Will Hepatitis B with e-antigen positive develop into liver cancer?

Written by Ye Xi Yong
Infectious Diseases
Updated on September 21, 2024
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A small portion of patients with hepatitis B major yang can develop into liver cancer, but this development process is generally long. Primary liver cancer is currently the fourth most common malignant tumor in China, and the third leading cause of tumor death, seriously threatening the lives and health of our people. Primary liver cancer includes three types, of which hepatocellular carcinoma accounts for more than 85% to 90%. A large part of patients with primary liver cancer in China, most of whom have a background of chronic hepatitis B and cirrhosis.

Other Voices

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Written by Sun Wei
Surgical Oncology
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What can people with primary liver cancer eat?

Primary liver cancer, commonly referred to as liver cancer, is a type of malignant tumor of the digestive system. As for diet, there are generally no specific prohibitions. However, it is recommended to stick to a light and easily digestible diet. High-protein foods and high-quality proteins, such as fish, eggs, and protein powder, are very good options. It is best to avoid spicy, pickled, smoked, or grilled foods, as these are not conducive to health. Also, any food that is clearly moldy should definitely be avoided. The main causes of primary liver cancer include infection with aflatoxin and contaminated drinking water, which are two main causes of primary liver cancer. Other causes, like hepatitis virus infections, are also major contributors to primary liver cancer.

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Written by Cui Fang Bo
Oncology
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What should I do if I have liver cancer and a fever of 38 degrees Celsius?

Liver cancer patients experiencing a fever of 38°C can be seen in the following scenarios: The first type is tumor-related fever. In liver cancer patients, especially those in the advanced stages or with large tumors, a fever of around 38°C can occur in the absence of infection symptoms. This tumor fever is related to various mediators released into the blood by the tumor. The second type is infectious fever. Cancer patients undergoing anti-tumor treatment may experience immunosuppression and concurrent infections. This type of fever often exceeds 38.5°C but can also occur around 38°C in the early stages, often accompanied by symptoms of infection such as coughing, sputum production, abdominal pain, and diarrhea. The third type is treatment-related fever. Patients with liver cancer may experience a fever of around 38°C on the day of and several days following interventional treatments.

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Written by Liu Liang
Oncology
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How is liver cancer diagnosed?

In clinical practice, if a patient has a history of chronic hepatitis B and imaging tests, such as an enhanced CT or MRI of the liver, suggest a radiological appearance of liver cancer, combined with an AFP level greater than 400 persisting for four weeks, these conditions can support a clinical diagnosis of liver cancer. However, for a confirmed diagnosis, a liver biopsy guided by ultrasound or CT must be performed. The definitive diagnosis of liver cancer relies on identifying cancer cells through pathological examination.

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Written by Liu Liang
Oncology
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What are the early symptoms of liver cancer?

The early symptoms of liver cancer lack specificity, so in clinical practice, early-stage liver cancer is generally detected only during routine screenings or physical examinations. By the time patients present with noticeable symptoms and seek medical attention, the cancer is often in the intermediate or advanced stages, making surgical removal unlikely for most patients. The early symptoms might include non-specific signs such as fatigue. It is usually only in the intermediate or advanced stages that patients experience obvious symptoms like pain in the liver area, palpable abdominal masses, abdominal distension, weight loss, and jaundice. By the time these symptoms appear, it is typically quite late, corresponding to the intermediate or advanced stages of the disease. Early stages typically do not show specific symptoms, though some patients might experience mild abdominal pain, bloating, or fatigue, which are not very specific signs.

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Written by Shen Jiang Chao
Radiology
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Can an MRI detect liver cancer?

Magnetic resonance imaging (MRI) can detect liver cancer. MRI has a high resolution for soft tissues and can multi-dimensionally present the water content and fat content in liver cancer, producing specific signals. MRI can clearly show the size, signal, shape, and the surrounding tissues of liver cancer. It can even detect small liver cancers as tiny as three millimeters and is a preferred method of imaging, more precise than CT.