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Liver Cancer

Surveillance for at-risk patients — early detection is what makes treatment possible.

Overview

Liver cancer most commonly arises in patients who already have liver disease — cirrhosis, chronic hepatitis B or C, or advanced fatty liver disease. Early-stage liver cancer has no symptoms, which is why structured surveillance every six months is essential for at-risk patients. Caught early, liver cancer is treatable and sometimes curable.

Common symptoms

  • Often no symptoms in early stages — surveillance is the key
  • Unintentional weight loss and loss of appetite
  • Discomfort or pain in the upper right abdomen
  • Yellowing of skin and eyes (jaundice)
  • Worsening fatigue
  • New ascites or abdominal swelling

When to see a doctor

If you have cirrhosis, chronic hepatitis B or C, or advanced fatty liver disease, regular 6-monthly screening is essential — even when feeling well. Any new symptoms in someone with known liver disease deserve prompt review.

How we help

We provide structured surveillance for at-risk patients — ultrasound and alpha-fetoprotein every six months. When a suspicious lesion is found, we coordinate further imaging (triple-phase CT or MRI) and biopsy when needed. Treatment depends on the stage: small early-stage cancers are often curable with ablation, resection, or transplant; we coordinate referrals to surgical or interventional oncology. For advanced disease, modern systemic therapies have meaningfully improved outcomes.

This is general information, not a substitute for medical advice. For guidance specific to your case, please consult Dr. Ch. Saikumar or another qualified specialist.

Patient questions

Liver Cancer — common questions

Answers to the questions we hear most often about liver cancer.

Who is at risk for liver cancer?
Patients with cirrhosis, chronic hepatitis B or C, or advanced fatty liver disease. Almost all liver cancers arise in patients with one of these underlying conditions — surveillance is what catches them early enough to cure.
How is liver cancer detected early?
6-monthly ultrasound and alpha-fetoprotein (AFP) blood test for all at-risk patients. Catching small lesions early is what makes treatment effective — and often curative in early stages.
Is liver cancer treatable?
Yes — small early-stage cancers are often curable with ablation, surgical resection, or liver transplant. For advanced disease, modern systemic therapies (TKIs and immunotherapy) have meaningfully improved survival.
Should I get screened if I don't have liver disease?
For most healthy adults, no — liver cancer in healthy livers is rare. Screening targets those at risk: cirrhosis, hepatitis B carriers, hepatitis C history, advanced fatty liver disease, and family history.