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Liver Cancer Treatment in India | IndiCure

Liver Cancer Treatment Cost in India

Liver Cancer Treatment Cost in India depends on the type of treatment required, your medical condition, hospital and the city where you choose to get the treatment done. You may need either surgery or chemotherapy, or may need both; or a combination of chemotherapy, radiotherapy and surgery. The cost would thus change accordingly.

Typical Costs for Liver Cancer Treatment in India looks like:

ProcedureCost (Range in US $)
Investigations500-1,000
Chemotherapy500-2,000 per cycle
Radiotherapy3,500-5,500
Surgery
    Liver Resection7,500-9,000
    Liver Transplant30,000-45,000
Cryosurgery1,500-3,000
Radiofrequency Ablation1,600-3,500
The cost quoted above is indicative and should not be taken as the final cost of the surgery. The final cost can be ascertained after the surgeon has evaluated the patient. The cost in Indian Rupees can vary based on exchange rate.

Factors that affect Liver Cancer Treatment Cost in India:

We at IndiCure, understand that you travel with a budget in mind and do not like to be greeted by surprises after arrival in India. We thus club all these expenses and give you the package cost that is inclusive and affordable at the same time.

Your case manager shall give you an estimated cost of your surgery after discussing your medical reports with the surgeon. The final cost, however, shall be confirmed after your consultation with the surgeon.

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In fact, we have Special Negotiated Rates with the Hospitals and you can avail Discounted Rates when you choose to Travel with IndiCure.

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Dr. K S Gopinath

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Dr. Prof Suresh H. Advani
Dr. Prof Suresh H. Advani

MBBS, MD, Fellowship

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Liver Cancer Treatment

Liver is one of the most important organs in the human body located in the right upper part of the abdomen just beneath the diaphragm. Liver performs a wide spectrum of functions which include maintaining and regulating the storage of glycogen, production of hormones, plasma proteins, RBC decomposition, detoxification and production of bile that helps in digestion.

Liver Cancer

There are mainly two types of Liver cancer:

  1. Primary Liver Cancer:

    Cancer that originates in the liver cells itself is called Primary liver cancer. There are two types of primary liver cancer:

    • Hepatocellular Carcinoma (HCC) - HCC is the most common type of liver cancer and starts from the main cells of the liver. People affected with cirrhosis are most prone to have HCC.
    • Other types of Primary liver cancer are Cholangiocarcinoma, cancer that starts in the cells lining the bile duct and Angiosarcoma, which is a rare liver cancer starting in the blood vessels.
  2. Secondary Liver Cancer

    It is the cancer that has originated in the other parts of the body but has spread to liver (known as metastasis)

Symptoms of Liver Cancer:

Initially, liver cancer does not produce any signs and symptoms but when they appear, it includes weight loss, loss of appetite, pain in the upper abdomen, generalized weakness and fatigue, nausea, vomiting, yellow discolouration of skin and eyes, abdominal swelling etc.

Once liver cancer is diagnosed, it is important to know the stage of the cancer to plan appropriate treatment to get out of it in time. There are 4 stages of liver cancer.

  • Stage I: Single cancer tumor confined to liver and has not spread to other parts.
  • Stage II: Cancer with either a single tumor that has spread to blood vessels or multiple tumors of less than 5 cm that has not invaded blood vessels.
  • Stage III: It has 3 sub stages:
    • Stage III A: cancer with more than single tumor having size of more than 5 cm but has not spread to lymph nodes or other parts.
    • Stage III B: Cancer has spread to either hepatic or portal vein but has not invaded lymph nodes or any other parts.
    • Stage III C: Cancer has spread to adjacent organs like gallbladder but has not spread to lymph nodes.
  • Stage IV: 2 sub stages:
    • Stage IV A: Cancer with more than one tumor of variable size that has spread to blood vessels, lymph nodes and adjacent organs of the liver but has not affected other body parts.
    • Stage IV B: Cancer of variable size which has spread to blood vessels and organs near the liver. It may or may not have invaded the lymph nodes but has spread to other organs like lungs and bones.

Liver Cancer Causes:

Cancer occurs when DNA of the cells undergo mutation and these mutated cells then grow without control in an abnormal way giving rise to the tumor.

