Hepatic System: Liver Cancer Flashcards

1
Q

What are the dx tests for liver cancer?

A
  • CT/MRI

* Liver biopsy

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2
Q

What are the non-surgical tx for liver cancer?

A
  • Ablation (burn/freeze)
  • Percutaneous radiofrequency ablation
  • Chemotherapy/Radiation
  • Transarterial chemoembolization
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3
Q

What is Transarterial chemoembolization

A
  • A procedure that places chemotherapy and synthetic materials called embolic agents into a blood vessel feeding a cancerous tumor to cut off the tumor’s blood supply and trap the chemotherapy within the tumor.
  • It is most often used to treat liver cancer
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4
Q

What type of hepatitis increases risk of liver cancer?

A

• Hep B

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5
Q

How often should the liver cancer pt have a check up?

A

• Every 6mos to 1yr

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6
Q

What is the recommended diet for liver cancer pts?

A
  • Moderate carbs
  • Low fat
  • High protein, unless cirrhotic, in which case low protein
  • Low glycemic index foods to manage insulin
  • Organic vegetables
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7
Q

Why should a liver cancer not eat raw fish?

A

• Hep A can sometimes come from fish

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8
Q

Why should the liver cancer pt be careful of Chinese remedies?

A

• Herbs can be toxic

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9
Q

What are the preicteric phase s/s of early liver cancer?

A
  • Mild fever/ HA
  • Fatigue/muscle aches
  • Poor appetite
  • N/V/D
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10
Q

What are the icteric phase s/s of late liver cancer?

A
  • Dark urine
  • Pale feces
  • Abdominal pain
  • Jaundice
  • Itching
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11
Q

What is a surgical tx for liver cancer?

A

• Transplant

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12
Q

True or False

The liver is the only organ that regenerates

A

• True

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13
Q

How long does it take for the liver to regenerate?

A

• 2-6 months

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14
Q

Why are highly skilled doctors sought for liver transplants?

A

• The surgery has very complicated connections and success will greatly depend on skill of surgeon

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15
Q

Why will liver transplant recipients be required to be on immunosuppressants for the rest of their lives?

A

• Because of the high risk for rejection of the transplant

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16
Q

Which lobe of the liver is used for adults and which for kids?

A
  • Left = kids

* Right = adults

17
Q

What determines how much and which part of the liver is donated?

A

• Size and age

18
Q

Mycophenolate mofetil (Cellcept), cyclosporine (SandIMMUNE), tacrolimus (Prograf), prednisone, and azathioprine (Imuran) are all _____ used to prevent _____.

A
  • Immunosuppressants

* Liver transplant rejection