The first symptoms of primary hepatocellular carcinoma are different, as follows: 1. Some patients first manifest abdominal pain, which can be intermittent occult pain or continuous distension in the right upper abdomen, and sometimes unbearable pain. 2. The first symptoms of some patients are progressive wasting and anemia, and some patients have obvious abdominal enlargement and large amount of ascites. Therefore, in order to avoid suffering from the disease, usually try not to drink alcohol in excess and do not eat pickled foods. It is necessary to go to the hospital for regular review, such as blood routine, liver function, abdominal ultrasound or abdominal CT, etc.