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Liver Cancer Oncologic Nursing
Liver Cancer Oncologic Nursing
Liver
cancer is the formation of malignant
tumor in the liver.
Most
malignancies identified in the liver are
metastatic lesions from other sites.
Epidemiology
Primary liver cancer is the fifth most common
cancer in the world and the third most common
cause of cancer mortality
Chronic Irritation of
Liver Cell
Cell
Mutation
Rapid Uncontrollable
proliferation of anaplastic
Angiogenesis
Tumor Growth in
the Liver
Altered Liver
Function
MRI
Transcutaneous ultrasonography
Ultrasound
Blood Test
Percutaneous Liver Biopsy
Serum Tumor Marker (AFP)
TNM Classification and
Staging for Primary Liver
Cancers, including
Intrahepatic Bile Duct
Carcinomas
Primary Tumor (T)
Tx Primary tumor cannot be assessed
T0 No evidence of primary tumor
T1 Solitary tumor without vascular invasion
T2 Solitary tumor with vascular invasion or multiple tumors,
none more than 5 cm
T3 Multiple tumors more than 5 cm, or tumor involving a major
branch of the portal or hepatic vein(s)
T4 Tumor(s) with direct invasion of adjacent organs other than
the gallbladder or with perforation of visceral peritoneum
Regional Lymph Nodes (N)
Portal
HPN, Ascites, Hemorrhage from tumor, abd
pain and Jaundice
Surgery- pain, weakness, fatigue, liver failure,
bleeding and infection
RadiationTherapy – Fatigue, skin reactions and
upset stomach
Chemotherapy - Nausea, vomiting, fatigue, low
blood count, bleeding after minor cuts,
headaches, hair loss, and dark skin and fingernails
Post operative Nursing Care
Monitor for bleeding
Monitor for infections
Monitor for respiratory complications
and organ failure is essential.
Pain Management
Nutritional Support
Prevention
Antioxidants
Vaccines