Hepatocellular Carcinoma (Liver Cancer)
A focused multidisciplinary team including a Liver surgeon, hepatologist, interventional radiologist and medical oncologist is important for the comprehensive management of HCC patients.
Surgical resection through either partial or total liver resection (i.e. liver transplant)
Less invasive procedures aimed at physically or chemically destroying the tumour by Percutaneous route and
Systemic or regional chemotherapy. Patient eligibility for treatment depends on the stage of the disease and the status of liver function.
Liver Transplant
A variety of liver diseases can lead to end-stage liver disease. There are generally two main categories: those cases caused by viruses (Hepatitis B and C) and/or alcohol and those caused by problems concerning the bile ducts (primary biliary cirrhosis and primary sclerosing cholangitis). There are other causes of end-stage liver disease, but they are less frequent.
Acute fulminant hepatic failure is also an indication for transplant in selected cases.
Liver transplantation is obviously the most attractive therapeutic option for HCC in selected cases.
Pancreas
The pancreas is a spongy, tube-shaped organ about 6 inches long. It is located in the back of the abdomen, behind the stomach. The head of the pancreas is on the right side of the abdomen
It is connected to the duodenum, the upper end of the small intestine. The narrow end of the pancreas, called the tail, extends to the left side of the body.
The pancreas makes pancreatic juices and hormones, including insulin. Pancreatic juices, also called enzymes, help digest food in the small intestine. Insulin controls the amount of sugar in the blood.
Liver Transplantation for Hepatocellular Carcinoma
The surgical resection and local ablation techniques are routinely used for the local control.
HCC is frequently multiple and its hypervascularity increases its propensity for hematogenous spread. The screening of high risk group helps detection of HCC early.
HCC therefore is a major cause of death in high endemic areas of hepatitis B Virus(HBV) and Hepatitis C virus(HCV) infection.
HCC therefore is a major cause of death in high endemic areas of hepatitis B Virus(HBV) and Hepatitis C virus(HCV) infection.