The exact cause of liver cancer is unknown but like other cancers there are certain risk factors that may lead to liver cancer. These are:

  • Chronic infection caused by HBV or HCV virus
  • Liver cirrhosis
  • Inherited liver disease like Wilson's disease and hemochromatosis
  • Diabetes
  • Overweight and obesity
  • Excessive consumption of alcohol
  • Fatty liver disease

When is Liver Cancer Treatment needed?

If you are suffering from any of the above mentioned symptoms, you should see a doctor immediately who would advise various tests for a correct diagnosis. If you are found to suffer from liver cancer, the treatment should be started immediately.

Liver Cancer Treatment Options

There are various treatment options for liver cancer. The treating doctor would suggest the best treatment for the patient or a combination of these depending upon the medical condition of the patient:

Non Surgical Procedures:

  • Cryoablation:

    This entails killing the cancerous cells using an instrument called cryoprobe that delivers nitrogen which freezes and kills the cells.

  • Radio Frequency ablation:

    This procedure includes insertion of the needles to reach tumor through small incision in the abdomen and then heating the needle at very high temperature with an electric current to destroy the targeted cancerous cells.

  • Chemotherapy:

    Strong anti- cancer drugs are injected in the hepatic artery which is then blocked so as to cut the blood supply to the cancer cells which makes them shrink and ultimately die. This procedure is often called chemoembolization.

  • Radiation therapy:

    By using the high powered energy beams, the cancer cells are targeted to shrink and die. The new advanced technique called stereotactic radiotherapy can be used to treat liver cancer.

  • Targeted drug therapy:

    The drugs that interfere with the tumor function and inhibit the advancing spread of carcinoma are used to control the cancer. Sorafenib is one such drug.

Surgical Procedures:

Liver surgery is the most commonly performed procedure for liver cancer. There are mainly two types of surgical procedures:

  • Partial hepatectomy: This surgery is indicated only in cases of small tumors and when the liver functions are good. During the procedure, only the tumor and the small portion of the healthy tissue around the tumor is excised as the liver has the tendency to re-grow.
  • Liver transplant surgery: Liver transplant is the procedure to remove the diseased liver and replace it by a healthy and normally functioning liver from the donor.

Liver Transplant Surgery

Step 1

The first step is to identify and match the donor. For that, both the patient and donor have to undergo multiple tests like abdominal CT, cholangiogram, chest x-ray, ECG, ECHO etc. to confirm that the donor and patient are healthy enough to survive the surgery.

Step 2

The donor will be operated to remove the lobe of the liver. Either the left or right lobe is removed depending on the age of the person. If the patient is a child then the left lobe is taken as it is smaller and best suited for children and the right one is usually taken for adults. After harvesting is done, the incisions are closed with the sutures. This completes the surgery of the donor.

Step 3

The diseased liver of the patient is then removed by making an incision on the right upper quadrant of the abdomen. It is then replaced with the healthy liver that has been taken from the donor's body and the respective blood vessels and the biliary ducts are anastomosed with the lobe of the liver. As the liver has the tendency to regenerate the lobe that has been transplanted grows quickly and regenerates itself to the original size within a week after the surgery.

Questions to Ask

We at IndiCure completely understand your concerns and it is always our endeavor to provide the best outcome for every patient. Following is the list of questions you must ask before you embark on your journey for liver cancer treatment in India.

  • Is it time for liver cancer surgery?
  • Is the oncologist board certified?
  • How experienced is the surgeon?
  • Which language does the surgeon speak?
  • Is the treatment done in a well-equipped facility?
  • What cancer treatment option is recommended for me?
  • What about the risks involved?
  • Does the surgeon use a certified anesthetist?
  • How long will the recovery period be?

Preparation for the Surgery

Prepare to answer questions about your:

  • Medical history and exams
  • Previous surgeries
  • Current medication review
  • History of smoking, drugs, or alcohol
Liver Cancer  Question to Ask

What Results can I Expect from Liver Transplant Surgery?

The results of Liver Transplant Surgery are gratifying. One can return to a normal lifestyle within 6 months after the surgery. Healthy diet, regular exercise and proper medications add on to the faster recovery and help lead a healthy and active life ahead.

