The symptoms of advanced liver cancer
Specific symptoms of advanced liver cancer is what?
Answer:
Liver cancer clinical performance
Liver cancer symptoms
Onset of liver cancer compared to hide, in general there is no early symptoms, patients with obvious clinical symptoms, the disease often has been late in the fall. Typical symptoms of liver cancer incidence is basically the same coverage at home and abroad, the first symptom of liver to pain the most common, followed by the abdominal mass. Nacha, fatigue, weight loss, unexplained fever, diarrhea, abdominal pain. Sore right shoulder, and so on. Some patients with liver cirrhosis showed some complications, such as black then, hematemesis. Jaundice, and so on. As a result of a small number of patients with metastatic symptoms were caused by the hospital, many of these symptoms are not specific characteristics. The following principal on some of the common symptoms of liver cancer to make a presentation.
1. Liver pain
The vast majority of patients with advanced liver cancer to the liver pain as the first symptom, the incidence of more than 50%. Liver pain in general at the Department of Youlei Xiphoid or, for the intermittent nature of the pain or persistent abdominal pain. It’s a dull pain or tingling, pain before a period of time, the patient may feel right upper quadrant discomfort. When the pain can be heavy or light when the short-term to ease. Pain is the main cause of the rapid increase tumor, liver coated oppression, resulting in pain stretch, but also can stimulate tumor-necrosis of the liver caused by envelope.
A small number of patients spontaneously in the liver or liver puncture after a sudden severe pain area, is located in the liver as a result of cancer nodules on the surface due to bleeding. At the same time, if accompanied by decreased blood pressure, shock performance, abdominal puncture liquid-minded, the cancer nodules that serious bleeding. In such cases the need for emergency rescue. If not associated with the above symptoms, which has a limited pain, bleeding showed that the liver is located under the envelope. Pain may be due to different parts of the tumor growth and change at the left lobe of the tumor, often caused by pain in the upper; located in the right lobe of the tumor, pain in the right quarter of the ribs; tumor involving every cross, right shoulder pain to radiation Or right back, shoulder easily be mistaken for arthritis; tumor located in the right lobe of the latter, in some cases can cause low back pain; liver tumor is located deep in real terms, generally very little pain.
2. Gastrointestinal symptoms
Decreased appetite, abdominal fullness after a meal. Heating gas, indigestion, nausea, such as liver cancer is a common gastrointestinal symptoms, including loss of appetite and abdominal distension to the most common. Diarrhea is also a liver cancer is more common symptoms of the digestive tract, at home and abroad have reported a higher incidence of easily mistaken for chronic enteritis. Or hepatic portal vein tumor thrombus caused by portal hypertension and intestinal disorders may be caused by abdominal distension, increased frequency of stool, abdominal distension can also be caused as a result of ascites. Gastrointestinal disorders can also cause indigestion, gas heating, nausea and other symptoms.
3. Fever
A significant portion of patients with liver cancer will be sweating, fever. The majority of low-grade fever for fever, for a small number of patients with high fever, in more than 39 ℃, in general without shivering. Liver cancer for more than the heat of heat because of tumor necrosis after the release of pyrogen into the blood circulation caused by people. Cancer patients because of low resistance, it is easy to infection may also develop fever, liver cancer and cancer-induced fever and sometimes difficult to distinguish, as required combination of blood and to observe the effectiveness of antibiotic treatment can be determined.
4. Thin weak
Patients with liver cancer than other cancer patients often feel more fatigue, and this is similar to patients with chronic hepatitis. The unexplained fatigue may be due to digestive disorders, nutrition, energy absorbing barriers lead to inadequate or damaged liver cells, liver function, metabolism makes, some of the toxins can not be inactivated in a timely manner, due to liver necrosis, or the release of toxic substances. Weight is a common symptom in patients with liver cancer, liver function due to damage. Digestion and absorption due to decreased function. As the disease progresses, the degree of weight loss can be increased when severe cachexia.
5. Bleeding tendency
Liver cancer in patients with bleeding gums often, Gray, and other bleeding tendency, mainly due to liver damage caused by abnormal clotting function, cirrhosis of the liver in patients with more common. Gastrointestinal bleeding is more common, mainly due to portal hypertension caused by lead to esophageal varices. In fact, is also a cause gastrointestinal bleeding in patients with liver cancer is the main cause of death.
6. Lower limb edema
Ascites in patients with liver cancer, often of lower extremity edema, who took place in light ankle, and severe cases can spread to the entire lower limb. Clinically, some patients have seen a high degree of lower extremity edema, water seeping liquid from the thigh skin. Lower extremity edema caused by ascites is the main reason for oppression or venous thrombosis obstruction, so that the venous obstruction. Mild edema can also be caused as a result of low serum albumin.
