hepatocellular carcinoma
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- Опубликовано: 24 июл 2024
- The hepatocellular carcinoma is the most common liver cancer of which incidence is rising in the US. The common cause of this disease is non-alcoholic fatty liver, especially NASH (nonalcoholic steatohepatitis) as well as alcoholic liver cirrhosis.
When the cancer is liver-confined, patients can be cured by surgical resection or liver transplantation.
But when diagnosed in advanced stages, the prognosis was decimal in the past because traditional chemotherapy is not effective in this kind of cancer.
Thanks to recent advances in locoregional therapies and systemic therapy with immunotherapy drugs and multitargeted tyrosine kinase inhibitors, the survival rate has been imroving.
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ERROR:
At 17:25, I wrote and said that the combination of nivolumab and pembrolizumab is used for the 3rd line therapy.
Pembrolizumab should be ipilimumab.
In other words, the combination of nivolumab and ipilimumab is correct.
Dr Kim, thank you for this video. Could you make a video on ALL?
Thanks for good and compelete information
Thank you very much. Indeed! Very helpful
Thank you Dr.
Very informative video. 🕯
Very Nicely Explained Sir. Thankyou
Excellent lecture Sir
very informative
For MRI scan of the liver, gadoxetic acid (Eovist) enhanced MRI is more sensitive than using gadolinium as a contrast because Eovist is taken up by hepatocytes, and excreted into the bile as well as in the urine.
Thanks for the informative video! My father has HCC. God bless you
Wish him well!
Thanks so much, very informative
Congratulations Professor. For a Very concise lecture!
Thank you!
My father was a well built 6 footer, just turned 65 a month ago. HCC was diagnosed with HCC in October 2022. Chemo was ruled out, surgery was ruled out. He was prescribed Lenvatinib capsules. Coped well until July. Became too weak for immunotherapy. Slowly grew weak and died peacefully on 07th October 2023. The hard truth is, once you have HCC, death is only prolonged, and whatever you do, it cannot be evaded. That's the hard truth!!😐😐😐😐
During diagnosed HCC spread any other organ??
@@meltoagee9999 No, that was the first thing the doctor did. Conducted detailed MRI and PET scan of the whole body, head to toe and spread was ruled out.
Hi why he was not given chemo or radiation treatment?
Also you mention he died 7 th October 2023 ? But he developed the HCC in October 2023 and cope until July don’t make any sense
@@India_uk oct 2022 to oct 2023. That was a typo. About giving or not giving chemo, are you a doctor ? Don’t ask stupid questions.
@@VN-ux2ep
You just changed the date now you lied.. just admit you made a mistake in those date or writing a fake story you muppet
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My father was a well built 6 footer, just turned 65 a month ago. HCC was diagnosed with HCC in October 2023.
Chemo was ruled out, surgery was ruled out. He was prescribed Lenvatinib capsules. Cope well until July. Became too weak for immunotherapy. Slowly grew weak and died peacefully on 07th October
2023. The hard truth is, once you have HCC, death is only prolonged, and whatever you do, it cannot be evaded.
That's the hard truth!!
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に
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Thank you
Addendum:
At 15:10, I described the BCLC stage A. I would like to add that any solitary tumor >2 cm belongs to stage A.
Very informative video. Dr. Stanley Kim, may Mother has diagnose hcc, this month only her Dr. Cannot advice of biopsy becouse the age of my mother is 88 years old. But he advice to take Pivka ll, result of Pivka ll of my mother is 29000 is it accurate to detect the cancer cell or not?,,,
Thank you for the infroamtive lecture. but regarding the introduction slide, did you mean (falciform ligament) intstead of ligament falciparum?
Yes, ligament falciform.
Hi sir,for HCC and mouth cancer immunotherapy work's for both? Which drug is used in immune therapy for both t he cancer?
Hi sir pembrolizumab immunotherapy works for both mouth and liver cancer?
Thanks dr stanleykim.
