I and the “little heart” of life and death entanglement

Hi everyone, my name is liver cancer, which comes from an abnormal clonal proliferation of normal cells in the body. I don’t know why people don’t like me, but I love to deal with people. I am very good at it. I let anyone who makes me unhappy feel bad. I. Move into a new home and be careful The early patients who are violated by me usually have few signs and symptoms and show only elevated methemoglobin (which is a measure of liver malignancy) and imaging masses. Therefore, patients are mostly found by chance in the follow-up of liver disease or in the physical examination and census. Second, over time, recklessly Over time, I have been damaging the human body more and more seriously. People will have typical symptoms, mainly liver pain, weakness, wasting, etc. 1, pain in the liver area: the most common, mostly intermittent or persistent dull pain or swelling pain in the liver area. In addition to pain in the liver area there may also be pain in the upper abdomen, pain in the right lower back, and sometimes the pain may also radiate to the right shoulder. Sudden occurrence of severe abdominal pain and peritoneal irritation sign (when inflammation invades the wall peritoneum, pressure pain, rebound pain and abdominal muscle tension appear in the abdomen) indicates subperitoneal hemorrhage or abdominal rupture of cancer nodules; 2.Gastrointestinal symptoms: lack of appetite, indigestion, nausea and vomiting, diarrhea, etc., because these symptoms are relatively common, so they are easy to be ignored; 3.Consumptive manifestations: weakness, emaciation, general weakness, a few patients in the late stage may show Fever: generally low fever, occasionally above 39℃, continuous or afternoon low fever or chills type high fever (high fever with relatively large fluctuation); 5. (1) metastasis to lung: may cause cough and hemoptysis; (2) metastasis to pleura: may cause chest pain and bloody pleural fluid; (3) embolism of pulmonary artery or its branches by cancer embolism: may cause pulmonary infarction, which may lead to sudden severe dyspnea and chest pain; (4) obstruction of inferior vena cava by cancer embolism: may lead to severe edema of lower limbs and even decrease in blood pressure; (5) obstruction of hepatic vein: may lead to Budd-Chiari syndrome, which may also lead to edema of lower limbs. (6) metastasis to bone: it may cause local pain or pathological fracture; (7) metastasis to spine or compression of spinal nerve: it may cause local pain and paraplegia; (8) intracranial metastasis: corresponding localized symptoms and signs may appear, such as intracranial hypertension may lead to brain herniation and sudden death. (6) Concomitant cancer syndrome: The syndrome of endocrine or metabolic abnormalities caused by the abnormal metabolism of the tumor itself, which in turn affects the body, is called concomitant cancer syndrome. Hypoglycemia and erythropoietic syndrome are more common, and other rare ones include hyperlipidemia, hypercalcemia, precocious puberty, gonadotropin secretion syndrome, carcinoid syndrome, etc. Third, the new home is full of holes, and the neighbors are not immune After my long time of trouble, the body will appear various signs, such as hepatosplenomegaly, ascites, jaundice, etc. 1.hepatomegaly: progressive hepatomegaly is one of the most common signs; 2.splenomegaly: it is mostly seen in patients with combined cirrhosis portal hypertension. Cancer thrombus in portal vein or inferior vena cava or liver cancer compressing portal vein or inferior vena cava can also cause congestive splenomegaly; 3. ascites: straw yellow or bloody, mostly due to combined cirrhosis and portal hypertension. Jaundice: Jaundice is a common sign of middle and late stage hepatocellular carcinoma, and diffuse hepatocellular carcinoma and cholangiocellular carcinoma are most likely to show jaundice. Jaundice is mostly caused by bile duct obstruction due to bile duct compression or cancer invasion of bile duct, or due to bile duct compression by enlarged metastatic lymph nodes in the liver gate. In a few cases, due to the growth of hepatocellular carcinoma tissue into the bile duct, the mass will block the bile duct and cause obstructive jaundice; 5. Signs corresponding to metastases: there may be enlarged supraclavicular lymph nodes, pleural metastases may show pleural effusion or hemothorax. Bone metastases may have local pressure pain, and sometimes pathological fractures may appear.