Signs and Symptoms of Liver Cancer in the Final Week

In the last week of life, patients with advanced liver cancer often experience a range of severe symptoms due to the progression of the disease and the body's declining function. Understanding these signs can help caregivers and family members provide better palliative care.

Tumor Metastasis
At this stage, the cancer may have spread throughout the liver or to other parts of the body, leading to widespread organ dysfunction and increased discomfort.

Severe Liver Dysfunction and Cirrhosis
Most patients suffer from advanced cirrhosis alongside liver cancer, which significantly impairs liver function and worsens overall health.

Progressive Weight Loss and Cachexia
Cachexia, or extreme body wasting, is common in terminal cancer patients. It results in severe weight loss, muscle atrophy, and weakness, leaving individuals frail and vulnerable.

Jaundice and Skin Discoloration
Liver failure leads to a buildup of bilirubin in the blood, causing yellowing of the skin and eyes. In advanced cases, the jaundice may become more intense and widespread.

Ascites and Abdominal Distension
Low levels of albumin in the blood can cause fluid to accumulate in the abdominal cavity, resulting in painful swelling and a visibly distended belly.

Chronic Pain and Discomfort
Persistent pain, often localized in the upper abdomen or back, becomes more intense and may require strong pain-relief medications to manage effectively.

Bleeding and Coagulation Issues
The liver's inability to produce clotting factors may lead to bruising, nosebleeds, or internal bleeding, presenting as red or purple spots on the skin.

Neurological Decline and Coma
As the liver fails to filter toxins from the blood, they can build up in the brain, potentially leading to confusion, drowsiness, and eventually hepatic encephalopathy or coma.

Recognizing these symptoms can be crucial for providing compassionate end-of-life care and ensuring the patient's comfort during their final days.