HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Liver Cirrhosis And Hepatitis C

Hello Dr ,

am an Egyptian citizen and my 65 years old dad suffers from Hepatitis C , Liver cirrhosis and a two cm focus suggested to be Hc with past history of heart attack. We have been searching for the perfect procedure to treat him but doctors can't define which really suits his case . It would be very great if you checked the meassage and sent me back.

If you Dr need more info or reports i'd be gratefully sending it to you by mail if you wrote it for me

Thanks alot

With regards

Engy Sawah

YYYY@YYYY
Mon, 4 Aug 2014
Report Abuse
Gastroenterologist, Surgical 's  Response
Dear Mr Engy,
How are you? I am so sorry to hear about your father's diagnosis.
Hepatitis C and Cirrhosis are both risk factors for development of cancer of the liver (HCC). The treatment options for someone with HCC depends on multiple factors 1) Patient condition (age, physical fitness) 2) whether the liver is healthy or not (normal liver vs cirrhotic liver) and 3) when patient has cirrhosis, the clinical stage of cirrhosis (early, asymptomatic vs late stage cirrhosis with fluid in belly). Normally upto 70% of liver can be surgically removed safely without any problems for the patient. But in a patient with cirrhosis, only 30-40% can be removed, that too, only if the patient is asymptomatic and his blood tests are normal. In a patient with abnormal blood tests or fluid in belly or portal hypertension (vomitting of blood), then surgical resection is totally contrindicated.
In case of your father, I would like to know more about his blood tests, whether he has any symptoms and also the size of the HCC. Based on these the treatment options may include surgical resection, Radio frequency ablation (Burning of the tumor using probes), TACE (blocking the artery supplying the tumor) or even liver transplantation (age and previous heart attack make him a poor candidate.

Please do contact me with his blood and imaging reports so I can guide you to the best possible treatment - rxsuresh@gmail.com.

Hope this helps and hope your dad gets to feel better.
I find this answer helpful

Note: For further follow up on digestive issues share your reports here and Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Cirrhosis


Loading Online Doctors....
Suggest Treatment For Liver Cirrhosis And Hepatitis C

Dear Mr Engy, How are you? I am so sorry to hear about your father s diagnosis. Hepatitis C and Cirrhosis are both risk factors for development of cancer of the liver (HCC). The treatment options for someone with HCC depends on multiple factors 1) Patient condition (age, physical fitness) 2) whether the liver is healthy or not (normal liver vs cirrhotic liver) and 3) when patient has cirrhosis, the clinical stage of cirrhosis (early, asymptomatic vs late stage cirrhosis with fluid in belly). Normally upto 70% of liver can be surgically removed safely without any problems for the patient. But in a patient with cirrhosis, only 30-40% can be removed, that too, only if the patient is asymptomatic and his blood tests are normal. In a patient with abnormal blood tests or fluid in belly or portal hypertension (vomitting of blood), then surgical resection is totally contrindicated. In case of your father, I would like to know more about his blood tests, whether he has any symptoms and also the size of the HCC. Based on these the treatment options may include surgical resection, Radio frequency ablation (Burning of the tumor using probes), TACE (blocking the artery supplying the tumor) or even liver transplantation (age and previous heart attack make him a poor candidate. Please do contact me with his blood and imaging reports so I can guide you to the best possible treatment - rxsuresh@gmail.com. Hope this helps and hope your dad gets to feel better.