Liver Cancer

Personalised treatments designed to fight cancer while minimising side effects.

What is Liver Cancer?

Liver cancer occurs when malignant (cancerous) cells form in the tissues of the liver. The liver is one of the body’s most vital organs, responsible for detoxifying harmful substances, producing bile for digestion, and storing nutrients. Primary liver cancer begins in the liver itself (most commonly hepatocellular carcinoma), while secondary or metastatic liver cancer originates in another part of the body and spreads to the liver.

How common is liver cancer in the Philippines?

Liver cancer is a significant health concern in the Philippines, both in how often it occurs and how often it leads to death. 

According to the IARC Global Cancer Observatory (GLOBOCAN 2022): 

  • Liver cancer is the 4th most common cancer overall in the Philippines, with an estimated 12,544 new cases in 2022 (about 6.6% of all new cancer cases). 
  • It is also the 3rd leading cause of cancer deaths, with an estimated 11,653 deaths in 2022. 
  • The estimated age-standardized incidence rate (ASR) is 12.4 per 100,000, and the age-standardized mortality rate is 11.6 per 100,000.  

Liver cancer is often linked to long-term liver disease. In the Philippines, chronic hepatitis B and hepatitis C remain important risk factors; the World Health Organization noted that around 1 in 10 people in the Philippines have chronic hepatitis B and about 6 in 1,000 have chronic hepatitis C (as of their published commentary).  

These figures highlight the importance of prevention, early detection of chronic liver disease, and timely access to specialist care. 

What Are the Signs and Symptoms of Liver Cancer?

In early stages, liver cancer may not cause symptoms. As the disease progresses, common symptoms include:

How is Liver Cancer Diagnosed?

Diagnosis typically involves a combination of:

  • Blood tests such as liver function tests and alpha-fetoprotein (AFP) marker
  • Imaging tests, including ultrasound, CT scan, or MRI scan
  • Liver biopsy to confirm the diagnosis

What Are the Causes and Risk Factors of Liver Cancer?

Key risk factors include:

What Are the Types of Liver Cancer?

Hepatocellular carcinoma (HCC)

The most common type, arising from liver cells

Originates in the bile ducts

Rare forms of liver cancer

What Are the Stages of Liver Cancer?

Liver cancer staging considers tumour size, spread within the liver, invasion into blood vessels, and spread to distant organs. Stages range from Stage I (localised) to Stage IV (advanced/metastatic).

What are Liver Cancer Treatments?

Treatment options depend on the stage of disease, liver function, and overall health. They include:

Surgery

Liver resection or transplantation in selected patients. Surgery offers the best chance of cure but is only suitable if the cancer has not spread extensively and the liver is still functioning well.

Local therapies

Radiofrequency ablation, microwave ablation, and percutaneous ethanol injection directly target the tumour. Transarterial chemoembolisation (TACE) and selective internal radiation therapy (SIRT) deliver drugs or radiation directly into the liver tumour through its blood supply.

Radiotherapy

External beam radiotherapy or internal radiation may be used when surgery is not possible.

Systemic therapies

Targeted drugs such as sorafenib or lenvatinib, and newer immunotherapies. These are options when surgery or local therapies are not suitable.

Supportive care

Focused on relieving symptoms, improving nutrition, and maintaining quality of life.

Each treatment option has its own side effects. Surgery may carry risks such as bleeding and infection, while systemic therapies and chemotherapy can cause fatigue, diarrhoea, or skin reactions. Your doctor will discuss the risks and benefits of each treatment and tailor a plan to your needs.

How common is liver cancer in the Philippines?

Liver cancer is a significant health concern in the Philippines, both in how often it occurs and how often it leads to death. 

According to the IARC Global Cancer Observatory (GLOBOCAN 2022): 

  • Liver cancer is the 4th most common cancer overall in the Philippines, with an estimated 12,544 new cases in 2022 (about 6.6% of all new cancer cases).
  • It is also the 3rd leading cause of cancer deaths, with an estimated 11,653 deaths in 2022.
  • The estimated age-standardized incidence rate (ASR) is 12.4 per 100,000, and the age-standardized mortality rate is 11.6 per 100,000.  

Liver cancer is often linked to long-term liver disease. In the Philippines, chronic hepatitis B and hepatitis C remain important risk factors; the World Health Organization noted that around 1 in 10 people in the Philippines have chronic hepatitis B and about 6 in 1,000 have chronic hepatitis C (as of their published commentary).  

