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№ 10Thematic Questions23 min read

Primary and secondary liver cancer, types of surgeries

1. Big picture

Liver cancer surgery is not decided only by tumour size. It depends on three questions:

  1. What tumour is it? Primary liver cancer: mainly hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma. Secondary liver cancer: mainly liver metastases, especially from colorectal cancer.

  2. Can all tumour be removed or destroyed? Curative treatment requires complete clearance of disease: resection, ablation, transplantation, or a combination.

  3. Will enough functioning liver remain? The liver remnant must be large and healthy enough to prevent postoperative liver failure.

The most important oral-exam sentence:

**Liver surgery is p

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