Liver Cancer Recurrence: Risks, Warning Signs & Management After Surgery

• Liver cancer, particularly HCC, can recur after surgery, with rates up to 70% within five years, posing a significant public health challenge in India.
• Recurrence is due to microscopic residual disease or new tumors forming in chronically diseased liver tissue, often linked to hepatitis, alcohol, NAFLD, obesity, and diabetes.
• Dr. Tirathram Kaushik emphasizes surgical intervention for early-stage HCC, noting liver's regenerative ability allows significant removal.
• Patients must watch for symptoms like abdominal pain, weight loss, and jaundice, but recurrence can be asymptomatic, making regular follow-ups crucial.
• Monitoring includes imaging (ultrasound, CT, MRI) and blood tests (AFP levels) every 3-6 months; early detection improves treatment options like repeat surgery, transplantation, or targeted therapies.