Is it proper to avoid treatment for liver cancer,hepatitis b?
Patient: Hi Doctor,  My Father is suffering from liver cancer, he is 64 years old , we are currently checked in CMC velllor(Tamilnadu ,Indai).Now Doctor said it comes under stage four liver cancer with Hepatitis B. Doctor said no need to take any treatment just live it as it is. Pls advise what should i do . he is normal now but little bit sick. Doctor: Hi,I am sorry but stage 4 of liver cancer is a highly advanced stage where the cancer has metastasised to various other organs and parts of body, on top of that viral infection with Hepatitis B has further complicated the things. Therapeutic approaches for the treatment of HCC can be classified into three categories: potentially curative, palliative, and symptomatic. Potentially curative treatments, including liver resection, transplantation, and local ablation, are associated with promising 5-year survival rates of up to 75%. But is not possible when carcionoma is in a very advanced stage. Due to the presence of excessive metastatic disease, the patient is not a candidate for curative surgical resection. Other forms of local therapy, such as percutaneous ethanol injection, cryosurgery, radio frequency ablation, hepatic intra-arterial chemotherapy, or chemoembolization that typically play a role in the palliative treatment of patients with localized, non-resectable disease, are not appropriate in this patient with metastatic disease. Cryosurgical procedure can be tried but are not very successful. Follow advice of the doctor at CMC Vellore.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ramesh Kumar