The best treatment option for liver cancer is resection (surgery to remove the tumor) or liver transplant. When all liver tumors are completely eliminated, you have a better chance. Small liver tumors can be treated with other types of treatments, such as resection or radiation. Partial hepatectomy is surgery to remove part of the liver. This surgery can only be done for people with a good liver function who are otherwise healthy from the surgery and who have a single tumor that has not become a blood vessel. Imaging tests such as CT scans or MRI scans are done first with angiography to see if all cancer can be removed. However, sometimes during surgery, cancer turns out to be too large or has spread too far to be removed and the planned surgery cannot be performed. Most liver cancer patients in the United States also have cirrhosis. In people with severe cirrhosis, removing even a small amount of liver tissue around the edges of the tumor may not leave enough liver to perform important functions. People with cirrhosis are generally eligible for surgery if there is only one tumor (undeveloped in blood vessels) and adequate liver function (at least 30%) after surgery. Doctors often evaluate this by determining the Child-Pugh score (see Stages of Liver Cancer), a measure of cirrhosis based on specific lab tests and symptoms. Patients with Child-Pugh A are more likely to have the adequate liver function to undergo surgery. Category B patients undergo surgery less often. Surgery is usually not an option for category C patients.
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