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hepatitis c
if a person has stage 4 liver cancer how long may the have had hepatitis c without signs?
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A person will usually have chronic hepatitis C infection from 20 - 40 years before developing cirrhosis of the liver. Once a person has developed cirrhosis they have a increased risk of developing Hepatocellular Carcinoma (HCC). Hepatitis C cirrhosis Incidence of HCC is 3-5%/yr and additive as the years go by with cirrhosis.

Are you sure you mean stage 4 liver cancer? The BCLC staging system is the most commonly used staging system for HCC. HCC is staged 0, A, B, C, D. And it also describes the treatment for each different stage.
The final stage of HCC is End-stage D. This is when the cancer has spread beyond the liver and the person has Child-Pugh class C cirrhosis the person will be removed from the transplant list as they have no chance of survival. Treatment is only used to ease symptoms and pain. It is a hospice situation.

Stage 0 and A - very early stage and early stage
Early stage disease includes patients with preserved liver function (Child–Pugh A and B) with solitary HCC or up to 3 nodules 3 cm in size. These
patients can be effectively treated by resection, liver transplantation or percutaneous ablation with possibility of long term cure, with 5-year survival figures ranging from 50% to 75%. Very early HCC is currently very difficult to diagnose confidently prior to treatment. In these lesions the absence of microvascular invasion and dissemination offers the highest likelihood
of cure and thus, in Child–Pugh A patients may theoretically achieve a 5-year survival of almost 100%.

Stage B - intermediate stage
The intermediate stage consists of Child–Pugh A and B patients with large/multifocal HCC who do not have cancer related symptoms and do not have macrovascular invasion or extrahepatic spread. Their survival at 3 years without therapy may reach 50%. These are the optimal candidates for transarterial chemoembolization (TACE).

Stage C - Advanced stage
Patients who present with cancer symptoms and/or with vascular invasion or extrahepatic spread comprise the advanced stage. They have a shorter life expectancy (50% survival at 1 year) and are candidates for sorafenib.

Stage D - Terminal stage
Finally, patients with extensive tumor involvement leading to severe deterioration of their physical capacity major impairment of liver function (Child–Pugh C) are considered end stage. Their median survival is less than 3 months.

I have Stage B - intermediate stage HCC (Childs-Pugh class A or B) and have had two TACE treatments to downsize my tumors in both the left and right lobes.

Cheers!
Hector
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