Should the gallbladder be removed in the early stage of liver cancer?

Written by Yan Chun
Oncology
Updated on March 18, 2025
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Whether early-stage liver cancer patients need to have their gallbladder removed depends on the location of the tumor. For liver cancers located close to the gallbladder, gallbladder removal is generally necessary. For liver cancer lesions that are farther from the gallbladder, it is usually sufficient to only remove the liver tumor, or to perform a resection of the local liver segment or sub-segment. Additionally, for early-stage liver cancer patients to undergo surgery, certain conditions must be met: the tumor must be five centimeters or smaller, there should be no cancerous thrombus in the main trunk of the portal vein, the liver cancer tumor should not involve the semi-dry or full-dry circumstances, and the liver function should be compensatory. Under these conditions, an effort should be made to perform liver tumor resection. Generally, cancers located in the left lobe of the liver require local resection, either of a liver segment or sub-segment, and sometimes resection of the liver lobe may be performed. Tumors located in the right lobe of the liver or the hepatic portal area require local tumor resection.

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What changes occur in the hair during the early stages of liver cancer?

Liver cancer is a common type of tumor in the digestive system in China, and patients with early-stage liver cancer generally do not experience significant changes in their hair. This is because the tumors in early-stage liver cancer patients are relatively small, and the treatment often involves surgical removal, which does not require chemotherapy or other anti-tumor treatments, so the impact on the patient's hair is minimal. As the disease progresses, some patients may need to undergo chemotherapy or other anti-tumor treatments, which can lead to hair loss or changes in hair color. However, hair changes after chemotherapy in liver cancer patients are generally reversible, and hair can regrow after the end of chemotherapy. Changes in hair color, on the other hand, are generally caused by pigment deposition induced by some chemotherapy drugs.

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Can hepatitis B lead to liver cancer?

Hepatitis B can cause chronic infection in the body, which may damage liver cells and potentially lead to liver cirrhosis or liver cancer. Therefore, in cases of hepatitis B virus infection, it is necessary to regularly check liver function and hepatitis B virus DNA. If abnormal transaminase levels are found, timely liver-protective and enzyme-lowering treatments should be administered. If the hepatitis B virus DNA reaches a certain level, antiviral treatment should be initiated to potentially slow the progression of hepatitis B developing into liver cirrhosis or even liver cancer. Additionally, carriers of the hepatitis B virus or patients with hepatitis B should take care to rest adequately, avoid excessive fatigue and staying up late, abstain from alcohol, and maintain a light, digestible diet.

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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.

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Can hepatitis B turn into liver cancer?

If hepatitis B is not effectively controlled, it can further develop into liver cancer. However, if patients adhere to standard treatment, regular check-ups, rest adequately, eat healthily, and abstain from alcohol, most conditions can be effectively controlled, significantly reducing the likelihood of developing liver cancer. Therefore, patients need not worry too much; maintaining a positive and optimistic attitude is more conducive to the recovery from the disease.

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How to reduce fever in late-stage liver cancer

For late-stage liver cancer patients experiencing fever, antipyretic treatment should be based on different circumstances. If the fever is due to an infection, it often exceeds 39℃ and is accompanied by symptoms and signs related to the infection, such as cough and yellow sputum, abdominal pain, diarrhea, frequent urination, urgency, and painful urination. In such cases, antibiotics should be used for anti-infective treatment, along with antipyretic analgesics for fever reduction. If the fever is due to tumor fever or interventions like liver procedures, there are no infection-related factors, usually the temperature does not exceed 38.5℃, and there are no symptoms or signs related to infection. The treatment primarily involves the use of antipyretic analgesics for fever reduction.