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What is Hepatocellular Carcinoma (HCC)?

Hepatocellular carcinoma is the most common type of liver cancer. It is an aggressive (fast-growing) cancer that most commonly affects persons with severe liver disease, such as cirrhosis. People with HCC are increasingly being diagnosed with metabolic dysfunction-associated steatotic liver disease (MASLD), which can develop to cirrhosis.

What is the Importance of Timely Treatment?

Early treatment of Hepatocellular Carcinoma (HCC) is essential for improving patient outcomes and survival rates. Early discovery enables more effective treatment choices, such as surgical resection, liver transplantation, or local therapy (e.g., ablation or embolisation), which may cure the cancer or considerably postpone its progression. Delaying treatment can cause tumour growth, spread (metastasis), and poor liver function, making cancer more difficult to cure and decreasing the likelihood of a favourable outcome. Early intervention also enhances quality of life by enabling more effective symptom management.

What are the Common Symptoms of Hepatocellular Carcinoma (HCC)?

Tumours may not present symptoms in their early stages. However, as HCC proceeds, you may notice:

  • Fullness or a knot under your right ribs (symptoms of an enlarged liver).
  • Fullness under your ribs on the left side (symptoms of an expanded spleen).
  • Yellowing of the eyes and skin (an indication of jaundice).
  • A distended stomach, as if it is overflowing with fluid.
  • Appetite loss or feeling full after eating a little meal.
  • Unexplained weight loss.
  • Nausea and vomiting.
  • Itching.

Causes and Risk Factors of Hepatocellular Carcinoma (HCC)

Causes

  • Hepatocellular carcinoma occurs when liver cells' DNA undergoes modifications (mutations).
  • A cell's DNA contains the instructions for every chemical process in your body. DNA mutations alter these instructions.
  • As a result, cells may grow out of control, eventually becoming a tumour—a mass of malignant cells.

Risk Factors

The following conditions enhance your risk of developing HCC:

  • Hepatitis B infection: Hepatitis B infection can cause HCC even in the absence of liver cirrhosis or before it develops.
  • Hepatitis C Infection: A viral infection that spreads through blood.
  • Metabolic dysfunction-associated steatotic liver disease (MASLD): It is a disorder that causes excessive fat to accumulate in the liver.
  • Alcohol use disorder: The liver has a tough time processing alcohol. Drinking too much of it can cause cirrhosis and liver cancer.

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Latest Research and Technologies in the Treatment of Hepatocellular Carcinoma (HCC) in India

  • Recent advances in Hepatocellular Carcinoma (HCC) treatment in India include targeted therapies and immunotherapy. Furthermore, radiofrequency ablation (RFA), transarterial chemoembolisation (TACE), and liver transplantation are becoming more common, with ongoing clinical trials investigating gene therapy and combination medicines to improve treatment outcomes.

Hepatocellular Carcinoma (HCC) Prevention Tips

There are various ways to lower your chance of having HCC. You can do:

  • Lower your risk of cirrhosis.
    • To lower your risk of developing cirrhosis, avoid drinking alcohol.
    • Maintain a healthy weight.
  • Vaccinate against hepatitis B.
  • You can lower your risk of contracting hepatitis B by getting the vaccine.
  • Take steps to prevent hepatitis C.
  • Do not use intravenous drugs,
  • When getting a piercing or tattoo, look for safe and clean shops.
  • Seek treatment for hepatitis B or C infections.

Treatment options for Hepatocellular Carcinoma (HCC)

Treatments include:

Surgery: The surgical treatments for HCC are hepatectomy (removal of the diseased section of the liver) or liver transplantation.


Cost Start From USD 25000 - USD 35000Explore Options

Ablation therapy: This involves the use of a specialised needle to burn malignancies. The needle can direct highly hot energy (microwaves or radiofrequency waves) or extremely cold.

Embolisation: It is the process of implanting a material directly into the arteries that supply the tumour, blocking blood flow.

Radiation therapy: Providers may recommend radiation therapy to treat tiny cancers that cannot be removed surgically or destroyed through ablation.

Immunotherapy: Immunotherapy drugs are also used to treat advanced HCC. They help your immune system recognise and combat cancer cells.


Cost Start From USD 3000 - USD 5000Explore Options

Targeted therapy: These medications treat advanced HCC. This medication inhibits the signal that tells cancer cells to continue growing.


Cost Start From USD 8000 - USD 12000Explore Options

The following tests can assist in confirming a diagnosis:

  • Blood tests: Your provider may check your blood for indicators of HCC, such as elevated alpha-fetoprotein (AFP) levels. Elevated AFP levels may indicate HCC or a disease that can develop into HCC, such as hepatitis infection or liver cirrhosis.
  • Imaging scans: Imaging treatments such as an ultrasound, computed tomography (CT) scan, magnetic resonance imaging (MRI), or angiography can detect cancers (or indicators of a tumour) within your liver.
  • Liver biopsy: Your doctor may do a liver biopsy to look for cancer cells. If your bloodwork and imaging scans do not provide enough information to make a diagnosis, you may need this test.

Rehabilitation treatments for Hepatocellular Carcinoma (HCC) are aimed at increasing quality of life, accelerating physical recovery, and minimising therapeutic side effects. Here are the main rehabilitation alternatives for HCC patients:

Physical Rehabilitation: After liver surgery or transplant, patients may receive physical therapy to restore strength, increase flexibility, and minimise fatigue. A personalised workout regimen might help you improve your overall fitness and stamina.

