hepatic and biliary disorders
Hepatocellular Carcinoma
Symptoms and Signs of Hepatocellular Carcinoma
Most commonly, patients are asymptomatic and tumors are diagnosed on routine screening. Patients with advanced HCC may present with abdominal pain, weight loss, right upper quadrant mass, and unexplained deterioration. Fever may occur. In a few patients, the first manifestation of HCC is bloody ascites, shock, or peritonitis, caused by hemorrhage of the tumor. Occasionally, a hepatic friction rub or bruit develops. Occasionally, systemic metabolic complications, including hypoglycemia, erythrocytosis, hypercalcemia, and hyperlipidemia, occur. These complications may manifest clinically. 