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Может быть: \n- **Первичным** — развивается из клеток печени [3](https://fnkc-fmba.ru/zabolevaniya/rak-pecheni/)[7](https://lapino2.ru/napravleniya/onkogepatologiya/rak-pecheni/). \n- **Вторичным (метастатическим)** — вызван метастазами из другого органа [2](https://www.medicina.ru/patsientam/zabolevanija/rak-pecheni/)[4](https://inuclear.ru/zabolevanija/rak-pecheni/). \n\nНаиболее распространённый тип первичного рака — **гепатоцеллюлярная карцинома** [3](https://fnkc-fmba.ru/zabolevaniya/rak-pecheni/)[7](https://lapino2.ru/napravleniya/onkogepatologiya/rak-pecheni/).\n\n## Причины\nНекоторые факторы, повышающие риск развития рака печени: \n* хронические воспалительные процессы в печени (цирроз, гепатит С и В) [9](https://www.invitro.ru/library/bolezni/32097/); \n* злоупотребление алкоголем, которое разрушает клетки печени [9](https://www.invitro.ru/library/bolezni/32097/); \n* неправильное питание, избыточный вес [9](https://www.invitro.ru/library/bolezni/32097/); \n* гемохроматоз — нарушение обмена железа в организме [9](https://www.invitro.ru/library/bolezni/32097/); \n* приём гепатотоксичных препаратов [9](https://www.invitro.ru/library/bolezni/32097/). \n\nОбычно злокачественные новообразования печени развиваются под воздействием нескольких провоцирующих факторов [9](https://www.invitro.ru/library/bolezni/32097/).\n\n## Симптомы\nНа ранних стадиях заболевание может не проявляться [3](https://fnkc-fmba.ru/zabolevaniya/rak-pecheni/)[5](https://centr-hirurgii-spb.ru/diseases/rak-pecheni/). Некоторые признаки, которые появляются при прогрессировании опухоли: \n* боль в правой верхней части живота [16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/); \n* тошнота и рвота [16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/); \n* чувство тяжести в животе [16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/); \n* потеря аппетита [16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/); \n* снижение веса без объяснимых причин [16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/); \n* желтуха — пожелтение кожи и белков глаз [16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/); \n* повышенная температура тела [16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/); \n* увеличение живота [16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/); \n* слабость, утомляемость [16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/).\n\n## Диагностика\nПри подозрении на рак печени врач может назначить: \n* **УЗИ (ультразвуковое исследование)** — позволяет определить опухоль на ранней стадии [15](https://www.cmd-online.ru/patsientam/poleznyye-statii/rak-pecheni/)[16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/). \n* **КТ (компьютерную томографию)** — уточняет размер, локализацию опухоли, врастание новообразования в сосуды [15](https://www.cmd-online.ru/patsientam/poleznyye-statii/rak-pecheni/). \n* **МРТ (магнитно-резонансную томографию)** — позволяет определить характер опухоли и кровоснабжение [15](https://www.cmd-online.ru/patsientam/poleznyye-statii/rak-pecheni/). \n* **Биопсию печени** — рекомендуется пункционная биопсия при опухоли малых размеров (менее 2 см в диаметре) [15](https://www.cmd-online.ru/patsientam/poleznyye-statii/rak-pecheni/).\n\n## Лечение\nТактика лечения зависит от общего состояния здоровья пациента, стадии болезни, а также сопутствующих заболеваний [16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/). Некоторые методы: \n* **Хирургическое лечение** — удаление опухоли, максимально сохранив при этом здоровую функциональную ткань печени [16](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-pecheni/). \n* **Трансплантация печени** — показана, когда невозможно провести резекцию: при новообразовании большого размера, при наличии нескольких опухолей [15](https://www.cmd-online.ru/patsientam/poleznyye-statii/rak-pecheni/). \n* **Химиотерапия** — один из основных методов безоперационного лечения [19](https://mak-med.ru/uslugi/lechenie-raka/lechenie-raka-pecheni/). \n* **Иммунотерапия** — активирует иммунную систему для распознавания и уничтожения раковых клеток [20](https://LGK-Russia.ru/forspecialists/indications/rak-pecheni/). \n* **Лучевая терапия** — наиболее перспективная для пациентов с неоперабельным раком печени, но высокие дозы облучения могут вызывать повреждение здоровых печёночных клеток [19](https://mak-med.ru/uslugi/lechenie-raka/lechenie-raka-pecheni/).","linksData":[{"sourceId":1,"url":"https://polyclinika.ru/tech/rak-pecheni-simptomy-stadii-lechenie-prognoz/","shownUrl":"https://polyclinika.ru/tech/rak-pecheni-simptomy-stadii-lechenie-prognoz/","title":"Рак печени - причины, симптомы, признаки, стадии, диагностика, лечение, прогноз","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":2,"url":"https://www.medicina.ru/patsientam/zabolevanija/rak-pecheni/","shownUrl":"https://www.medicina.ru/patsientam/zabolevanija/rak-pecheni/","title":"Рак печени: симптомы, признаки, лечение, стадии злокачественной опухоли печени","shortUrl":"medicina.ru","isTranslated":false,"description":"","greenUrl":"medicina.ru"},{"sourceId":3,"url":"https://fnkc-fmba.ru/zabolevaniya/rak-pecheni/","shownUrl":"https://fnkc-fmba.ru/zabolevaniya/rak-pecheni/","title":"Рак печени – симптомы, виды, лечение, диагностика в ФНКЦ ФМБА России","shortUrl":"fnkc-fmba.ru","isTranslated":false,"description":"","greenUrl":"fnkc-fmba.ru"},{"sourceId":4,"url":"https://inuclear.ru/zabolevanija/rak-pecheni/","shownUrl":"https://inuclear.ru/zabolevanija/rak-pecheni/","title":"Рак печени: симптомы, диагностика, лечение, стадии и профилактика онкологии","shortUrl":"inuclear.ru","isTranslated":false,"description":"","greenUrl":"inuclear.ru"},{"sourceId":5,"url":"https://centr-hirurgii-spb.ru/diseases/rak-pecheni/","shownUrl":"https://centr-hirurgii-spb.ru/diseases/rak-pecheni/","title":"Рак печени: лечение, симптомы и причины заболевания","shortUrl":"centr-hirurgii-spb.ru","isTranslated":false,"description":"","greenUrl":"centr-hirurgii-spb.ru"},{"sourceId":6,"url":"https://www.russcpa.ru/patsientam/o-rake/rak-pecheni/","shownUrl":"https://www.russcpa.ru/patsientam/o-rake/rak-pecheni/","title":"Рак печени","shortUrl":"russcpa.ru","isTranslated":false,"description":"","greenUrl":"russcpa.ru"},{"sourceId":7,"url":"https://lapino2.ru/napravleniya/onkogepatologiya/rak-pecheni/","shownUrl":"https://lapino2.ru/napravleniya/onkogepatologiya/rak-pecheni/","title":"Рак печени","shortUrl":"lapino2.ru","isTranslated":false,"description":"","greenUrl":"lapino2.ru"},{"sourceId":8,"url":"https://gkob1.ru/zabolevanija/rak-pecheni/","shownUrl":"https://gkob1.ru/zabolevanija/rak-pecheni/","title":"Рак печени | Онкологический центр № 1 ГКБ имени С.С. 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