What is the Recovery after Liver Transplant Surgery Like?

After the surgery, the patient is moved to the Intensive care unit where the patient would be staying for 5-6 days. After the vitals are stabilized, the patient is moved to the room for about 3 weeks. One may feel pain and discomfort after the surgery which is normal and shall be controlled with medications. Recovering from liver transplant surgery is a slow and long process that aims to slowly make you healthy and fit. It may take about 6 months to resume your normal daily activities.

Frequently Asked Questions

Liver cancer is not a common disease, but the number of people diagnosed with liver cancer is continuously rising. According to medical experts, roughly 1% of all men and women in the United States will be diagnosed with liver cancer at some point in their lives.

Yes. There are 3 kinds of Primary Liver Cancer.

Hepatocellular Carcinoma: HCC (hepatocellular carcinoma) is the most frequent type of liver cancer, accounting for virtually all occurrences.

IHC (intrahepatic cancer) is a kind of cholangiocarcinoma. IHC is cancer of the bile ducts of the liver. It accounts for roughly 10% to 20% of all primary liver cancer cases.

Angiosarcoma: This form is extremely rare, accounting for just around 1% of all occurrences of primary liver cancer. This malignancy starts in the lining of your liver's blood cells. (Angiosarcoma can affect other organs as well.)

HCC and IHC account for around 2% of all new cancer cases and 5% of all cancer deaths in the United States. HCC and IHC are frequently diagnosed and treated in the same way by healthcare experts.

HCC and IHC are more common in males than in women, and they are diagnosed most frequently between the ages of 55 and 64. Asian/Pacific Islander, Hispanic, and American Indian/Alaskan Indian persons are more likely than Black or white people to acquire primary liver cancer.

If your healthcare professional notices liver cancer early symptoms, they may suspect you have the disease. To discover more, they will ask you to undergo further tests like CT, MRI, blood tests, biopsy, Angiogram, ERCP etc.

When the DNA of healthy liver cells changes, liver cancer develops. The genes that inform our cells how to work are stored in DNA. Cells have genes that tell them when to grow, reproduce, and die, and we all have them.

Oncogenes, for example, aid cell growth and division. Other genes, known as tumor suppressor genes, keep an eye on cell activity, preventing them from growing uncontrolled and ensuring that cells die when they should.

Our cells receive new instructions when our DNA mutates or changes. DNA alterations in HCC activate oncogenes and/or repress tumor suppressor genes. Cirrhosis caused by the hepatitis B and C viruses, for example, accounts for more than half of all HCC cases, according to research.

When these viruses infect liver cells, they alter the DNA of the cells, causing healthy liver cells to become malignant.

Your liver is your body's largest organ, and it aids in digestion. It's also one of the most vital organs, because no one can survive without it.

The following are some of the vital functions that your liver performs:

  • Blood from your intestines is collected and filtered by the liver
  • Processes and stores nutrients absorbed by your intestines.
  • Some nutrients are converted into energy or chemicals that your body needs for tissue growth.
  • Produces bile, a fluid that aids in fat digestion.
  • Other nutrients from meals, such as sugar, are digested and stored, resulting in energy production.
  • Produces chemicals that aid in the clotting of your blood.

Long-term inflammation in your bile ducts, according to doctors, raises your chances of having IHC. Long-term inflammation may trigger DNA alterations in healthy cells, causing them to become aberrant.

You may have no symptoms at all if you have liver cancer in its early stages. The symptoms of hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (IHC) are the same:

  • A lump behind your rib cage, pain on the right side of your abdomen, or pain near your right shoulder are all possible symptoms.
  • Jaundice (a disease that causes skin and eyes to yellow).
  • Weight loss, sickness, or a loss of appetite that isn't explained.
  • Fatigue.
  • Urine with a dark colour.

Unfortunately, you can develop liver cancer at any age and have no symptoms. If you know you're at risk for liver cancer, talk to your doctor about having tests done to monitor your liver and maybe spot it early on.

Liver cancer screening is a way for doctors to check for indicators of liver cancer in your liver. Although there are no standard liver cancer screening tests, your doctor may prescribe that you have ultrasounds and blood tests every six months.