Mobility assistance: Patients with limited movement due to treatment side effects may benefit from exercises to enhance balance and coordination.

Psychosocial support: Therapy or joining a support group can help cancer patients deal with the emotional and mental challenges of their treatment.

MediGence can assist and guide you in selecting the best physician and medical facility for your care.

Depending on the circumstances, your doctor may prescribe medication to assist you in managing your symptoms and support your treatment plan.

Treatment regimens are adapted to the patient's specific cancer stage and location.

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Hospitals for Hepatocellular Carcinoma (HCC) in India

Apollo Multispecialty Hospitals: Top Doctors, and Reviews
Apollo Multispecialty Hospitals

Kolkata, India

Apollo Multispecialty Hospitals located in Kolkata, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • International patient Center
  • Focus on research and innovation
  • Different amenities: Transport, Security, Travel Desk, Places of Worship, Telecommunication Service, Special Nurse, Food & Dietary Services
  • Several kinds of rooms: General ward, Semi Private Rooms, Private Rooms, Deluxe, Super Deluxe, Suite, Maharaja Suite, HDU, Gastro ICU, Emergency, Neonatal ICU, Level 1, Level 2 & Level 3
  • Health Insurance coverage available
  • Here is a comprehensive list of the various kinds of key medical procedures performed through the latest technology.
  • Arthroscopy
  • Bone Marrow Transplant
  • Cosmetic Surgery
  • Da Vinci Robotic Surgical System
  • Fractional Flow Reserve (FFR)
  • Hand Microsurgery
  • Hip Arthroscopy
  • Minimally Invasive Cardiac Surgery
  • Minimally Invasive Subvastus Total Knee Replacement
  • Oral & Maxillofacial Surgery
  • 128 Slice PET CT
  • Bioresorbable Vascular Scaffold (BVS)
  • ECMO
  • OCT Technique - Optical Coherence Tomography
  • Single Port Endoscopic technique of Carpal Tunnel Release (ECTR)
Manipal Hospital, Yeshwantpur: Top Doctors, and Reviews
Manipal Hospital, Yeshwantpur

Bangalore, India

Manipal Hospital, Yeshwantpur located in Bengaluru, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Super-specialty healthcare facility
  • Started operations in July 2008
  • Video consultations with specialists
  • Various health checkup packages available
  • Technological applications in healthcare and healthcare delivery
  • Many ancillar services available like
    • ICU, NICU
    • Physiotherapy
    • Referral lab
    • Teleradiology / telemedicine
    • Pharmacy
    • Imaging facilities
  • Rehabilitation services, 24 hour emergency services, operating theatre, ambulatory and daycare, cafeteria, and many kinds of patient accomodation.
Fortis Hospital: Top Doctors, and Reviews
Fortis Hospital

Noida, India

Fortis Healthcare Limited is one of India’s prominent providers of integrated healthcare services, offering comprehensive medical care across multiple specialities. The company’s operations span hospitals, diagnostic centres, and day-care speciality facilities, ensuring a wide range of healthcare solutions under one umbrella. Fortis has established a strong presence across the country, managing 33 healthcare facilities, which include joint ventures and operational & management (O&M) setups, across 11 states.

The company’s hospital network comprises more than 5,700 operational beds, including O&M beds, catering to patients with varied healthcare needs. In addition to inpatient services, Fortis operates around 400 diagnostic laboratories, providing reliable and timely diagnostic support for accurate medical care. This extensive network enables Fortis to deliver high-quality healthcare services consistently and efficiently, from routine diagnostics to specialised treatments and complex procedures.

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Why Choose India for Hepatocellular Carcinoma (HCC) Treatment?

Here are some of the reasons for choosing India:

  • Due to advancements in medical facilities, such as minimally invasive surgical techniques.
  • World-class experts include highly experienced doctors, JCI, and NABH-accredited healthcare institutions.
  • Compared to other countries, treatment in Indian hospitals is cost-effective.
  • Indian hospitals provide International patient services, including a multilingual support system.
  • Improved treatment methods and biological therapies

Frequently Asked Questions

Yes, liver transplantation is a possibility for patients with early-stage HCC, mainly if the tumour is localised to the liver and the patient has cirrhosis. India has several transplant centres that provide this procedure.

Early diagnosis and treatment increase the chance of survival. Surgical resection or liver transplantation can provide a cure in the early stages, while modern therapies such as targeted medicines and immunotherapy can enhance quality of life and increase survival.

Survival rates vary depending on the stage of diagnosis. Early-stage HCC treated with surgery or liver transplantation has a much greater survival rate; however, advanced cases may have a poorer survival rate despite treatment. Early diagnosis and treatment significantly enhance outcomes.

Yes, lifestyle changes include:

  • Consuming a nutritious diet rich in fruits and vegetables.
  • Exercise regularly to maintain a healthy weight.
  • Avoid alcohol and smoking.
  • Managing chronic liver illnesses such as hepatitis or fatty liver can help avoid or better manage HCC.

HCC is one of the most common malignancies in India, particularly in areas with a high prevalence of hepatitis B and C infections. However, its prevalence is on the rise as non-alcoholic fatty liver disease (NAFLD) and alcohol-related liver damage become more common.

Many patients can retain a high quality of life thanks to improved treatments such as surgery, liver transplants, and tailored medications. However, the disease's impact varies depending on the stage of cancer and the available treatment options.