These figures highlight the importance of prevention, early detection of chronic liver disease, and timely access to specialist care. 

Meet Our Doctors

At OncoCare Philippines, our multidisciplinary team includes oncologists specialising in gastrointestinal and hepatobiliary cancers, liver surgeons experienced in advanced and minimally invasive procedures, radiation oncologists, radiologists, pathologists, oncology nurses, dietitians, and psycho-oncology counsellors. Together, they design an individualised treatment plan for every patient.

If you have risk factors or symptoms that may suggest liver cancer, seeking early consultation with our specialists is important. Timely diagnosis offers the best chance for effective treatment and improved outcomes.

Dr. Angelo Miguel M. Realina
Palliative Care Specialist | Interventional Pain Management Specialist
Dr. Arthur Jason S. Go
Medical Oncologist
Dr. Beverly Ann P. Pineda
Medical Oncologist 
Dr. Carlo Ruperto P. Aguilar
Radiation Oncologist
Dr. Carlos Joseph T. Panaligan Jr.
Consultant Anesthesiologist
Dr. Claudine Yvette S. Gulapa
Anesthesiologist
Dr. Gonzalo C. Banuelos, Jr.
Radiation Oncologist
Dr. Jason King D. Talao
Medical Oncologist 
Dr. Jerickson Abbie S. Flores
Radiation Oncologist
Dr. Joel R. Tayo
Medical Oncologist
Dr. Jose Enrique Y. Montoya
Medical Oncologist
Dr. Karl Jeremy B. Lo
Radiation Oncologist
Dra. Kristine Anne B. Monte
Internal Medicine Specialist
Dr. Marwin M. Manalo
Medical Oncologist
Dr. Misael C. Cruz
Radiation Oncologist
Dr. Noel S. Chua
Medical Oncologist
Dr. Paulo S. Tioleco
Medical Oncologist
Dra. Rosalina P. Tongol
Internal Medicine

Lymphoma

Personalised treatments designed to fight cancer while minimising side effects.

What is Lymphoma?

Lymphoma is a cancer of the lymphatic system, an important part of the body’s immune system. The lymphatic system includes lymph nodes, spleen, thymus, and bone marrow, which help the body fight infections and filter harmful substances.

Lymphoma occurs when lymphocytes (a type of white blood cell) multiply uncontrollably, forming tumours in the lymph nodes or spreading to other parts of the body such as the chest, abdomen, or bone marrow.

How common is lymphoma in the Philippines?

Lymphoma is a cancer of the lymphatic system. The two main types are non-Hodgkin lymphoma (NHL) and Hodgkin lymphoma (HL). 

According to the IARC Global Cancer Observatory (GLOBOCAN 2022) Philippines fact sheet: 

  • Non-Hodgkin lymphoma (NHL) had an estimated 4,989 new cases in 2022 (ranked 11th among all cancers) and 2,876 deaths (ranked 11th among cancer deaths).
  • Hodgkin lymphoma (HL) is less common, with an estimated 602 new cases in 2022 and 175 deaths.  

Together, these figures mean thousands of Filipinos are diagnosed with lymphoma each year, underscoring the importance of early evaluation and timely treatment. 

What Are the Signs and Symptoms of Lymphoma?

Lymphoma symptoms can be vague and sometimes mimic other conditions. Common signs include:

If symptoms do not resolve, medical evaluation is crucial.

How is Lymphoma Diagnosed?

A thorough diagnosis ensures the right treatment plan. Investigations may include:

  • Physical examination for enlarged lymph nodes or organs
  • Blood tests to check blood counts and organ function
  • Lymph node or tissue biopsy (gold standard) to confirm lymphoma type
  • Imaging tests such as CT, PET-CT, or MRI scans to determine disease spread
  • Bone marrow biopsy in selected cases

A precise diagnosis is essential to differentiate between Hodgkin and non-Hodgkin types, and between aggressive or indolent subtypes.

What Are the Causes and Risk Factors of Lymphoma?

The exact cause is not fully understood, but risk factors include:

Not all patients with risk factors develop lymphoma. Many are diagnosed without any known risks.

What Are the Types of Lymphoma?

Lymphomas are broadly divided into:

Hodgkin Lymphoma (HL)

Characterised by Reed-Sternberg cells. Often occurs in young adults, and outcomes are generally good with modern treatment

Includes many subtypes. The two main groups are:

  • Indolent (slow-growing) NHL – e.g., follicular lymphoma. May not require immediate treatment if asymptomatic but needs close monitoring
  • Aggressive (fast-growing) NHL – e.g., diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma, Burkitt’s lymphoma. These require prompt treatment but can respond well to therapy

What Are the Stages of Lymphoma?

