Liver Late Effects

Ask your oncologist about your risks of developing late effects.

Inform your primary health care provider about your risks. Share a copy of your Survivorship Care Plan, which includes details about your cancer treatment and information about health problems that may occur because of your treatment.

Have a yearly physical examination. Your provider may check for liver enlargement and order tests to monitor liver health. If problems are identified, the provider may refer you to a liver specialist for evaluation and further testing.

Survivors may have tests for liver function when they enter long-term follow-up care through their pediatric cancer center.

Survivors can take steps to keep their liver healthy:

• If you do not have immunity to hepatitis A and B, get immunized. A blood test for Hepatitis A and B antibodies will indicate immunity.
• If you drink alcohol, consume it in moderation.
• Do not mix drugs and alcohol.
• Do not use illegal drugs.
• Eat a well-balanced diet high in fiber and low in fatty, smoked, and cured foods.
• Drink plenty of water.
• Maintain a healthy body weight.
• Take recommended doses of medications.
• Avoid taking unnecessary medications.
• Check with a health care provider before taking new over-the-counter medications, herbs or supplements.
• If you are sexually active, use barrier protection (such as latex condoms) during intimate sexual contact.
• Avoid exposure to solvents, aerosol cleaners, insecticides, paint thinners, and other toxins. If you must use these substances, wear a mask and work in a well ventilated area.