This book describes Hepatic Cancer, Diagnosis and Treatment and Related Diseases

Cancer you are a deadly disease
On our tissues you choose to feast
By staying in our bodies deep
And invading our organs you cowardly creep

You have taken mothers, daughters, brothers
Fathers, friends and life long lovers
We will fight back to give remedy
To bring back the immune harmony

Hope and Faith we must restore
For all victims who suffer the cancer foe
Help the body and soul join together
To seek peace and fight forever

The legions of the cancer cells with smirks on their faces
We must fight and strengthen each time you attack our bases
To ensure that your cancer existence will soon expire
And ensure our scarred body a good fight to inspire

As we continue this quest we have started
And remember those of us who have departed
So smirk and smile you killer of man
Enjoy your glory while you can

We will remove the smirk from your face
When you realize this is your final and only race
We have cornered you, your race is run
All our cells unite to finish what we have begun

We will fight to the death this awful scourge of man
And clobber this cowardly cancer in the end
We shall clobber this mutant beast
No more our flesh for you to feast

These were days filled with anger
Sad days to be in so much danger
As the days and months went on
Our cells started getting strong

And as we learned to cope
We discovered the meaning of hope.
And we have our friends and family to thank
You are all our angels so much our friend

An original poem by Kenneth Kee

Cancer is the top killer in Singapore and many countries.

It is therefore feared by many patients who equate cancer with death.

Now however with modern treatments and new advances, cancer can be prevented and successfully treated.

Primary liver cancer is a rare but serious type of cancer that starts in the liver and mostly affects older people.

Hepatic cancer happens when the cells in the liver undergo abnormal changes to form cancer cells.

In most cases, the cause of primary hepatic cancer is scarring of the liver (cirrhosis).

Cirrhosis (liver damage that can make scar tissue replace healthy tissue) may be caused by:
Alcohol abuse
Nonalcoholic fatty liver disease - a buildup of fat in the liver in obese people
Autoimmune diseases of the liver
Long-term hepatitis B or C - viruses that attack and damage the liver
Inflammation of the liver from exposure to toxins (alfatoxins, solvents, vinyl chloride, heroin)
Iron overload in the body (hemochromatosis)
Inherited liver diseases

Symptoms:
Unexplained weight loss
Nausea or vomiting
Feeling of fullness easily or not wanting to eat
Tiredness and weakness
Feeling of pain on the upper right abdomen or near the right shoulder
Swelling in the abdomen

In patients with raised AFP and consistent imaging features, patients can be diagnosed and treated presumptively for hepatic cancer without a biopsy

Liver transplant is the best treatment for patients with hepatic cancer.

The supply of good-quality deceased-donor organs is limited.

A small part of the liver of a living relative may be used.

Other treatments, such as resection, radiofrequency ablation (RFA); and possibly systemic therapy should be given to bridge patients to transplant or to delay recurrence if possible.

The most frequent therapy is called transcatheter arterial chemoembolization (TACE).

Targeted therapy such as...