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Chemotherapy Options for Liver Cancer Treatment

Know all about chemotherapy, liver cancer treatment, medications, possible side effects, effectiveness of medication and more.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. Vasanthasree Nair MBBS

Last updated on 8th Aug, 2025

Introduction 

Liver cancer is a serious condition that requires prompt and effective treatment. Among the various treatment options available, chemotherapy plays a crucial role in managing the disease, especially in advanced stages. If you or a loved one has been diagnosed with liver cancer, understanding chemotherapy options can help you make informed decisions about your care.

This article explains chemotherapy for liver cancer in simple terms—what it is, how it works, its benefits, side effects, and ways to manage them. We’ll also discuss lifestyle tips and when to seek medical help.

What Is Chemotherapy for Liver Cancer?

Chemotherapy (or "chemo") uses powerful drugs to kill cancer cells or stop them from growing. For liver cancer, chemotherapy may be given in different ways:

1. Systemic Chemotherapy – Drugs are given through the bloodstream (usually via IV or pills) to reach cancer cells throughout the body.

2. Hepatic Artery Infusion (HAI) – Chemo is delivered directly into the liver through its main blood vessel (hepatic artery), targeting the tumor more precisely.

3. Chemoembolization (TACE) – A combination of chemotherapy and blocking the tumor’s blood supply to shrink it.

Consult Top Specialists for Personalised Tips

Dr Sunita Samleti, Oncologist

Dr Sunita Samleti

Oncologist

18 Years • M.D. (Pathology)- TN Medical College, Mumbai University, Mumbai, Mar 2005 M.B.B.S. Grant Medical College, Mumbai University, Mumbai, Oct 1999

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

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Dr Gowshikk Rajkumar, Oncologist

Dr Gowshikk Rajkumar

Oncologist

10 Years • MBBS, DMRT, DNB in Radiation oncology

Bengaluru

Apollo Clinic, JP nagar, Bengaluru

900

135 Cashback

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No Booking Fees

Dr. Raja T, Oncologist

Dr. Raja T

Oncologist

20 Years • MBBS; MD; DM

Chennai

Apollo Hospitals Greams Road, Chennai

recommendation

94%

(175+ Patients)

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When Is Chemotherapy Used for Liver Cancer?

Chemotherapy is often recommended when:

  • The cancer is advanced and cannot be removed by surgery.

  • The tumor is too large for other treatments like radiation or ablation.

  • The cancer has spread to other parts of the body (metastasis).

  • Other treatments (like targeted therapy or immunotherapy) are not suitable.

Common Chemotherapy Drugs for Liver Cancer

Some commonly used chemotherapy drugs for liver cancer include:

  • 5-Fluorouracil (5-FU)

  • Cisplatin

  • Doxorubicin

  • Oxaliplatin

  • Gemcitabine

These may be used alone or in combination, depending on the cancer stage and patient’s overall health.

How Effective Is Chemotherapy for Liver Cancer?

While chemotherapy can help slow cancer growth and relieve symptoms, it may not always cure liver cancer. Its effectiveness depends on:

  • The cancer stage at diagnosis.

  • The patient’s liver function and overall health.

  • How well the body responds to treatment.

Your doctor will monitor your progress through scans and blood tests to adjust treatment as needed.

Possible Side Effects of Chemotherapy

Chemotherapy affects both cancer cells and healthy cells, leading to side effects. Common ones include:

  • Fatigue (extreme tiredness)

  • Nausea and vomiting

  • Loss of appetite

  • Hair loss

  • Low blood cell counts (increased infection risk, anemia, easy bruising)

  • Mouth sores

Most side effects are temporary and can be managed with medications, diet changes, and rest.

Tips for Managing Chemotherapy Side Effects

1. Nausea & Vomiting – Eat small, frequent meals. Avoid strong smells. Ask your doctor for anti-nausea medications.

2. Fatigue – Rest when needed, but light exercise (like walking) can help boost energy.

3. Diet & Nutrition – Eat protein-rich foods (eggs, lentils, yogurt) to help recovery. Stay hydrated.

4. Infection Prevention – Wash hands frequently, avoid crowds, and report fever or unusual symptoms immediately.

5. Emotional Support – Talk to a counselor, join a support group, or share your feelings with loved ones.

Lifestyle Changes to Support Treatment

The lifestyle changes to support the treatment include:

  • Healthy Diet – Focus on fruits, vegetables, lean proteins, and whole grains. Avoid alcohol to protect your liver.

  • Gentle Exercise – Yoga or short walks can improve strength and mood.

  • Avoid Smoking – Smoking can worsen side effects and interfere with healing.

  • Regular Follow-ups – Keep all medical appointments for monitoring and adjustments.

When to Seek Medical Help?

Contact your doctor if you experience:

  • High fever or chills (sign of infection).

  • Severe vomiting or dehydration.

