2023-08-05 04:15:00
Keypoints :
incidentliver cancerand the bile ducts in the country, it was found to be number 1 in males and number 3 in females, found more than 20,000 new cases per year, regarding 15,000 deaths per year.liver cancer It’s not just regarding drinking alcohol only. but also caused by virus and fungi found in nuts, dried chilies, abnormalities that should see a doctor Which risk groups should be screenedliver cancer Warning signs The symptoms of each patient may be different. There are 5 stages of liver cancer.
from whichChuvit was sick. which referred to himself that he was ill with stage 3 liver cancer and might live for regarding 8 months.liver cancerIt is considered the number 1 cancer in males.
Liver cancer in Thai men is the number 1 patient.
In Thailand, liver and bile duct cancer is the number 1 cancer in males and number 3 in females, according to the Thailand Cancer Registry in 2018. It was found that there were 22,213 new liver cancer patients/year, of which there were deaths. 15,650 lives/year (Cancer in Thailand Vol.X (2016-2018) National Cancer Institute and Public Health Statistics, 2021)
There are 2 types of liver cancer that are most common in Thailand: hepatocellular carcinoma and bile duct cancer. It is mostly found in the Northeast and the North.
Factors – people at risk of liver cancer
Most of the causes of liver cancer are caused by carriers of the hepatitis B virus. As for the cause of bile duct cancer, it is caused by liver flukes together with eating foods that contain saltpeter (nitrate) and nitrite, such as pla ra, pla chom, som naem fish, etc.
important risk factors and risk groups that should be screened for liver cancer are:
1. Hepatitis Most 75-80% of liver cancer cases occur in patients infected with hepatitis. 50-55% of them are infected with hepatitis B virus and 25-30% are infected with hepatitis C virus.Hepatitis BThe risk of developing liver cancer is 100-400 times higher than those who are not carriers.
2. have cirrhosis
3. Alcohol Studies have shown that drinking 41-80 grams of alcohol per day increases the risk of liver cancer by 1.5 times.
Those who drank more than 80 grams of alcohol per day had a 7.3 times higher risk compared to nondrinkers or those who drank less than 40 grams of alcohol per day. stop drinking
4. Aflatoxin Aflatoxin is caused by some types of fungi. Found in foods such as beans, corn, dried chili, etc., those found to have aflatoxin There will be a risk of liver cancer 5.0-9.1 times compared to those who do not detect the substance in the body.
Risk groups that should be screened
1. Both female and male cirrhosis patients The incidence of liver cancer is as high as 1-4% per year.
2. Patients with chronic hepatitis caused by hepatitis B virus. or those who have been infected with hepatitis B since birth or childhood and no cirrhosis But there is a high risk of developing liver cancer in males over 45 years old and women over 50 years old or having a family history of liver cancer.
3. Chronic hepatitis C patients Including patients who have been cured.
Warning signs of liver cancer
Each liver cancer patient may show different symptoms. There are generally no symptoms in the early stages.
The most common symptoms were anorexia, abdominal distension, flatulence on a regular basis, fatigue, weight loss, and ascites. Pain or stiffness in the right ribcage A lump may be found in the abdomen. yellow body, yellow eyes, enlarged stomach, and swelling in both legs, etc.
If you have any of these symptoms, you should consult a doctor. to receive diagnostic tests, such as blood tests to look at liver function abnormalities Alpha-fetoprotein level assay an ultrasound to look at the lumps in the liver computed tomography or magnetic resonance examination, etc.
liver cancer treatment
liver cancer Can be divided into 5 phases as follows
Stage 1: Cancer is a single small tumor, no more than 2 centimeters in size. If detected at this stage, you can feel comfortable because it is not difficult to treat.
Stage 2: no more than 3 cancerous tumors, smaller than 3 centimeters in size, is a stage that can be completely cured
stage 3 multiple cancerous masses The size is bigger than stage 2 cancer, which Chuwit was sick. in this range, as revealed by the person
Stage 4 The cancerous mass is very large. spread to tissues adjacent to the liver or into the veins in the stomach or to the lymph nodes near the liver or spread through the bloodstream Including spreading to other organs At this stage, surgery is required.
Phase 5 is the phase where the patient’s health deteriorates greatly. Sleep in bed most of the time The liver will work very badly.
There are several treatments for hepatobiliary cancer, which need to be evaluated by a medical professional to suit each patient. Because there are many factors to consider.
1. Surgery
2. Direct injection of cancer drugs in patients with early stage cancer
3. Chemotherapy injections or substances blocked into the arteries to feed the cancer
4. Use of chemical drugs Most of them are treatments to relieve symptoms.
How to prevent liver cancer
Hepatitis B vaccination in all newborns do not eat raw freshwater fish Modify lifestyle and health behaviors Eat the right diet according to nutritional principles. Avoid foods that contain carcinogens, such as foods that may be contaminated with aflatoxin. food containing saltpeter and fermented foods quit smoking choose to drink alcohol stop chewing betel nut regular exercise, etc.
If there is a suspicion of liver cancer risk, a doctor should be consulted for a diagnosis. Especially patients with a history of hepatitis or chronic cholangitis. You should get regular cancer screenings. It will help to get timely treatment and reduce the death rate from liver cancer or bile duct cancer.
refer :
Shaki Cancer Institute, Department of Medical Services, Ministry of Public Health
Faculty of Medicine Songkhla Nakarin Hospital
Phayathai Hospital
1691211442
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