My mother has diabetes since 2002 and using insulin. She is also having blood pressure disease. Her age is 69. She is diagnosed with HCC in sep 2022 with 5cm size in segment II with AFP normal. She is Hepatitis B and C negative. As of sep 2023 HCC size was 8 cm. She underwent TACE in 5 oct 2023. Remained in hospital for 20 days because of high fever, constipation and body ache. IR radiologist says TACE went well. HCC size is 7.2 now. We will again do CT with contrast in FEB 2024. Now she is discharged but from past 1.5 months she is having uncontrolled blood sugar level getting high as much as 450 and low as 80. Her BP is also stabled just 15 days back. But she is having sever constipation issue and also developed piles. How you see this case sir. Your kind words may benefit her.
Regards
doctor could you please explain about metastatic liver and colon cancer treatment and curre possibility
Some patients with metastatic colorectal cancer can be cured. Please watch my RUclips lecture about colorectal cancer.
Very well-explained video, thank you dr. Stanley! My father has been diagnosed HCC last week, and he got immunotherapy using atezolizumab and bevacizumab, also a radiotherapy session, just for prolong said the oncologist, can't be cured. Is the patient will survive longer if he gets immunotherapy routinely? Are there any possible side effects of immunotherapy and radiotherapy for a 77 years old male patient? thank you in advance
It depends how well he responds to the treatment.
If he did, he may be able to live long with continuation of immunotherapy.
@@stanleykim1924 thank you doc
How ur father now?
My father has received 9 cycles of atezolizumab and bevacizumab and showed good result. In this early month, the CT scan evaluation showed there was a growth size of one nodule and the AFP was also increase to 40 mcg / L (usually AFP is around 20), so he had radiotherapy (1 session) and the immunotherapy agent has been changed to nivolumab single agent.
@@stanleykim1924May I ask your suggestion for my dad case ? He is 78 years old, so far doesn't suffer from any pain related to his HCC. Thank you
Doctors could you please explain about stage 4 hepatitis liver cancer ?
It’s very advanced stage of liver cancer. Immunotherapy is the treatment of choice.
Hi sir,in HCC what is the use of using sbrt and cyber knife in the view of portal vein tumour thrombosis?the liver lession is about 15 to 18 cm ?
Hai how is ur dad now??
@@viralvideos3.O hi,
he is dng gd..we have started him immunotherapy atezolizumab and bevacizumba..only 1 cycle is completed..dr.said us to do 3 to 4 cycle... hoping for best...
I wish my state had “Dying with Dignity” legislation passed.
Hello Dr. My sister has Neuroendocrine cancer in the liver Release the hormones carcinoid im looking for any other help please help her please
Please watch my RUclips lecture: Pancreatic Cancer and neuroendocrine tumor.
Dear Dr can someone with liver cancer receive treatment and live? Thank you
Yes, but patients with later stages may not do well.
Hi dr my dadage is 66 suffering from hepatocellular carcinoma and liver size is enlarged as 18 to 20 cm..nw wht treatment should do...bfr he operated tongue cancer surgery n radiation and chemotherapy n in sep pet scan everything report r normal but last dec wen did pet scan dat tym v cm to knw dat near 2 lymph nodes again hv carcinoma..so nw why we hv to do...
For advanced disease like Stage C by BCLC, systemic therapy is recommended. Please review my lecture.
@@stanleykim1924 tqsm dr..🙏
@@stanleykim1924 den wht treatment should we give for liver
Den what treatment we give fr liver
I described in my lecture. Also discuss with his oncologist.
Is there have any cure for HCC(BCLC stage C )?
Probably not.
But some patients live for many years especially with the fibrolamella type.
Thank you for your answer . Is chemo therapy does work ? HCC (BCLC stage C )
No
@@stanleykim1924 then which treatment would you like to suggest ? Please
Doctor my father has a liver tumor 11cm* 10cm like and multiple malignant dots..
He is 63. He has cirrhosis also non alcoholic. Can we do a transplant im in srilanka....TACE did. Will he live more than 10 yrs without transplant? Doctor what should I do?
Please watch my lecture. The answers of your questions are found there. Translation is not indicated.
@buddika5527.. how's your father now?did ur dad faces any problems after TACE..n surgery is done before TACE
How is ur father now??
Management of HCC is complicated. Your lecture is nothing but reiteration of book work, though comprehensive, almost lack of personal concept or recommendation, while some parts are outdated. The parts on PET and Y90 are confusing, if not biased.