Tumour Type
The treatment pathway depends on whether the tumour is a primary liver cancer such as HCC or another tumour involving the liver.
Liver Cancer Treatment in Pune
What Is Liver Cancer?
Liver cancer refers to malignant tumours involving the liver. Treatment depends on the tumour type and extent, the condition of the liver and the patient’s overall health.
Hepatocellular Carcinoma (HCC)
A primary liver cancer that commonly arises in a liver affected by chronic liver disease such as cirrhosis or chronic viral hepatitis.
Cholangiocarcinoma
A cancer arising from the cells lining the bile ducts. Location influences the surgical and multidisciplinary treatment plan.
Treatment Is Individualised
Different patients may need surgery, ablation, transplantation, locoregional treatment, systemic treatment or combinations of approaches.
What Is Liver Cancer?
Liver cancer refers to malignant tumours involving the liver. The appropriate treatment depends on tumour type and extent, liver function and the patient’s clinical condition.
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Clinical pathway
What Can Increase The Risk Of Liver Cancer?
Risk is increased by certain chronic liver conditions, particularly cirrhosis, and by selected chronic viral hepatitis infections. Metabolic liver disease can also be relevant. Surveillance should be determined by risk and specialist assessment.
1
Cirrhosis & Chronic Liver Disease
Cirrhosis is an important setting in which hepatocellular carcinoma can arise.
2
Chronic Hepatitis B & C
Chronic hepatitis B and C are associated with HCC risk, particularly when significant chronic liver disease is present.
3
Metabolic Liver Disease
Metabolic liver disease, including NASH, can be relevant to liver-cancer risk.
4
Risk-Based Surveillance
Not every person requires the same surveillance plan. Follow-up should be determined by the treating specialist.
What Are The Symptoms Of Liver Cancer?
Liver cancer may be found during surveillance imaging or after symptoms lead to medical evaluation. Some patients may have few or nonspecific symptoms.
Few or No Early Symptoms
Some liver cancers are detected during surveillance or imaging before prominent symptoms develop.
Abdominal or Liver-Related Symptoms
New or changing symptoms should be assessed in the context of the patient’s liver history.
Unexplained Weight or Appetite Changes
Changes in appetite, weight or general health require clinical interpretation rather than being assumed to represent cancer.
Jaundice or Other Liver Signs
Jaundice and other liver-related signs may occur depending on tumour location and underlying liver disease.
Liver Nodule or Mass...
A liver nodule or mass found on imaging requires appropriate characterization rather than assumptions.
Persistent or Worsening Symptoms
Persistent, unexplained or worsening symptoms should prompt appropriate medical assessment.
When Should a Liver Cancer Finding Be Evaluated?
A new liver nodule, mass or suspicious imaging finding should be assessed by an appropriate liver specialist or multidisciplinary team, particularly in patients with cirrhosis or other liver-cancer risk factors.
Book ConsultationWhat Can Liver Cancer Involve?
Use the standardized six-card multidisciplinary module. Keep the page focused on liver-cancer diagnosis and treatment while using related clinical pathways only where they support the cancer journey.
Tumour Size & Number
Size, number and distribution of lesions influence treatment planning.
Tumour Location
Anatomical location and relationship to vessels or bile ducts can affect which treatments are feasible.
Liver Function
Underlying liver function influences treatment options, especially when chronic liver disease is present.
DIAGNOSIS
How Is Liver Cancer Diagnosed And Staged?
Evaluation usually combines clinical history with blood tests, liver imaging and assessment of the underlying liver. The exact testing pathway depends on imaging findings and suspected tumour type.
Blood Tests
Liver and other laboratory testing supports the overall clinical assessment.
Ultrasound / Imaging
Ultrasound may detect a lesion; CT or MRI can provide further characterization.
Tumour Characterization
Imaging helps assess lesion size, number, location and relationship to vessels or bile ducts.
Liver Function Assessment
Underlying liver function influences treatment options.
Spread / Stage Assessment
Selected patients require evaluation for disease outside the primary lesion.
Multidisciplinary Review
Complex cases may require coordinated input from liver surgeons, hepatology, radiology, oncology and other specialists.
What Tests Are Used to Evaluate Liver Cancer?
Evaluation commonly includes liver blood tests and appropriate imaging such as ultrasound, CT or MRI, together with assessment of tumour characteristics and underlying liver function.
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Patient Journey
What Are The Treatment Options For Liver Cancer?
