Liver Transplant Expert Forum
HCC
About This Forum:

Questions posted in the Liver Transplant . Forum are answered by medical professionals from The Mount Sinai Medical Center.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

HCC

Hi all
         I got the dreaded call from the liver doc today telling me i have a 1 centimeter tumor. Not a clue as to where its located yet.  I have hep c and cirrhosis.  The doc started with i needed a liver transplant.  The doc said I should wait until in grew to a two then get an exception for the waiting list. I am lost on how to proceed.  It seems to me the first course of action would be to remove the tumor by either tace or burn it or freeze it or remove it with minimally evasive surgery. Any insight would be appreciated
517301_tn?1229801385
we typically repeat scans every 3 months when HCC is documented.  some can grow quite fast.
3 Comments
Blank
517301_tn?1229801385
an individual gets priority on the liver transplant list if the tumor is 2 cms in size or greater.  the chance of locoregional therapy to cure HCC is small, but the cure rate is greater when the lesion is smaller.  if the liver function is compromised and you need a transplant from that perspective it is reasonable, but if the HCC would be the only inidcation for transplantation, early locoregional therapy can be considered to obviate the potential need for transplantation.  i presume that liver resection is precluded as a treatment.
Blank
Avatar_m_tn
Thank You for your response.  I received a copy of the mri report today and  it is as clear as mud to me. They don't mention the size of the tumor they only reference washout in the 4 b segment. They want me to return in 2 or 3 months for another MRI with and without contrast.  I am somewhat confused, would they know more in 2 or 3 months and could the tumor really grow that much in 2 months?
Blank
This Forum's Experts
517301_tn?1229801385
Thomas D Schiano, MDBlank
The Mount Sinai Medical Center
New York, NY
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank