What is liver disease? What is pancreatic cancer? What are liver tumors

How do I get treatment?

For further information and appointments please see the below contact numbers:

For Mr Rob Hutchins: 

020 7234 2940

For the following Consultants: 

020 7234 2730

Professor Nigel Heaton
Professor Mohamed Rela
Mr Parthi Srinivasan
Mr Andreas A. Prachalias
Dr Phil M. Harrison
Dr Kosh Agarwal and 
Dr Michael Heneghan

 

Hepatocellular Carcinoma Treatment London

Hepatocellular Carcinoma (HCC)

In the United Kingdom, HCC is comparatively rare with approximately 1 per 100,000 people diagnosed with HCC in Northern Europe each year.  However, worldwide HCC is one of the most common solid organ tumour's, due to the increasingly widespread of viral hepatitis infection.

Our approach to Hepatocellular Carcinoma (HCC)

The HCC service at the London Liver Centre is provided through collaboration between liver physicians and surgeons from the Institute of Liver Studies and the King’s Centre for Surgery of the Liver, Bile Ducts and Pancreas at King’s College Hospital. 

We provide expert, specialised, holistic care for people with liver disorders.  This includes, as appropriate, diagnostic and interventional radiology, endoscopy, surgery, nuclear medicine, oncology and palliative care. 

The service has access to specialist wards, surgical step-down unit (high dependency unit) and the highly specialised liver intensive therapy unit, in addition to the main King’s College Hospital high dependency and intensive therapy units. 

Click here to see the London Liver Centre HCC team 

What happens when I am referred to the HCC service at the London Liver Centre?

When your GP or local hospital specialist refers you to the London Liver Centre with a suspected diagnosis of HCC they will send written information about you, your general health and reasons why they think you have HCC.  They will also send the results of any tests you have already had, for example, a printed report of your blood test results and a copy of any scans you have had on a CD so the HCC team can review the images.

The results of the tests you have had will be reviewed by one of our  Consultant Surgeons or Physicians.

HCC clinic at London Bridge Hospital

Our team of Consultant HPB, Transplant Surgeons and Consultant Hepatologists practice at London Bridge Hospital.

At your initial meeting with your Consultant, a full medical history will be taken and the results of previous scans and reports fully assessed.  This is in order to:

• assess patients’ suitability for treatment of their HCC
• arrange further assessment of the patients’ condition
• allow in depth discussion between patients and the specialist staff member
• provide advice to patients and their families
• provide follow-up care for patients undergoing treatments
• monitor and follow-up patients who have completed treatment for HCC and who are in a surveillance programme

Risk factors for Hepatocellular Carcinoma (HCC)

The five main risk factors for developing HCC are: alcohol misuse, chronic viral hepatitis, environmental factors, inherited metabolic diseases that affect the liver,  and conditions such as obesity or diabetes.

In the Western world, most people who develop HCC usually also have a condition called cirrhosis of the liver.  This is a fine scarring throughout the liver which is due to a variety of causes including infection and heavy alcohol drinking over a long period of time.  However, only a small proportion of people who have cirrhosis of the liver develop primary liver cancer.

Infection with the hepatitis B virus, without cirrhosis, also increases the risk of developing HCC.  If you are infected with the hepatitis C virus, you are at increased risk of developing HCC if you have developed cirrhosis.

People who have a rare condition called haemochromatosis, which causes excess deposits of iron in the body, have a higher chance of developing HCC.
In Africa and Asia a poison called aflatoxin, found in mouldy peanuts and grain, is a major cause of HCC.

Prevention of HCC

It is important to remember that HCC remains a rare cancer type in the UK.  However, as with many types of cancers, you can take some important steps to reduce your risk of developing HCC.  These include:

• Avoid exposure to hepatitis B and C viruses
• Ensure that you do not abuse or take excessive alcohol

Symptoms of HCC

Most patients with HCC have no symptoms, particularly in the early stages of the disease. 

However, in some instances patients will experience jaundice, malaise (a general feeling of being unwell), loss of appetite, weight loss, fever, tiredness, bloating, nausea (feeling sick) swelling of the legs or weakness, abdominal pain or discomfort and/or pain in the right shoulder.