Staging describes how far the cancer has spread:

Stage I

One lymph node region or single organ affected

Two or more lymph node regions on the same side of the diaphragm

Nodes on both sides of the diaphragm are involved

Widespread disease involving bone marrow, liver, lungs, or other organs

B symptoms (fever, night sweats, weight loss) may also be used to further classify the stage.

What Are the Treatments for Lymphoma?

Treatment depends on the type, stage, and aggressiveness of the lymphoma. Options include: 

Targeted Therapy

Such as monoclonal antibodies (e.g., rituximab) that attack specific lymphoma cells.

Immunotherapy

CAR-T cell therapy and immune checkpoint inhibitors are modern advances available in some settings.

Radiotherapy

Often used in early-stage Hodgkin lymphoma or for localised disease.

Stem Cell Transplantation

Considered in relapsed or high-risk patients.

Watchful Waiting

For indolent lymphomas without symptoms, careful monitoring may be recommended until treatment is necessary.

With advances in treatment, many patients with lymphoma in Philippines can achieve long-term remission, and some can be cured.

Advances in Lymphoma Treatment

How common is lymphoma in the Philippines?

Lymphoma is a cancer of the lymphatic system. The two main types are non-Hodgkin lymphoma (NHL) and Hodgkin lymphoma (HL). 

According to the IARC Global Cancer Observatory (GLOBOCAN 2022) Philippines fact sheet: 

  • Non-Hodgkin lymphoma (NHL) had an estimated 4,989 new cases in 2022 (ranked 11th among all cancers) and 2,876 deaths (ranked 11th among cancer deaths).
  • Hodgkin lymphoma (HL) is less common, with an estimated 602 new cases in 2022 and 175 deaths.  

Together, these figures mean thousands of Filipinos are diagnosed with lymphoma each year, underscoring the importance of early evaluation and timely treatment. 

Meet Our Doctors

At OncoCare Philippines, our multidisciplinary team brings together oncologists, haematologists, radiation oncologists, radiologists, pathologists, and specialised oncology nurses. Supported by allied health professionals in nutrition, physiotherapy, and psycho-oncology, we deliver comprehensive, personalised care for every lymphoma patient.

Dr. Angelo Miguel M. Realina
Palliative Care Specialist | Interventional Pain Management Specialist
Dr. Arthur Jason S. Go
Medical Oncologist
Dr. Beverly Ann P. Pineda
Medical Oncologist 
Dr. Carlo Ruperto P. Aguilar
Radiation Oncologist
Dr. Carlos Joseph T. Panaligan Jr.
Consultant Anesthesiologist
Dr. Claudine Yvette S. Gulapa
Anesthesiologist
Dr. Gonzalo C. Banuelos, Jr.
Radiation Oncologist
Dr. Jason King D. Talao
Medical Oncologist 
Dr. Jerickson Abbie S. Flores
Radiation Oncologist
Dr. Joel R. Tayo
Medical Oncologist
Dr. Jose Enrique Y. Montoya
Medical Oncologist
Dr. Karl Jeremy B. Lo
Radiation Oncologist
Dra. Kristine Anne B. Monte
Internal Medicine Specialist
Dr. Marwin M. Manalo
Medical Oncologist
Dr. Misael C. Cruz
Radiation Oncologist
Dr. Noel S. Chua
Medical Oncologist
Dr. Paulo S. Tioleco
Medical Oncologist
Dra. Rosalina P. Tongol
Internal Medicine

Lung Cancer

Personalised treatments designed to fight cancer while minimising side effects.

What is Lung Cancer?

Lung cancer begins when abnormal cells grow uncontrollably in the lungs, forming a tumour. These cells can spread to other parts of the body if not detected and treated early. There are two main types: non-small cell lung cancer (NSCLC), which accounts for about 80–85% of cases, and small cell lung cancer (SCLC), which is less common but often more aggressive.

How common is lung cancer in the Philippines?

Lung cancer is a major health concern in the Philippines and remains the leading cause of cancer deaths nationwide. 

According to the IARC Global Cancer Observatory (GLOBOCAN 2022): 

  • Lung cancer is the 2nd most common cancer overall in the Philippines, with an estimated 23,728 new cases in 2022 (about 12.6% of all new cancer cases).
  • It is the #1 cause of cancer deaths, with an estimated 20,953 deaths in 2022.
  • Lung cancer is more common in men (estimated 16,588 cases in men vs 7,140 cases in women in 2022).  

