Fibrolamellar Carcinoma: Symptoms and Treatment

Fibrolamellar Carcinoma is a rare type of liver cancer that mainly affects young adults. It is characterized by distinct features in its appearance under a microscope. This cancer can have a significant impact on a person's overall health and well-being due to its potential to grow and spread to other parts of the body. The primary effect of Fibrolamellar Carcinoma on health is the disruption it causes to normal liver function, which can lead to various complications and challenges in daily life.

What are the Symptoms of Fibrolamellar Carcinoma

Fibrolamellar Carcinoma is a rare type of liver cancer that typically affects younger individuals. Symptoms of this type of cancer can vary, but they often include general signs of liver dysfunction such as abdominal pain, weight loss, and fatigue

  • Abdominal pain
  • Unintended weight loss
  • Jaundice
  • Fatigue
  • Nausea and vomiting
  • Enlarged liver

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Causes of Fibrolamellar Carcinoma

Fibrolamellar Carcinoma is a rare form of liver cancer that typically affects young adults. The exact cause of this type of cancer is not fully understood, but several factors may contribute to its development. 

These factors include genetic mutations, environmental exposures, and certain risk factors such as gender and age. Researchers are still investigating the underlying mechanisms that lead to the development of Fibrolamellar Carcinoma.

  • Genetic mutations
  • Environmental factors
  • Hepatitis B or C infection
  • Exposure to chemicals or toxins
  • History of liver disease

Types of Fibrolamellar Carcinoma

Fibrolamellar Carcinoma has several types or forms that can vary in their characteristics and presentation. These different types may influence the treatment approach and prognosis for patients. 

  • Classical Fibrolamellar Carcinoma: The most common type characterized by a central scar and tumor cells arranged in cords.
  • Heavily Calcified Fibrolamellar Carcinoma: Rare subtype with extensive calcification visible on imaging studies.
  • Steatohepatitic Fibrolamellar Carcinoma: Variant associated with fatty liver changes and inflammation in the liver tissue.
  • Fibrolamellar Carcinoma with Rhabdoid Features: Variant showing rhabdoid morphology, which is a type of aggressive tumor behavior.

Risk Factors

Fibrolamellar Carcinoma is a rare form of liver cancer that typically affects young adults. While the exact cause of this cancer is not fully understood, several risk factors have been identified that may increase the likelihood of developing Fibrolamellar Carcinoma. These risk factors can vary from genetic predispositions to environmental exposures and lifestyle factors. 

  • Age
  • Gender
  • Family history
  • Hepatitis B or C infection
  • Alcohol abuse
  • Obesity
  • Exposure to certain chemicals or toxins

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Diagnosis of Fibrolamellar Carcinoma

Fibrolamellar Carcinoma is often diagnosed through a combination of medical imaging, blood tests, and biopsy. Imaging tests like CT scans and MRIs help identify abnormal growths in the liver. Blood tests can detect markers that indicate liver problems. 

A biopsy is usually done to confirm the presence of cancer cells in the liver tissue. These diagnostic methods help doctors determine the presence and extent of Fibrolamellar Carcinoma in patients.

  • Imaging tests such as CT scan and MRI
  • Blood tests including liver function tests and tumor markers
  • Biopsy for tissue examination
  • Genetic testing for DNA mutations
  • Surgical exploration to confirm the diagnosis

Treatment for Fibrolamellar Carcinoma

Fibrolamellar carcinoma treatment options typically involve a multidisciplinary approach. Surgery is the primary treatment for this type of liver cancer, with the goal of removing the tumor.

Targeted therapy and immunotherapy are also emerging as potential treatment options for fibrolamellar carcinoma. Clinical trials may offer patients access to new and innovative treatment approaches. 

  • Surgical Resection: The primary treatment for Fibrolamellar Carcinoma is surgical removal of the tumor and surrounding tissues to achieve complete resection.
  • Liver Transplantation: In cases where the tumor cannot be completely removed surgically, liver transplantation may be considered as a treatment option for Fibrolamellar Carcinoma.
  • Chemotherapy: Chemotherapy may be used before or after surgery to help shrink the tumor, kill cancer cells, or prevent recurrence of Fibrolamellar Carcinoma.
  • Radiation Therapy: Radiation therapy may be recommended as part of the treatment plan for Fibrolamellar Carcinoma to target and destroy cancer cells in the liver.
  • Targeted Therapy: Targeted therapy drugs may be prescribed to specifically target the genetic mutations present in Fibrolamellar Carcinoma cells, helping to slow down tumor growth or spread.
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Frequently Asked Questions

What is Fibrolamellar Carcinoma?

Fibrolamellar Carcinoma is a rare type of liver cancer that typically affects young adults and is characterized by a distinct appearance under the microscope.

What are the common symptoms of Fibrolamellar Carcinoma?

Common symptoms include abdominal pain, weight loss, jaundice, and fatigue. However, some individuals may not experience any symptoms in the early stages.

How is Fibrolamellar Carcinoma diagnosed?

Diagnosis involves imaging tests such as CT scans and MRIs, along with a biopsy to confirm the presence of cancerous cells in the liver.

What are the treatment options for Fibrolamellar Carcinoma?

Treatment may involve surgery to remove the tumor, along with chemotherapy or targeted therapy depending on the stage and extent of the cancer.

What is the prognosis for individuals with Fibrolamellar Carcinoma?

The prognosis varies depending on factors such as the stage of cancer at diagnosis and how well it responds to treatment. Early detection and prompt intervention can improve outcomes.

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