  • Uncontrolled pain.

  • Yellowing of skin/eyes (jaundice).

  • Sudden weight loss or extreme weakness.

Alternative & Supportive Treatments

In some cases, chemotherapy may be combined with:

  • Targeted Therapy – Drugs that attack specific cancer cell mutations.

  • Immunotherapy – Boosts the immune system to fight cancer.

  • Radiation Therapy – Shrinks tumors using high-energy beams.

  • Liver Transplant – In early-stage cancer, if eligible.

Your oncologist will guide you on the best approach based on your condition.

When to Consider a Second Opinion

If you’re unsure about your treatment plan, seeking a second opinion from another specialist can provide clarity. Apollo24|7 offers expert oncology consultations to help you explore all options.

Final Thoughts

Chemotherapy is an important tool in fighting liver cancer, but it’s just one part of the journey. Staying informed, maintaining a healthy lifestyle, and having a strong support system can make a big difference.

Consult Top Specialists

Dr Sunita Samleti, Oncologist

Dr Sunita Samleti

Oncologist

18 Years • M.D. (Pathology)- TN Medical College, Mumbai University, Mumbai, Mar 2005 M.B.B.S. Grant Medical College, Mumbai University, Mumbai, Oct 1999

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

600

60 Cashback

600

Dr Gowshikk Rajkumar, Oncologist

Dr Gowshikk Rajkumar

Oncologist

10 Years • MBBS, DMRT, DNB in Radiation oncology

Bengaluru

Apollo Clinic, JP nagar, Bengaluru

900

135 Cashback

900

No Booking Fees

Dr. Raja T, Oncologist

Dr. Raja T

Oncologist

20 Years • MBBS; MD; DM

Chennai

Apollo Hospitals Greams Road, Chennai

recommendation

94%

(175+ Patients)

3000

Consult Top Specialists for Personalised Tips

Dr Sunita Samleti, Oncologist

Dr Sunita Samleti

Oncologist

18 Years • M.D. (Pathology)- TN Medical College, Mumbai University, Mumbai, Mar 2005 M.B.B.S. Grant Medical College, Mumbai University, Mumbai, Oct 1999

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

600

60 Cashback

600

Dr. Sanchayan Mandal, Oncologist

Dr. Sanchayan Mandal

Oncologist

17 Years • MBBS, DNB Raditherapy, DrNB Medical Oncology

East Midnapore

VIVEKANANDA SEBA SADAN, East Midnapore

1500

Dr Gowshikk Rajkumar, Oncologist

Dr Gowshikk Rajkumar

Oncologist

10 Years • MBBS, DMRT, DNB in Radiation oncology

Bengaluru

Apollo Clinic, JP nagar, Bengaluru

900

135 Cashback

900

No Booking Fees

Dr.sanchayan Mandal, Oncologist

Dr.sanchayan Mandal

Oncologist

17 Years • MBBS, DrNB( MEDICAL ONCOLOGY), DNB (RADIOTHERAPY),ECMO. PDCR. ASCO

Kolkata

Dr. Sanchayan Mandal Oncology Clinic, Kolkata

1500

1500

No Booking Fees

Dr. Raja T, Oncologist

Dr. Raja T

Oncologist

20 Years • MBBS; MD; DM

Chennai

Apollo Hospitals Greams Road, Chennai

recommendation

94%

(175+ Patients)

3000

Consult Top Specialists

Dr Sunita Samleti, Oncologist

Dr Sunita Samleti

Oncologist

18 Years • M.D. (Pathology)- TN Medical College, Mumbai University, Mumbai, Mar 2005 M.B.B.S. Grant Medical College, Mumbai University, Mumbai, Oct 1999

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

600

60 Cashback

600

Dr. Sanchayan Mandal, Oncologist

Dr. Sanchayan Mandal

Oncologist

17 Years • MBBS, DNB Raditherapy, DrNB Medical Oncology

East Midnapore

VIVEKANANDA SEBA SADAN, East Midnapore

1500

Dr Gowshikk Rajkumar, Oncologist

Dr Gowshikk Rajkumar

Oncologist

10 Years • MBBS, DMRT, DNB in Radiation oncology

Bengaluru

Apollo Clinic, JP nagar, Bengaluru

900

135 Cashback

900

No Booking Fees

Dr.sanchayan Mandal, Oncologist

Dr.sanchayan Mandal

Oncologist

17 Years • MBBS, DrNB( MEDICAL ONCOLOGY), DNB (RADIOTHERAPY),ECMO. PDCR. ASCO

Kolkata

Dr. Sanchayan Mandal Oncology Clinic, Kolkata

1500

1500

No Booking Fees

Dr. Raja T, Oncologist

Dr. Raja T

Oncologist

20 Years • MBBS; MD; DM

Chennai

Apollo Hospitals Greams Road, Chennai

recommendation

94%

(175+ Patients)

3000

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