1.How to confirm the diagnosis of liver cancer? Must liver puncture be done when liver lesions are found in the examination? The diagnosis of hepatocellular carcinoma is the result of comprehensive consideration of imaging examination, blood test and related hepatitis history, but medicine has its uncertainty, and only through biopsy or surgical resection and obtaining tumor pathology can the diagnosis be finally clarified. Not all patients need to undergo liver aspiration. If the liver tumor cannot be characterized by imaging, but the doctor thinks it can be surgically removed, liver aspiration is not necessary; if the patient is not suitable for surgical treatment, it needs to be determined on a case-by-case basis. If malignancy is suspected or difficult to be defined, liver aspiration can be considered to guide further treatment. If the imaging considers the tumor to be benign, only regular observation is needed and liver puncture is not necessary. 2.Is liver cancer serious? How to determine the condition and whether it is early, middle or late stage? Early stage liver cancer refers to primary liver cancer with the maximum diameter of a single cancer nodule less than 75px or the maximum diameter of two cancer nodules combined less than 75px, which usually has no clinical symptoms. The middle stage of the disease refers to tumor with cancer nodules larger than 75px in diameter, invading large blood vessels in the liver or directly invading adjacent organs. If the disease progresses further with regional lymph node metastasis or distant metastasis, it is considered advanced stage of the disease, when patients often have symptoms such as abdominal pain, weakness, jaundice or ascites. For the staging of liver cancer, it cannot be judged by clinical symptoms alone, but only through comprehensive assessment by specialist doctors can the early and late stage of the disease be determined. 3.What are the treatments for liver cancer? Treatment for liver cancer mainly includes surgical treatment, interventional treatment, targeted therapy and Chinese medicine treatment, each of which has its own characteristics and scope of use. To choose the appropriate treatment, first of all, it is necessary to clarify the stage of liver cancer, understand the local condition of the lesion, assess the patient’s systemic condition and liver function, which is very difficult for those who lack medical professional knowledge. Therefore, it is most important to choose a regular tumor hospital or tumor specialist for standardized treatment under the guidance of a doctor, so as not to miss the treatment time and cost money. 4.Do patients with liver cancer have to undergo surgery? Which patients should not undergo surgery? Surgery is the most effective treatment for liver cancer, but due to local or systemic conditions, only 20%-30% of liver cancer patients have the opportunity to have surgery at the time of consultation. For patients with physical conditions that can tolerate and local resection, surgery should be performed as much as possible, while for patients with physical conditions and liver function that cannot tolerate surgery, radiofrequency ablation, interventional and targeted therapy can be considered. Patients who are not suitable for surgery mainly include patients with poor general condition; patients with serious liver function loss (such as severe jaundice, thoracoabdominal fluid and other symptoms); patients with huge tumor, diffuse distribution or invasion of major blood vessels, which cannot be completely resected by surgery; patients with distant metastases such as lung and bone; the final decision of whether surgery is feasible or not should be made by specialists according to patients’ specific conditions. 5.What is hepatocellular carcinoma interventional therapy? Interventional treatment for liver cancer mainly refers to transarterial embolization chemotherapy (TACE), which is to selectively release embolic agents and chemotherapeutic drugs into the blood vessels of the tumor site through catheters to cause temporary or permanent blockage of arteries, and treat the tumor by blocking blood supply to the tumor and local chemotherapy drugs. Since interventional therapy can rarely achieve curative effect, it is mainly used to treat liver cancer lesions that cannot be surgically resected, or to shrink the tumor before surgery to facilitate resection and to prevent recurrence after surgery. Interventional therapy is characterized by minimally invasive, less invasive, faster recovery and less impact on normal organ functions. 6.What is ablation therapy? What are the advantages of ablation therapy? What patients are suitable for radiofrequency ablation? Radiofrequency ablation therapy refers to the treatment of tumor by directly puncturing the tumor-destroying chemicals or electrodes that cause temperature change into the liver tumor under the guidance of imaging to ablate the cancerous tissues and cause complete necrosis and destruction of tumor tissues. At present, the commonly used ablation methods include radiofrequency ablation, microwave ablation, cryotherapy, high power ultrasound focused ablation, anhydrous alcohol injection therapy, etc. Compared with surgery, radiofrequency ablation has the advantages of less damage, shorter hospitalization time and economy, and can achieve the same efficacy as surgical resection for small liver cancer. Radiofrequency ablation has the best effect on liver cancer within the officer, with single occurrence and diameter less than 75px. 7.What is the effect of targeted therapy for hepatocellular carcinoma? Targeted therapy is a kind of treatment that can specifically act on the growth process of tumor cells to kill tumor cells, because its “precise guidance” is more specific and therefore protects normal cells to the greatest extent. liver cancer patients. Sorafenib, which has been proven to be effective for liver cancer, can significantly improve the prognosis and prolong the survival of patients with intermediate and advanced liver cancer. 8.What is the role of TCM treatment in liver cancer patients? Chinese medicine can help to improve cancer-related symptoms and patients’ life treatment, and may prolong patients’ survival, so it can be used as an important adjunct to liver cancer treatment with certain efficacy. However, it is not advisable to adopt TCM alone to treat liver cancer. The current treatment level of TCM cannot cure or control the development of liver cancer, so we should pay attention to the adjuvant treatment role of TCM in liver cancer, but we should not adopt TCM alone and refuse to carry out western medical treatment.