hepatocellular carcinoma

[@stanleykim1924]

ERROR: At 17:25, I wrote and said that the combination of nivolumab and pembrolizumab is used for the 3rd line therapy. Pembrolizumab should be ipilimumab. In other words, the combination of nivolumab and ipilimumab is correct.

[@v_creative_prints]

Thank you for taking the time to explain HCC and treatment options. I'm scheduled to have my biopsy in the morning and this has prepared me for the results and treatment plan.

[@stanleykim1924]

For MRI scan of the liver, gadoxetic acid (Eovist) enhanced MRI is more sensitive than using gadolinium as a contrast because Eovist is taken up by hepatocytes, and excreted into the bile as well as in the urine.

[@승덕이-x7c]

교수님 영상잘보고있습니다 존경합니다 그리고 응원합니다 항상 건강하시고 복많이 받으세요

[@grazryan]

Congratulations Professor. For a Very concise lecture!

[@stanleykim1924]

Thank you!

[@dianeg4768]

Thank you for making this video.

[@Disruptivepharma]

Thanks for good and compelete information

[@stanleykim1924]

Addendum: At 15:10, I described the BCLC stage A. I would like to add that any solitary tumor >2 cm belongs to stage A.

[@Onc-learning]

Dr Kim, thank you for this video. Could you make a video on ALL?

[@mitanshusharma5944]

Very Nicely Explained Sir. Thankyou

[@ayeayehla4869]

Thank you Dr. Very informative video. 🕯

[@sajjadahmad3399]

Excellent lecture Sir

[@musekedir1793]

Thanks so much, very informative

[@stanleykim1924]

Very welcome

[@cindylalthanpuiisena143]

very informative

[@anujsharma87]

doctor could you please explain about metastatic liver and colon cancer treatment and curre possibility

[@stanleykim1924]

Some patients with metastatic colorectal cancer can be cured. Please watch my KZbin lecture about colorectal cancer.

[@VictoriaTabilip]

Dr. What food is good for breakfast , lunch and diner for metastasis in liver. My father have metastasis liver. Please help me

[@simplepleasures9650]

Hi sir,for HCC and mouth cancer immunotherapy work's for both? Which drug is used in immune therapy for both t he cancer?

[@gustavonaves6947]

Thanks for the informative video! My father has HCC. God bless you

[@stanleykim1924]

Wish him well!

[@simplepleasures9650]

Hi sir pembrolizumab immunotherapy works for both mouth and liver cancer?

[@drvinaybaddoley]

Thank you very much. Indeed! Very helpful

[@VN-ux2ep]

My father was a well built 6 footer, just turned 65 a month ago. HCC was diagnosed with HCC in October 2022. Chemo was ruled out, surgery was ruled out. He was prescribed Lenvatinib capsules. Coped well until July. Became too weak for immunotherapy. Slowly grew weak and died peacefully on 07th October 2023. The hard truth is, once you have HCC, death is only prolonged, and whatever you do, it cannot be evaded. That's the hard truth!!😐😐😐😐

[@meltoagee9999]

During diagnosed HCC spread any other organ??

[@VN-ux2ep]

@@meltoagee9999 No, that was the first thing the doctor did. Conducted detailed MRI and PET scan of the whole body, head to toe and spread was ruled out.

[@Channel11-uk]

Hi why he was not given chemo or radiation treatment? Also you mention he died 7 th October 2023 ? But he developed the HCC in October 2023 and cope until July don’t make any sense

[@VN-ux2ep]

@@Channel11-uk oct 2022 to oct 2023. That was a typo. About giving or not giving chemo, are you a doctor ? Don’t ask stupid questions.

[@Channel11-uk]

@@VN-ux2ep You just changed the date now you lied.. just admit you made a mistake in those date or writing a fake story you muppet Comments TOP Newest My father was a well built 6 footer, just turned 65 a month ago. HCC was diagnosed with HCC in October 2023. Chemo was ruled out, surgery was ruled out. He was prescribed Lenvatinib capsules. Cope well until July. Became too weak for immunotherapy. Slowly grew weak and died peacefully on 07th October 2023. The hard truth is, once you have HCC, death is only prolonged, and whatever you do, it cannot be evaded. That's the hard truth!! に に に

[@abdullaalthaher]

Thank you for the infroamtive lecture. but regarding the introduction slide, did you mean (falciform ligament) intstead of ligament falciparum?

[@stanleykim1924]

Yes, ligament falciform.

[@PenpaLhamo-b3d]

Doctors could you please explain about stage 4 hepatitis liver cancer ?

[@stanleykim1924]

It’s very advanced stage of liver cancer. Immunotherapy is the treatment of choice.

[@simplepleasures9650]

Hi sir,in HCC what is the use of using sbrt and cyber knife in the view of portal vein tumour thrombosis?the liver lession is about 15 to 18 cm ?

[@viralvideos3.O]

Hai how is ur dad now??

[@simplepleasures9650]

@@viralvideos3.O hi, he is dng gd..we have started him immunotherapy atezolizumab and bevacizumba..only 1 cycle is completed..dr.said us to do 3 to 4 cycle... hoping for best...

[@MelodyBaloloy-t1w]

Hi doc...last year i undergo ctscan and they found out that i have multiple tumor in the liver measuring 2.9x2.5x2.7 and this year its became larger measuring 3.7x3.6x3.7.....im just 33 yr old and the doc diagnosis is that i have hepatocellular carcinoma . .nw i undergo chemo therapy..

