Physical examination – liver is usually tender or enlarged. Cancers of the liver were very vascular tumors. Therefore, the increasing amount of blood supplied in the hepatic artery can cause chaotic blood flows within the artery. The chaos can result into distinctive sound into the liver known as the hepatic bruit, and it could be via stethoscope.
It is seldom for this disease to show jaundice as soon as the tumor overcomes gradually to the bile duct. Jaundice happens to this condition due sloughing tumor in the bile duct along with the bleeding that is clotting into the bile duct that causes blocking of the duct.
In an advanced cancer of the liver, tumor may spread up locally to the nearby tissues, throughout the blood vessels and to any part of the body (known as the distant metastasis).
With regards to this distant metastasis, the cancer can frequently spread into the lungs, most likely through the blood steams. Commonly, patients are not showing metastases symptoms from the lungs that are diagnosed through x-ray studies. Hardly ever, in the extremely advanced cases, cancers may spread into the bones or even brains.
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