Symptom 7: Liver Enlargement
Hepatomegaly, or the enlargement of the liver, might sound like a term right out of a medical thriller, but when it sneaks into our lives, it’s a symptom demanding immediate attention. Understandably, the liver, wearing multiple hats, is one busy organ. From detoxifying our body to metabolizing drugs, it’s ever-working, ensuring we’re in tip-top shape. But when it enlarges, it’s often a cry for help, signaling it’s under duress.
So, what causes this enlargement when fibrolamellar hepatocellular carcinoma is in the picture? FHCC itself can lead to increased liver volume, with tumor growth pushing against the liver’s boundaries. This expansion is more than just about space; it’s an indicator that the liver is grappling with invaders disrupting its smooth functioning.
But it’s not just about the size. An enlarged liver might also feel tender, adding discomfort to the mix. This tenderness is another alarm bell, indicating the liver’s distress as it battles the disease.
An important distinction to make here is between an enlarged liver and a healthy, athletic liver. Athletes, given their high activity levels, can naturally have larger livers. But, unlike FHCC-induced enlargement, an athletic liver isn’t accompanied by pain or other symptoms. (7)