[@tinatj4760]

Very well-explained video, thank you dr. Stanley! My father has been diagnosed HCC last week, and he got immunotherapy using atezolizumab and bevacizumab, also a radiotherapy session, just for prolong said the oncologist, can't be cured. Is the patient will survive longer if he gets immunotherapy routinely? Are there any possible side effects of immunotherapy and radiotherapy for a 77 years old male patient? thank you in advance

[@stanleykim1924]

It depends how well he responds to the treatment. If he did, he may be able to live long with continuation of immunotherapy.

[@tinatj4760]

@@stanleykim1924 thank you doc

[@viralvideos3.O]

How ur father now?

[@tinatj4760]

My father has received 9 cycles of atezolizumab and bevacizumab and showed good result. In this early month, the CT scan evaluation showed there was a growth size of one nodule and the AFP was also increase to 40 mcg / L (usually AFP is around 20), so he had radiotherapy (1 session) and the immunotherapy agent has been changed to nivolumab single agent.

[@tinatj4760]

​@@stanleykim1924May I ask your suggestion for my dad case ? He is 78 years old, so far doesn't suffer from any pain related to his HCC. Thank you

[@nelsoncaraig3120]

Very informative video. Dr. Stanley Kim, may Mother has diagnose hcc, this month only her Dr. Cannot advice of biopsy becouse the age of my mother is 88 years old. But he advice to take Pivka ll, result of Pivka ll of my mother is 29000 is it accurate to detect the cancer cell or not?,,,

[@Sameerjan-qx2ks]

Thanks dr stanleykim. My mother has diabetes since 2002 and using insulin. She is also having blood pressure disease. Her age is 69. She is diagnosed with HCC in sep 2022 with 5cm size in segment II with AFP normal. She is Hepatitis B and C negative. As of sep 2023 HCC size was 8 cm. She underwent TACE in 5 oct 2023. Remained in hospital for 20 days because of high fever, constipation and body ache. IR radiologist says TACE went well. HCC size is 7.2 now. We will again do CT with contrast in FEB 2024. Now she is discharged but from past 1.5 months she is having uncontrolled blood sugar level getting high as much as 450 and low as 80. Her BP is also stabled just 15 days back. But she is having sever constipation issue and also developed piles. How you see this case sir. Your kind words may benefit her. Regards

[@fadyaziz-r4g]

hello, how is your mom now ?

[@simplepleasures9650]

Hi dr my dadage is 66 suffering from hepatocellular carcinoma and liver size is enlarged as 18 to 20 cm..nw wht treatment should do...bfr he operated tongue cancer surgery n radiation and chemotherapy n in sep pet scan everything report r normal but last dec wen did pet scan dat tym v cm to knw dat near 2 lymph nodes again hv carcinoma..so nw why we hv to do...

[@stanleykim1924]

For advanced disease like Stage C by BCLC, systemic therapy is recommended. Please review my lecture.

[@simplepleasures9650]

@@stanleykim1924 tqsm dr..🙏

[@simplepleasures9650]

@@stanleykim1924 den wht treatment should we give for liver

[@simplepleasures9650]

Den what treatment we give fr liver

[@stanleykim1924]

I described in my lecture. Also discuss with his oncologist.

[@belenveronica9775]

Hello Dr. My sister has Neuroendocrine cancer in the liver Release the hormones carcinoid im looking for any other help please help her please

[@stanleykim1924]

Please watch my KZbin lecture: Pancreatic Cancer and neuroendocrine tumor.

[@julierambarran460]

Dear Dr can someone with liver cancer receive treatment and live? Thank you

[@stanleykim1924]

Yes, but patients with later stages may not do well.

[@PenpaLhamo-b3d]

Is there have any cure for HCC(BCLC stage C )?

[@stanleykim1924]

Probably not. But some patients live for many years especially with the fibrolamella type.

[@PenpaLhamo-b3d]

Thank you for your answer . Is chemo therapy does work ? HCC (BCLC stage C )

[@stanleykim1924]

No

[@PenpaLhamo-b3d]

@@stanleykim1924 then which treatment would you like to suggest ? Please

[@kimd1977]

Hello. Dr Kim my brother in law has HCC liver cancer . He went to the Jewish Hospital in Montreal they convinced him to do the treatment, he have water retention in his abdomen and in his legs to his feets, including diabetes. He said it get worst when they did the treatment second time. Last weeks the doctors said the treatment doesn't work and they said its useless if they continue to do the treatment and now for him to decide if he will continue the treatments or he will stop. They said he will not live longer. What upset me doctors there doesn't encouraging him it's like telling him there's no hope for him and he's desperate like waiting the day to end. If i can find someone can cure him i will take him there. Thank you.

[@stanleykim1924]

Sorry to hear he has advanced HCC. Please watch my lecture, you can find 1st 2nd and even 3rd line therapy. A good 2nd line therapy is lenvatinib, a oral drug. Start it at a lower dose. Of course you need to discuss the doctor

[@3putt548]

I wish my state had “Dying with Dignity” legislation passed.

[@buddhika5527]

Doctor my father has a liver tumor 11cm* 10cm like and multiple malignant dots.. He is 63. He has cirrhosis also non alcoholic. Can we do a transplant im in srilanka....TACE did. Will he live more than 10 yrs without transplant? Doctor what should I do?

[@stanleykim1924]

Please watch my lecture. The answers of your questions are found there. Translation is not indicated.

[@simplepleasures9650]

@buddika5527.. how's your father now?did ur dad faces any problems after TACE..n surgery is done before TACE

[@viralvideos3.O]

How is ur father now??

[@cl56611]

Management of HCC is complicated. Your lecture is nothing but reiteration of book work, though comprehensive, almost lack of personal concept or recommendation, while some parts are outdated. The parts on PET and Y90 are confusing, if not biased.