Treatment depends on tumour type, size, number, location, liver function and overall clinical condition. The final plan is individualized.
Surgical Resection
Selected patients may undergo liver surgery to remove the tumour while preserving adequate liver function.
Ablation
Local ablation may be considered for selected tumours when appropriate.
Liver Transplantation
Selected patients may be considered for transplantation when tumour and liver characteristics fit the transplant pathway
Locoregional Treatment
Some patients may require treatments directed at the tumour or its blood supply
Systemic Treatment
Advanced disease may require systemic therapy according to tumour type and clinical assessment.
Multidisciplinary Planning
The final plan may combine modalities and is determined case by case.
What Are the Treatment Options for Liver Cancer?
Treatment options can include liver surgery, ablation, transplantation for selected patients, locoregional treatment, systemic treatment or combinations of these approaches. The choice depends on tumour and liver characteristics.
Book ConsultationWhat Are The Treatment Options For Liver Cancer?
Follow-up depends on the treatment received, tumour biology, recurrence risk and the condition of the underlying liver. Surveillance should be individualized by the treating team.
1
Post-Treatment Review
Clinical review helps assess recovery and identify new concerns.
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2
Imaging Surveillance
Selected patients require follow-up imaging according to their risk and treatment pathway.
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3
Liver Function Monitoring
Patients with chronic liver disease may need ongoing assessment of liver function and related complications
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4
Recurrence Monitoring
The surveillance plan should be determined by tumour type, treatment and clinical risk.
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Who Needs Liver Cancer Surveillance?
Surveillance is generally targeted to people whose underlying liver disease or other risk factors place them at increased risk. The appropriate surveillance plan should be determined by the treating specialist.
Book ConsultationIs Liver Transplant An Option For Liver Cancer?
Transplantation is a treatment option for selected patients rather than every patient with liver cancer. Eligibility depends on tumour characteristics, liver condition and overall clinical assessment.
Tumour & Liver Assessment
The team considers tumour characteristics together with the condition of the underlying liver.
Selected Patients
Some patients may be considered for transplantation as part of their cancer-treatment pathway.
Dedicated Transplant Evaluation
Transplant suitability requires specialist assessment; avoid publishing fixed stage/size eligibility rules unless separately approved.
Is Liver Transplant an Option for Liver Cancer?
For selected patients, liver transplantation may form part of the treatment strategy. Eligibility depends on tumour characteristics, liver condition and the overall clinical assessment.
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Our Doctors
Meet Our Liver Transplant Surgeons & Hepatology Team
Dr. Manoj Shrivastav
MBBS · DNB (General Surgery) · Fellowship in Liver Transplantation, Global Hospital, Chennai
Dr. Manoj Shrivastav is a liver transplant surgeon at Ruby Hall Clinic, Pune, and currently leads the multi-organ transplant programme. He has personally completed over 200 liver transplants in Pune, 100 of them in the past year alone, with a survival rate above 95% and a one-year survival rate of 92% across his transplant series.
800+
Liver transplants
in Pune
in Pune
95%+
Survival
rate
rate
92%
One-year
survival rate
survival rate
He is equipped to handle acute surgical emergencies and trauma across a variety of scenarios, has performed major liver resections for hepatocellular carcinoma and cholangiocarcinoma, and believes a successful transplant depends on excellent teamwork across the entire clinical team — not one surgeon alone.
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FAQs
Frequently Asked Questions
Does every liver cancer patient need surgery?
No. Treatment depends on tumour type, stage, location, liver function and overall clinical condition.
Can liver cancer be treated with surgery?
Selected patients may undergo liver resection when tumour characteristics and liver function make surgery appropriate.
Can liver cancer be treated with ablation?
Ablation may be an option for selected tumours after specialist assessment.
What is hepatocellular carcinoma?
Hepatocellular carcinoma is a primary liver cancer that commonly arises in a liver affected by chronic liver disease.
What is cholangiocarcinoma?
Cholangiocarcinoma is cancer arising from the cells lining the bile ducts, and treatment depends partly on its anatomical location.
Who should I consult for liver cancer?
Patients should be assessed by a specialist liver team with access to appropriate surgical, hepatology, radiology and oncology expertise.
Can liver cancer be treated at Ruby Hall Clinic in Pune?
The page should describe only currently verified liver-cancer services and multidisciplinary programme capabilities at publication.
Talk to the liver team
Get Your Liver Cancer Findings Reviewed
Bring your scans, laboratory reports, previous treatment records and pathology reports where available.