Sihai network

How to distinguish the symptoms of fatty liver and liver cancer

Fatty liver is a disease that many people get because many people don't care. Because everyone has no symptoms, so let it go. But fatty liver is a kind of liver disease. Once fatty liver is formed, fat can damage liver cells and normal liver function. And make the liver more vulnerable, more likely to cause all kinds of damage. There is also a risk of cancer.

Differentiation of fatty liver and liver cancer

1. Differentiation of fatty liver and liver cancer

Some patients with fatty liver have uneven fat accumulation, sometimes it is difficult to distinguish from liver cancer. Clinically, fatty liver will not have the systemic manifestations of liver cancer patients, such as abdominal distention, diarrhea, discomfort in the right liver area, wasting and so on.

2. What should be done to distinguish fatty liver from liver cancer

Liver cancer is a kind of malignant liver disease. In clinic, it can have bad liquid quality, the increase of a-fetuses, the abnormality of liver function, the increase of ESR and so on. However, in order to differentiate early liver cancer from focal fatty liver, CT is usually used and liver biopsy is necessary.

3. How to diagnose fatty liver

Analysis of history: fatty liver without specific symptoms. About half of the patients have no obvious self-conscious symptoms. Some patients are prone to fatigue, loss of appetite, abdominal distention, discomfort or dull pain in the liver area, nausea, heating, etc. Experts from Zhengzhou Zhongda hepatology hospital remind that patients with fatty liver may have a long history of drinking or diabetes, obesity, malnutrition and toxic liver injury. Some patients may have hepatomegaly and mild tenderness.

Laboratory test: there may be changes in plasma globulin, especially the increase of & alpha; 1, & alpha; 2 and & beta; Lipoproteins, and slight or normal increase of serum GGT, ALT and activity. But these are nonspecific changes.

B-ultrasound and CT examination: fatty liver B-ultrasound examination showed that the liver parenchyma was fine and dense with strong reflection light spot, and the deep tissue rebounded and weakened. CT scan showed that the density of liver was lower than other organs (such as normal spleen and blood vessels). Generally speaking, the accuracy of diagnosing fatty liver was better than that of B-ultrasound.

Liver biopsy detection: the only way to diagnose fatty liver is the cytology of liver biopsy. At present, liver puncture and aspiration biopsy under the guidance of B-ultrasound are far more accurate and safe than the blind liver puncture in the past, especially when it is difficult to distinguish focal fatty liver or chronic fatty liver with normal liver island from liver cancer under B-ultrasound. The degree and type of fatty liver lesions, and the presence or absence of fatty hepatitis and liver fibrosis can be determined by observing the biopsy tissue under microscope. It is also of great value to the treatment and prognosis of patients. But because it's a traumatic test. It is difficult for patients to accept and popularize.

Can fatty liver become liver cancer

Fatty liver is the accumulation of fat caused by the disorder of liver lipid metabolism, often accompanied by hepatocyte degeneration. The long-term degeneration of hepatocytes will lead to the regeneration and necrosis of hepatocytes, and then form liver fibrosis and cirrhosis. Once the liver cirrhosis develops to the decompensation stage, it is very easy to have liver coma, ascites, gastrointestinal bleeding, liver failure, hepatorenal syndrome and so on.

How does fatty liver develop into liver cancer

Step 1: simple adiposity

The liver is a silent organ, and the early fatty liver is neither painful nor itchy. However, the fat in the liver cells is too much, which will make the liver very sensitive. The body is prone to fatigue, cold, fever and diarrhea.

Step 2: develop fatty hepatitis

As the simple fatty liver continues to increase, the liver becomes a 'warehouse'. The fat entering the body is covered on the liver. It seems that the liver is wearing a thick 'cotton padded jacket'. It is difficult to breathe, and the nutrition is also hard to reach. The liver will start to resist inflammation, that is, fatty hepatitis.

Step 3: develop cirrhosis

Inflammation continues to attack, will stimulate the proliferation of fibrous tissue in the liver, 'cotton padded' gradually thickening and hardening, also to cirrhosis.

Step 4: develop into liver cancer

After liver cirrhosis, if the patient is accompanied by diabetes, obesity, hyperlipidemia, endocrine disorder, the human body's internal environment and immune system dysfunction, resulting in the immune system to monitor the function of tumor, can not remove abnormal mutation cells, and then canceration.

Early detection of fatty liver

The liver is a silent organ. The early fatty liver is neither painful nor itchy. Patients generally have no symptoms, many people until cirrhosis, fatigue, poor appetite, right epigastric distention and other symptoms, but at this time the condition is often difficult to control.

Therefore, the early detection of fatty liver mainly depends on regular physical examination, B-ultrasound is the most basic inspection method, in addition to CT, biochemical examination, histological examination, liver biopsy and other inspection methods.