Liver tumors are among the tumors that require a highly accurate diagnosis and carefully considered surgical decisions.
Liver resection is an effective treatment option in appropriate cases and may provide a complete cure, especially when detected early.
At Dr. [kerollous medhat] clinic, we provide a comprehensive evaluation of liver tumor cases, with surgical decisions made in collaboration with an integrated team of surgeons, radiologists, and hepatobiliary oncologists to ensure the best outcomes for the patient.
First: What are liver tumors?
Primary liver tumors: These arise from the liver cells themselves, and the most common are:
Hepatocellular carcinoma (HCC)
Internal bile duct cancer
Hepatoblastoma – more common in children
Secondary liver tumors:
These are tumors that have spread to the liver from other organs (such as the colon, stomach, breast, or lung).
Second: When do we resort to liver resection?
Surgical resection is an ideal option in the following cases:
The presence of a discrete, clear tumor in the liver (single or limited in number)
The remaining liver tissue is intact
The absence of extrahepatic spread (or resectable)
The patient's general tolerance to surgery
In the case of secondary tumors from colon cancer, resection may be used before or after chemotherapy
Third: How is the condition assessed before surgery?
Complete blood tests
Liver function tests
Tumor markers such as AFP or CEA
Hepatitis B and C virus markers
Scanning techniques
Liver MRI
Computed tomography (CT) scan
Liver weighting using a CT scan to determine the weight of the remaining liver
Liver biopsy (if necessary)
To confirm the tumor type and assess the severity
Liver reserve testing
Such as the Child-Pugh test or ALBI score to determine the efficiency of the remaining liver after resection
Fourth: Types of liver tumor resection
1. Partial hepatectomy:
Removal of a specific portion of the liver containing the tumor, while preserving healthy tissue.
2. Lobectomy:
Removal of an entire lobe of the liver if the tumor has spread to it.
3. Laparoscopic or open resection:
Depending on the size and location of the tumor.
Laparoscopic surgery is used for small, superficial tumors.
Open surgery is used for deep or large tumors.
Fifth: What happens after surgery? Post-operative follow-up and care include:
Daily liver function monitoring after surgery
Pain control and nutritional support
Periodic tumor marker tests
Follow-up imaging every 3-6 months
Follow-up imaging to detect early tumor recurrence or the appearance of new tumors
Sixth: Potential risks of surgery
Bleeding during or after surgery
Liver dysfunction
Fluid accumulation or infection at the surgical site
Possibility of tumor recurrence (monitored with imaging and tests)
However, these risks are reduced by:
Appropriate patient selection for surgery
Comprehensive pre-operative evaluation
High surgical experience
Seventh: Does resection of a liver tumor lead to a cure?
In many cases, yes, especially if:
The tumor was detected early
There was no extrahepatic spread
The tumor was completely removed within the surgical safety limits (R0 resection)
In cases of secondary tumors, resection may improve survival and is used as part of an integrated treatment plan.
Eighth: Post-Surgery Rehabilitation and Support
We care about your post-surgery experience just as much as we care about it:
Nutritional rehabilitation and weight monitoring
Psychological support and follow-up with a psychologist (if necessary)
Health education sessions to prevent tumor recurrence
Coordination with hepatologists in the event of chronic viral infections
Why choose Dr. Kyrillos Medhat?
* Accurate diagnosis and selection of the best treatment plans to ensure the best global results.
* Continuous and meticulous patient follow-up until recovery, God willing.
* The doctor is an active member of the European Society of Surgical Oncology and the Egyptian Society of Surgical Oncology, thus keeping up with the latest international recommendations in oncological surgery.
* The surgical decision is made after consultation with oncologists, interventional radiologists, and therapeutic nutritionists to develop a comprehensive treatment protocol, along with a report for the patient to be added to their file.
Book your consultation now
If you have a liver tumor or have previously undergone tests that revealed a mass, please do not hesitate to contact us to discuss available treatment options.