows:

Autoimmune hepatitis

This rare genetic condition arises when the immune system or the body's natural resistance that normally attacks infections actually attacks healthy liver cells. The risk of autoimmune hepatitis against liver cancer is smaller than patients with cirrhosis or other liver disorders.

Primary biliary cirrhosis

The underlying cause of primary biliary cirrhosis remains unknown. This disease attacks the bile ducts, the pipelines that function to drain the bile into the digestive system. Damage to the bile duct later leads to bile buildup in the liver. This buildup damages the organ and causes cirrhosis. About 5% of patients with advanced biliary tract cirrhosis are expected to develop liver cancer in the future.

Hemochromatosis

About ten percent of people with cirrhosis due to hemokromatosis have liver cancer. Hemochromatosis is a genetic condition when the body stores too much iron absorbed from food. The accumulating iron eventually reaches levels that poison and damage the liver.

Diagnosis of Liver Cancer

People who are more at risk of developing liver cancer need to undergo periodic checkups. Convey the symptoms you feel and when you begin to feel it to the doctor. If it is necessary to require further examination, your doctor will refer you to a specialist.

A number of investigations may be necessary, one of which is to ascertain whether there are cancer cells in the liver and whether they come from other organs (primary liver cancer) or primary liver cancer. In addition, the examination was done to find out how big the lump of cancer in the liver and how large the area of spread. It is necessary to know at what stage the patient is located. Thus the doctor will get an idea of the condition and function of the liver, its effect on the health of the patient, and to decide the right handling.

Generally, you will undergo the following checks:
Monitoring for Intensive Liver Cancer Detection

If you belong to a group of people who are at high risk of developing liver cancer such as cirrhosis patients, it is advisable to perform periodic checks every six months.

The examination is usually through two stages, namely blood tests and ultrasonography (USG). Blood tests serve to detect the presence or absence of a protein in the blood called alpha fitoprotein (AFP). More than half of people with primary liver cancer produce this protein in their blood. In addition, ultrasonography or ultrasound is performed to determine abnormalities in the liver.
Further Investigation

In addition to ultrasound and AFP detection via blood tests, doctors may use various other investigations for the diagnosis of liver cancer, namely:

    MRI (Magnetic Resonance Imaging). Taking a look at your liver organ using magnetic fields and radio waves.
    CT scan. Your heart organ will be photographed with special X-rays.
    Biopsy. Your liver tissue sample will be taken with a needle. This example will then be tested in the laboratory to detect cancerous cells.
    Laparoscopy. Run by making a small stroke on the abdomen so that a flexible camera called endoscopy can be inserted to check your heart. The test is run with total anesthesia.

However, you may not need to use any type of test to confirm the diagnosis.
Stages of Development of Liver Cancer

The rating system Barcelona Clinic Liver Cancer (BCLC) divides the five stages of development of liver cancer as follows:

Stage o: the patient is still in good health and his heart is functioning well, but there are tumors less than 2 cm in diameter.

Stage A: the patient is in good health and his heart is functioning normally. But it has grown a tumor less than 5 cm in diameter, or there are three or more tumors with a diameter of less than 3 cm.

Stage B: There are several tumors in the liver, but it has no effect on the liver function.

Stage C: the cancer has begun to spread into the blood vessels, into the surrounding lymph nodes or other body parts. The person's body is not very healthy and the function of his heart does not work so well.

Stage D: People begin to show symptoms of late stage of liver disease, such as fluid accumulation in the stomach. The heart has lost most of its functional abilities.

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