The initial symptoms of primary liver cancer are mostly pain in the liver area, which commonly presents as abdominal pain. Some patients may also experience bloating, fatigue, and weight loss as systemic symptoms. In advanced-stage liver cancer patients, there can be an enlargement of the liver, meaning a palpable enlarged mass can be felt in the abdomen. Other symptoms include jaundice and ascites, which can cause abdominal bloating. Upon physical examination, an obvious increase in abdominal girth and abdominal distension can be noted. Moreover, patients with advanced liver cancer may also suffer from complications such as upper gastrointestinal bleeding, rupture and bleeding of the liver cancer nodules, liver failure, and even hepatic encephalopathy, among others.