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Doctors Lounge - Oncology Answers
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Back to Oncology Answers List
| wehope
- Thu Apr 16, 2009 3:49 pm |
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My friend has recently been diagnosed with late stage liver cancer, which further spreads to cause osteocarcinoma. His family fell into deep sorrow. Words pale in the shadow of grief, we thus turn to this internet forum for help and suggestions. We would be really grateful if you could help provide some information regarding any of the following: new means of treatment, internationally leading experts/hospitals in this field (regardless of country), or any holistic or alternative prescriptions.
We trust that the diagnosis is not an end to this optimistic young man. Rather, it is a fair start for seeking a right remedy, and we remain hopeful for a collection of suggestions and advice, which comes from you and passes on to us.
Your assistance and warm-heartedness will be greatly appreciated!
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| Dr. Tamer Fouad
- Tue May 26, 2009 5:42 am |
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 Hello,
I am sorry to hear about your friend's condition. Just to clarify things for everyone else - osteocarcinoma is a relatively obsolete term which refers to bone metastasis from a carcinoma, in this case hepatocellular carcinoma (HCC).
To answer your question - late stage (stage IV) has a poor prognosis. Bone mets depending on their location can have serious implications due to encroachment on the spine or the possibility of a fracture.
Many things need to be taken into consideration when discussing prognosis of liver cancer, the functional status of the patient, the age, the state of the liver (liver function) as well as the type of pathology (eg, fibrolamellar carcinoma which appears in younger individuals and is of better prognosis).
Generally speaking metastatic HCC is treated with target therapy sorafenib. Other options may be appropriate depending on the details of his clinical assessment.
A lot can be done in terms of palliation such as radiation therapy for pain control of bone metastasis.
Best regards,
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