hepatic and biliary disorders
Metastatic Liver Cancer
Introduction
Liver metastases are common in many types of cancer, especially those of the gastrointestinal tract, breast, lung, and pancreas. The first symptoms of metastases are usually nonspecific (eg, weight loss, right upper quadrant discomfort); they are sometimes the first symptoms of the primary cancer. Liver metastases are suspected in patients with weight loss and hepatomegaly or with primary tumors likely to spread to the liver. Diagnosis is usually supported by an imaging test, most often ultrasonography, spiral CT with contrast, or MRI with contrast. Treatment usually involves palliative chemotherapy. Metastatic liver cancer is more common than Primary Liver Cancer and is sometimes the initial clinical manifestation of cancer originating in the gastrointestinal tract, breast, lung, or pancreas. 