While there is no way to totally avoid liver cancer, you can reduce your risk by doing the following:

  • Cirrhosis-causing behaviors should be avoided.
  • Get to or stay at a healthy weight.
  • Get vaccinated against hepatitis B. Inquire about the hepatitis A vaccine with your doctor.
  • Hepatitis C should be avoided.
  • Ask your healthcare provider about liver cancer screenings if you have liver disease, diabetes, obesity, or are a heavy drinker.

Successful liver transplants can cure liver cancer, but not everyone who requires one is healthy enough to undergo the procedure or able to find a donor. According to studies, persons who have surgery to remove a portion of their liver survive longer than those who are unable to have surgery due to their sickness. When this happens, healthcare experts focus on treatments to help individuals live as long as feasible with a high quality of life.

Healthcare practitioners are making advances in the treatment of liver cancer, allowing people to live longer. However, liver cancer is still a life-threatening condition.

According to statistics, 35 percent of persons diagnosed with early-stage hepatocellular carcinoma (HCC) in the liver survive five years after treatment. Five years after diagnosis, about 12% of persons with HCC that have progressed to surrounding tissues, organs, or lymph nodes are still alive. Five years after diagnosis, about 3% of persons with HCC that have progressed farther are still alive.

Intrahepatic bile (IHC) duct cancer has a five-year survival rate of 24% for bile duct cancer that hasn't gone outside of your liver, 9% for cancer that has spread to adjacent lymph nodes, and 2% for cancer that has spread farther.

The length of stay would depend on the type of treatment required. If you just need liver resection surgery, a stay of 2-3 weeks should be enough. However, if you need liver transplant surgery, you would need to stay for 3-4 months in India.

No. You will have to bring the docnor with you who should be closely related to you. It is illegal to buy or sell any organ in India. Only close relatives can donate an organ to you out of love and compassion.

Patient Testimonials

  • Cancer is daunting. I was diagnosed with breast cancer and advised to travel immediately to India for the treatment. Found IndiCure online and traveled within 10 days. We were well received by Team IndiCure and got immediate treatment. I am very much humbled with the kindness of the doctors- each time we met they cleared all our doubts and were very helpful.

    After undergoing 6 cycles of chemotherapy and surgery, I am cancer free now and ready to travel back to my country.

    Thank you so much IndiCure for all the help.

    Jade,Nigeria

    Treatment: Breast cancer

  • After undergoing my cancer treatment in India, I have developed deep respect for Indian doctors and Indian healthcare services. The doctors are prompt in their actions and extremely helpful. I underwent extensive investigations including PET scan and other tests and as soon as they knew my exact condition, they made a comprehensive treatment plan and immediately started my treatment. The hospital staff was also very kind and co-operative.

    Though it was a long journey, it was definitely a fruitful one. Thanks, IndiCure.

    Marykelsey Williams,Djibouti

    Treatment: Multiple Myeloma

  • I am highly indebted to the whole IndiCure team and Dr. Singh specifically for saving my life. The doctors in my home country Ghana had clearly stated that if I do not get operated for a brain tumor at the earliest, I would not live more than a month. But the promptness with which IndiCure team arranged things for me was something extraordinary. I am extremely satisfied with the whole experience and completely relieved of all my symptoms. Thanks a lot!

    Michelle Ramos,Ghana

    Treatment: Brain tumor

  • Thank you IndiCure Health Team for all the support you provided my father. You deserve 6 stars for customer service. Your team was instrumental in setting up my Dad with Dr. Babu and other healthcare teams. Your professionalism is exceptional. You responded to my all concerns within 24 hours; you reassured me everything would be okay when I needed it the most; you showed compassion that I've never seen before. Dr. Babu successfully operated on my Dad and we are so grateful for that. I would like to say a special thank you to Mr. Bachir, whom my dad now calls a friend. Mr. Bachir went above and beyond his job responsibilities and responded to the present every time my father needed him. I will recommend your services to friends and family every time I get the opportunity to do so. No amount of words can express my gratitude, so on behalf of my family, we would like to THANK YOU. Sincerely, a father's daughter.

    Paule Relpe,Ethiopia/ USA

    Treatment: Prostate Cancer

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It is also important to keep your expectations realistic and to understand that all surgical procedures carry risks and should never be taken lightly.