7. Abdomen
Cancer nodules are usually caused by the breakdown of liver pain, physical examination when there are obvious areas of liver tenderness, in order to stimulate the liver capsule symptoms. Some cancer patients with nodular rupture, acute abdominal pain, accompanied by peritoneal irritation, easily misdiagnosed as acute peritonitis. Nodular cancer caused by the rupture of abdominal pain usually associated with decreased blood pressure, shock and even the performance of the different general acute peritonitis.
Signs of liver cancer
1. Hepatomegaly
As the number of primary liver cancer in chronic hepatitis, cirrhosis on the basis of the growth would come As a result, many patients with chronic liver disease and cirrhosis are often some of the signs, such as the face of chronic liver disease, liver palms, hemorrhoid spider , Wall Varices weak. Male breast development, such as lower extremity edema, in addition, patients with liver cancer can also occur following special signs.
Progressive hepatomegaly liver cancer is the most common signs, about 90% of patients on their own because of the palpable abdominal mass before the treatment. Part of the liver in patients with diffuse swelling of the liver do not. Right lobe of liver cancer at nearly every surface, every muscle can Shangtai, restricted activities, liver upper bound on the move, but the tumor was not palpable; cancer are located in the lower segment leaves, often direct and palpable swelling Block; leaf mass at the left, in the next Xiphoid and their mass. Palpation of the liver, when more hard texture, smooth surface, with or without a sense of nodules, relatively sharp edge of the liver. A small number of large liquefaction necrosis occurs when the tumor mass softened texture.
2. Ascites
Ascites is a common sign of advanced liver cancer, mainly due to chronic liver damage so that the albumin synthesis to reduce or doors, and other high-pressure static reasons. Ascites is generally yellow and difficult to be found in cancer cells. For a small number of bloody ascites, and more bloody ascites due to bleeding caused by cancer nodules, is the diagnosis of liver rupture of the main evidence. At the same time, if patients with acute pain, decrease blood pressure, liver rupture can be diagnosed immediately. Part of the bloody ascites tumor cells that can cause abdominal off planting due to the transfer, this time easily found ascites in cancer cells. If ascites in patients with lower extremity edema at the same time, he has to consider the inferior vena cava obstruction.
3. Jaundice
Jaundice is a common sign of advanced liver cancer, liver cancer and diffuse bile duct cancer cells appeared most vulnerable to jaundice. Jaundice and more pressure as a result of bile duct cancer or bile duct invasion were caused by bile duct obstruction can also be a result of the transfer of hilar lymph nodes oppression caused by bile duct. A small number of cases of liver cancer patients as a result of growth within the organization to the bile duct, bile duct blockage mass will cause obstructive jaundice.
Violations of the bile duct carcinoma may have the following ways: directly to the tumor-infiltrating into the intrahepatic bile duct; human cancer cells to invade vein or lymphatic vessel, common hepatic duct retrograde intrusive; tumor cells along the nerve endings of human space invasion hepatic duct. Tumor cells into the intrahepatic bile duct, common bile duct obstruction or to continue to grow off of the mass of people into the bile duct caused by packing. When tumors appeared obstructive jaundice side of the liver, can be accompanied by Pi Fuyang, were intermittent clay color stool, loss of appetite, a small number of patients for the performance of the right upper quadrant cramps, chills, fever, jaundice, very few people appear severe cholangitis Symptoms. Patients with liver cancer associated with clinical obstructive jaundice is not uncommon, but there is no unique clinical features, so a higher rate of clinical misdiagnosis may be as high as 75%. Chronic liver disease in patients with obstructive jaundice, we should think of the possibility of liver cancer. Some of the patients with jaundice may also be due to liver function due to damage, such as jaundice and liver protection rule, jaundice can be part of the mitigation, and jaundice caused by cancer, liver treatment of jaundice subsided null and void.
4. Splenomegaly
In patients with liver cirrhosis and more on the basis of the occurrence, so some of the patients with splenomegaly. Simply because of a rare liver cancer caused by splenomegaly, mainly due to tumor metastasis to the spleen, can also be a result of people into the splenic vein thrombosis so that the spleen embolism caused by congestion, swelling.
5. Hepatic vascular area noise
Some of the great oppression of liver cancer can be distorted or hepatic artery or abdominal artery, leading to the liver area hair-like blood vessels noise, which is the special signs of liver cancer. Vascular murmur of the reported low incidence of domestic, foreign and reported higher.
6. Budd-Chiari syndrome
7. Carcinoma syndrome
Complications of liver cancer
As common complication of gastrointestinal bleeding, liver nodules rupture, hepatic encephalopathy, bloody ascites, cancer and infection-induced fever, liver and kidney syndrome, biliary tract bleeding, and so on.
