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Liver cancer, also known as hepatoma or hepatocellular carcinoma (HCC), is a malignant tumor that originates in the liver cells. It is one of the most common types of cancer worldwide and poses a significant health concern due to its high mortality rate. Liver cancer typically develops as a result of long-term liver diseases, such as chronic viral hepatitis B or C, alcoholic liver disease, non-alcoholic fatty liver disease (NAFLD), or cirrhosis. While the exact causes of liver cancer are not fully understood, certain risk factors, such as excessive alcohol consumption, obesity, exposure to certain chemicals, and genetic factors, can increase an individual's likelihood of developing this aggressive disease. Early detection and effective treatment options are crucial in improving the prognosis and survival rates for individuals diagnosed with liver cancer. Types of liver cancer There are several types of liver cancer, each with distinct characteristics and origins. The main types of liver cancer include: Hepatocellular carcinoma (HCC): This is the most common type of liver cancer, accounting for about 75-85% of cases. It typically develops in liver cells called hepatocytes and is associated with underlying liver diseases, such as chronic viral hepatitis B or C, alcoholic liver disease, non-alcoholic fatty liver disease (NAFLD), or cirrhosis. Cholangiocarcinoma: Also known as bile duct cancer, cholangiocarcinoma originates in the bile ducts within the liver. It can occur in the small bile ducts within the liver (intrahepatic cholangiocarcinoma) or in the larger bile ducts outside the liver (extrahepatic cholangiocarcinoma). Hepatoblastoma: This is a rare type of liver cancer that mainly affects infants and young children. It usually develops from immature liver cells and is typically diagnosed before the age of 3. Angiosarcoma: Angiosarcoma of the liver originates in the blood vessels of the liver. It is a rare type of liver cancer and often presents with symptoms such as abdominal pain, weight loss, and anemia. Fibrolamellar carcinoma: This is a rare subtype of hepatocellular carcinoma that typically affects younger individuals without underlying liver disease or cirrhosis. It has a distinct appearance under a microscope and may have a better prognosis compared to other types of liver cancer. It's important to note that hepatocellular carcinoma (HCC) is the most prevalent and well-known type of liver cancer, while the other types are relatively rare but still significant in terms of their impact on health and treatment approaches. What causes liver cancer? Liver cancer can develop as a result of various factors, although the exact causes are not always fully understood. The primary risk factors associated with liver cancer include: Chronic viral hepatitis: Chronic infection with hepatitis B virus (HBV) or hepatitis C virus (HCV) is a major risk factor for developing liver cancer. These viruses can cause long-term inflammation and damage to liver cells, increasing the likelihood of cancerous changes over time. Cirrhosis: Liver cirrhosis, which is characterized by extensive scarring and damage to the liver, is a significant risk factor for liver cancer. Chronic liver diseases, such as alcoholic liver disease and non-alcoholic fatty liver disease (NAFLD), can progress to cirrhosis and raise the risk of developing liver cancer. Heavy alcohol consumption: Excessive and long-term alcohol consumption can lead to liver damage and inflammation, increasing the risk of liver cancer. Obesity and metabolic syndrome: Obesity and metabolic syndrome, which includes conditions such as diabetes and high blood pressure, are associated with an increased risk of liver cancer. These conditions can contribute to the development of fatty liver disease and cirrhosis. Aflatoxin exposure: Aflatoxins are toxic substances produced by certain molds that can contaminate crops, such as peanuts and grains. Prolonged exposure to aflatoxins, typically through consumption of contaminated food, can raise the risk of liver cancer. Genetic factors: Certain genetic conditions, such as hereditary hemochromatosis, Wilson disease, and alpha-1 antitrypsin deficiency, can increase the risk of liver cancer. Environmental toxins: Exposure to certain environmental toxins, such as vinyl chloride and arsenic, has been associated with an increased risk of liver cancer. It's important to note that having one or more of these risk factors does not guarantee the development of liver cancer. However, these factors increase the likelihood of developing the disease, and individuals with multiple risk factors should be especially vigilant in monitoring their liver health and seeking appropriate medical care. What are the symptoms of liver cancer?