Lung cancer and liver metastases 

Lung cancer with liver metastases refers to secondary or metastatic tumours that are formed from cancer cells that have broken away from a primary lung cancer and spread through the lymphatic system or blood stream to the liver.

Symptoms of liver metastases

If you have lung cancer with liver metastases, you may not have symptoms at all. In fact, you may only find out that your cancer has spread when you have a test, such as a CT scan or PET scan.

Symptoms of liver metastases may include:

  • Pain under your ribs
  • Pain on the right side of your abdomen
  • Swollen abdomen
  • Loss of appetite and weight loss
  • Nausea
  • Hiccups.

If the tumour in your liver is obstructing your bile ducts, you may also develop jaundice, the yellowing of your skin and whites of the eyes.

Testing for liver metastases

Once your doctor suspects that cancer has spread to your liver, they may carry out different checks and tests to assess the extent and possible impact of the tumours.

These tests can help your medical team get a clearer picture of what’s going on, and help you think about what you want to do next. These tests may include:

  • Blood tests
  • CT scan of the abdomen
  • Abdominal ultrasound
  • PET scan.

Simon’s story

When Simon Tilling from Warwickshire was diagnosed with advanced lung cancer with liver meetastses in October 2022, he was given, at best, two Christmases. But after having various types of chemotherapy, Simon has now celebrated three Christmas and counting…

“In total, I’ve had around 40 rounds of chemo, and two or three different types.  It was a real belts and braces approach, but it’s working.

“I see my diagnosis like a book, and I am still on chapter one. Chapter two is when there are no more treatment options and chapter three is hospice care.” 

Read Simon’s story →

Treatment for liver metastases

Treatment for liver metastases is primarily about managing symptoms, slowing the growth and improving your quality of life.

Symptom management including anti-sickness treatment, pain killers and draining the fluid in your swollen abdomen.

You may also be offered chemotherapy, radiotherapy, targeted therapy or surgery. Surgery is not suitable for everyone with liver metastases and can depend on several factors including:

  • Whether your cancer has only spread to the liver
  • The number and size of the tumours
  • Whether your lung cancer, the primary cancer, is under control.
  • Chemotherapy
  • Targeted therapies
  • Radiotherapy.

Your healthcare team will talk about your case to work out the best treatment for you. It is important to remember, just because you have treatment options doesn’t mean you have to take them.

Your medical team, including your lung cancer nurse specialist, can talk your through your treatment options and the potential impact and side effects they can have, allowing you to make an informed decision.