Diffuse Liver Cancer: Risks and Differences from Common Liver Cancer - Oncology

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What is diffuse liver cancer?


I heard that a doctor in Qianzhen died from diffuse liver cancer.
Is the number of people affected by diffuse liver cancer in Taiwan high? How does it differ from general liver cancer? I am a carrier of hepatitis B; am I considered a high-risk group? Thank you.

romaleo, 20~29 year old female. Ask Date: 2005/09/15

Dr. Chen Sirong reply Oncology


Hello, diffuse liver cancer is a type of liver cancer where cancer cells do not form a "tumor-like" structure but instead spread diffusely.
It can sometimes be difficult to detect via ultrasound, leading to a possibility of misdiagnosis.
Generally, patients with this type of cancer have a worse prognosis compared to those with nodular liver cancer, potentially due to the challenges in diagnosis and delayed detection.
Hepatitis B carriers have a 100 to 200 times higher chance of developing liver cancer compared to non-carriers, so regular monitoring is essential.
This includes not only blood tests to assess liver function but also checking for alpha-fetoprotein and arranging abdominal ultrasound examinations.
Sincerely, Dr.
Chen Zhi-Ping.

Reply Date: 2005/09/15

More Info


Diffuse liver cancer, also known as infiltrative liver cancer, is a subtype of liver cancer characterized by the spread of cancer cells throughout the liver tissue rather than forming a distinct tumor mass. This type of cancer can be particularly challenging to diagnose and treat due to its diffuse nature, which often leads to late-stage detection. In Taiwan, the incidence of diffuse liver cancer is not as well-documented as that of more common forms of liver cancer, such as hepatocellular carcinoma (HCC). However, it is recognized that patients with chronic liver diseases, particularly those with hepatitis B and C infections, are at a significantly increased risk for developing various forms of liver cancer, including diffuse types.

The primary difference between diffuse liver cancer and typical liver cancer lies in the presentation and progression of the disease. In typical liver cancer, tumors can often be identified as discrete masses on imaging studies, making them easier to target for surgical intervention or other treatments. In contrast, diffuse liver cancer may not present as a clear mass, which complicates diagnosis and often results in a poorer prognosis. Patients with diffuse liver cancer may experience more severe symptoms earlier in the disease process due to the widespread infiltration of cancer cells, which can lead to liver dysfunction.

As a hepatitis B carrier, you are indeed considered part of a high-risk group for liver cancer. Studies indicate that individuals with chronic hepatitis B infection have a 100 to 200 times higher risk of developing liver cancer compared to those without the infection. Regular monitoring through blood tests to check liver function, as well as imaging studies like ultrasound or MRI, is crucial for early detection of any liver abnormalities, including cancer. Additionally, monitoring for alpha-fetoprotein (AFP) levels can be an important part of screening for liver cancer in high-risk populations.

Given the complexity of diffuse liver cancer and its association with chronic liver diseases, it is essential for individuals at risk to engage in regular medical follow-ups. This includes not only routine blood tests but also imaging studies to monitor for any changes in liver structure or function. If you have concerns about your health or the health of your family members, it is advisable to consult with a healthcare provider who specializes in liver diseases. They can provide personalized recommendations based on your medical history and current health status.

In summary, while diffuse liver cancer may not be as prevalent as other forms of liver cancer, it poses significant risks, especially for individuals with chronic hepatitis B. Understanding the differences between diffuse liver cancer and typical liver cancer can help in recognizing the importance of early detection and treatment. Regular monitoring and proactive healthcare measures are crucial for managing your health and mitigating the risks associated with liver cancer.

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