LIVER CANCER LDH

Increase WBC, low RBC

A rare form of cancer with a high mortality rate Hypoglycemia
90% arise from the liver parenchymal cells Hypercholesterolemia
Hepatojugular reflux sign
Some originate from the intrahepatic bile duct Serum albumin
AFP
Risk Factors Liver scan, USD, CT, MRI, PET scan
A Needle biopsy
L Increased Serum Ammonia
C Serum Crea, BUN
O
H MANAGEMENT
O 1. SURGERY
L
TYPES OF SURGERY:
Aspergillus flavus LOBECTOMY
CRYOSURGERY
Types of Primary Tumor: LIVER TRANSPLANT
Hepatocellular CA
Cholangiocellular CA 2. Chemotherapy

Signs & Symptoms 3. Radiation Therapy

Abdominal mass, RUQ pain, jaundice, anemia
CA signs
4. Transcatheter chemoembolization
Portal hypertension, ascites, esophageal varices

Diagnostics
Serum Bilirubin
Alkaline Phosphatase
SGOT/ AST
SGPT/ ALT