Liver Tumor Testing: Genetic Risks and Advanced Screening Options - Oncology

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Regarding liver tumor testing?


Hello, many of my mother's relatives have passed away due to liver cancer, including my grandmother and three uncles.
Recently, my aunt was also diagnosed with a liver tumor.
My mother has been undergoing regular check-ups, but she was recently found to have a shadow on her liver.
The doctor has not yet confirmed whether it is a tumor and further tests are needed.
Is this situation coincidental, or could it be related to a hereditary genetic predisposition to liver cancer? I heard that your hospital has equipment that can confirm whether it is a tumor without the need for a biopsy, just through imaging.
What is the correct name for this type of examination, and how can it be arranged?

shayna, 30~39 year old female. Ask Date: 2005/08/14

Dr. Fan Sheng reply Oncology


Shayna: Based on your description, it is possible that your family may have developed familial liver cancer due to vertical transmission of hepatitis B (from mother to child).
Current diagnostic tools such as ultrasound, computed tomography (CT), and angiography, combined with liver cancer biomarkers in the blood, provide a highly reliable accuracy for diagnosing liver cancer.
However, to achieve a definitive diagnosis, a liver biopsy is still necessary.
This is also the case in our hospital.
It is advisable not only for your mother but also for your siblings and yourself to be tested for hepatitis B virus (HBV) infection.
If positive, it is essential to have liver cancer biomarkers and ultrasound examinations every four months for safety.

Reply Date: 2005/08/14

More Info


Given your family's history of liver cancer, it is understandable to be concerned about the potential genetic risks and the implications for your mother's health. The pattern of liver cancer in your family, particularly with multiple relatives affected, raises the possibility of hereditary factors contributing to this risk. While environmental factors, such as exposure to hepatitis viruses (especially Hepatitis B and C), alcohol consumption, and obesity, are significant contributors to liver cancer, genetic predisposition can also play a role.
In families with a history of liver cancer, it is essential to consider genetic testing and counseling. Certain genetic mutations can increase the risk of developing liver cancer, and understanding these risks can help in making informed decisions about screening and preventive measures. For instance, individuals with hereditary hemochromatosis, a genetic condition that causes excessive iron accumulation in the body, are at a higher risk for liver cancer.
Regarding the advanced screening options available, you mentioned a non-invasive test that can determine the presence of a tumor without the need for a biopsy. This test is likely referring to a type of imaging study, such as a contrast-enhanced ultrasound, magnetic resonance imaging (MRI), or computed tomography (CT) scan with specific protocols designed for liver lesions. These imaging modalities can provide detailed information about liver lesions and help differentiate between benign and malignant tumors based on their characteristics.
One of the most promising advancements in liver cancer screening is the use of elastography, which measures liver stiffness and can indicate fibrosis or cirrhosis, conditions that significantly increase the risk of liver cancer. Additionally, serum biomarkers such as alpha-fetoprotein (AFP) are commonly used in conjunction with imaging studies to assess the risk of hepatocellular carcinoma (HCC), the most common type of primary liver cancer.
To proceed with testing, your mother should consult her healthcare provider to discuss the most appropriate imaging studies based on her current condition and family history. If a liver lesion is detected, further evaluation may include follow-up imaging or a biopsy if necessary.
In summary, given your family's history of liver cancer, it is crucial to maintain regular screenings and consider genetic counseling. Advanced imaging techniques can provide valuable insights into liver health and the presence of tumors, allowing for timely intervention if needed. Always consult with a healthcare professional to determine the best course of action tailored to your mother's specific situation.

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