Liver Cyst Treatment in New delhi
Cysts are closed sac like structures made up of a cluster of cells that are distinctly abnormal in nature. Cysts may contain fluid or a semi solid substance. Cysts may or may not be cancerous and can be removed surgically depending on the location it has grown in the body.
Cysts related to cancer are a cluster of uncontrolled division of cells in the body that occur due to mutation and these cysts develop as a defense mechanism in the body. This means that the cells that have been affected by mutation divide continually further on forming a tumor. To prevent the cells from dividing further, the body forms a capsule around trying to contain the tumor and this forms the cyst. Mutation continues in the cancerous cells and the cells develop their own blood vessels through which they receive nourishment. Hereon, the capsule formed by the body to prevent cells from further division becomes inept and the tumor advances from benign to a malignant cancer.
Types of Liver Cysts –
- Simple Cysts – These cysts are present from birth. During the development of the embryo, simple cysts form when there are abnormal bile duct cells. These cysts are the most common type of liver cysts.
- Cystadenoma and Cystadenocarcinoma – Cystadenoma are benign tumors and are similar to Simple Cysts as they are present from birth. Cystadenocarcinoma are cancerous cystic tumors and they grow gradually.
- Polycystic Liver Disease – This is a hereditary disease wherein as many as 20 or more cysts cluster together.
- Echinococcosis or Hydatid cyst – This condition is caused by a tapeworm infection. Humans get infected by ingesting the parasitic eggs, which in the larval stage produces liver cysts.
Symptoms of Liver Cysts and Tumors –
Usually patients experience pain or discomfort in the upper right side of the abdomen. However, this condition may not show symptoms if benign.
Causes of Liver Cysts and Tumors –
The cause of liver cysts and tumors is unknown, however, studies suggest that most of the cases are hereditary wherein the cysts were formed due to inherited diseases like Congenital Hepatic Fibrosis, Polycystic Liver Disease etc.
Diagnosis of Liver Cysts and Tumors –
- Physical examination - Cysts can be diagnosed through a physical examination of the abdomen.
- Imaging techniques - They can be detected using imaging techniques like Ultrasound, Computerized Tomography (CT scan) or Magnetic Resonance Imaging (MRI).
- Blood tests - Blood tests may also be recommended to detect antibodies in the blood.
Treatment of Liver Cysts and Tumors –
- Medication/ Drug therapy – Medication or drug therapy may be required for parasitic cysts.
- Laparoscopy – A laparoscopic surgery can be performed to treat Cystadenoma and Cystadenocarcinoma.
- Partial Hepatectomy – This procedure is performed when the cancer is in its early stage and the remaining liver is healthy and the blood vessels nearby are functioning in a healthy fashion.
- Ablation – This procedure destroys tumors in the liver without removing them. This procedure is highly effective for destroying small tumors (< 3 cms) or when a surgery cannot be performed due to reduced liver function. There are several types of ablation therapies – Radiofrequency ablation (RFA), Microwave ablation, Ethanol ablation and Cryotherapy.
- Radiofrequency and Microwave ablation are performed using high energy radio waves and microwaves respectively that are transmitted through a probe which heats up the tumor and destroys the cancer cells.
- Ethanol ablation is carried out by injecting a concentrated alcohol into the tumor directly to kill the cancerous cells.
- Cryotherapy needs a thin metal probe through which cold gasses are passes to freeze the tumor and destroy the cancer cells.
- Embolization – Embolization is performed for tumors that are slightly bigger than 3 centimeters. It involves injecting medicated substances that block or reduce blood supply to the cancer cells in the liver. There are three types of Embolization procedures – Arterial Embolization, Chemoembolization and Radioembolization.
- Arterial Embolization involves inserting a catheter into the artery through a tiny incision on the inner thigh. This is then threaded up into the hepatic artery in the liver. The surgeon monitors the path through an angiogram which is captured by injecting a dye into the bloodstream.
- Radioembolization is a combination of embolization and radiation therapy.
- Chemoembolization is a combination of chemotherapy and embolization.
- Liver Transplant – Early stage cancer patients can undergo a liver transplant if the liver has been affected to a great extent. Patients may undergo Ablation and Embolization while they are waiting for a liver transplant.
Dr. Nikhil Agnihotri, expert Laparoscopic Surgeon provides Liver Cyst Treatment and Liver Transplant surgery in Delhi, India. Contact our Laparoscopy Center in New Delhi to know more about treatment and cost.