Smoking remains the main risk factor for lung cancer. Other important risk factors include second-hand smoke and air pollution, among others. 

What are the Signs and Symptoms of Lung Cancer?

Lung cancer symptoms can be subtle in early stages. Common warning signs include:

If you experience these symptoms, consult a doctor promptly for assessment.

Screening for Lung Cancer

Early detection improves treatment outcomes. High-risk individuals — especially long-term smokers, people with a strong family history, or those exposed to occupational/environmental risks — may benefit from low-dose CT scans for early screening.

How is Lung Cancer Diagnosed?

  • Smoking (cigarettes, cigars, pipes) — the leading cause
  • Second-hand smoke exposure
  • Air pollution and occupational exposure to carcinogens (e.g. asbestos, radon, diesel exhaust)
  • Family history or inherited genetic mutations
  • Previous lung diseases such as chronic obstructive pulmonary disease (COPD)

What are the Types of Lung Cancer?

Non-Small Cell Lung Cancer (NSCLC)

Includes adenocarcinoma, squamous cell carcinoma, and large cell carcinoma

Less common, grows and spreads faster, usually linked to smoking

What are the Stages of Lung Cancer?

Stage I–II

Localised cancer confined to the lungs

Cancer has spread to nearby lymph nodes or chest structures

Advanced stage, cancer has spread to distant organs
(metastatic lung cancer)

What are Lung Cancer Treatments?

Treatment depends on cancer type, stage, and genetic profile. Options include:

Surgery

Removal of part or all of the affected lung in early-stage disease.

Radiotherapy

Often used in early-stage Hodgkin lymphoma or for localised disease.

Targeted Therapy

Highly effective for patients with mutations in EGFR, ALK, ROS1, KRAS, MET and other genes. These oral medicines often have fewer side effects than chemotherapy.

Immunotherapy

Drugs that boost the body’s immune system to fight cancer, particularly effective in patients with high PD-L1 expression.

Clinical Trials

Access to promising new therapies in development.

Palliative care

Symptom relief and quality-of-life support for advanced cases.

At OncoCare Philippines, our oncologists are experienced in matching patients to precision therapies based on their tumour profile. We integrate advanced diagnostics, international guidelines, and cutting-edge treatments to provide care comparable to leading global cancer centres.

How common is lung cancer in the Philippines?

Lung cancer is a major health concern in the Philippines and remains the leading cause of cancer deaths nationwide. 

According to the IARC Global Cancer Observatory (GLOBOCAN 2022): 

  • Lung cancer is the 2nd most common cancer overall in the Philippines, with an estimated 23,728 new cases in 2022 (about 12.6% of all new cancer cases).
  • It is the #1 cause of cancer deaths, with an estimated 20,953 deaths in 2022.
  • Lung cancer is more common in men (estimated 16,588 cases in men vs 7,140 cases in women in 2022).  

Smoking remains the main risk factor for lung cancer. Other important risk factors include second-hand smoke and air pollution, among others. 

Meet Our Doctors

At OncoCare Philippines, our multidisciplinary team includes oncologists, thoracic surgeons, radiation oncologists, radiologists, pathologists, oncology nurses, and allied health professionals such as nutritionists and counsellors. Together, they deliver comprehensive and personalised care, ensuring every patient receives the best possible treatment plan.

Dr. Angelo Miguel M. Realina
Palliative Care Specialist | Interventional Pain Management Specialist
Dr. Arthur Jason S. Go
Medical Oncologist
Dr. Beverly Ann P. Pineda
Medical Oncologist 
Dr. Carlo Ruperto P. Aguilar
Radiation Oncologist
Dr. Carlos Joseph T. Panaligan Jr.
Consultant Anesthesiologist
Dr. Claudine Yvette S. Gulapa
Anesthesiologist
Dr. Gonzalo C. Banuelos, Jr.
Radiation Oncologist
Dr. Jason King D. Talao
Medical Oncologist 
Dr. Jerickson Abbie S. Flores
Radiation Oncologist
Dr. Joel R. Tayo
Medical Oncologist
Dr. Jose Enrique Y. Montoya
Medical Oncologist
Dr. Karl Jeremy B. Lo
Radiation Oncologist
Dra. Kristine Anne B. Monte
Internal Medicine Specialist
Dr. Marwin M. Manalo
Medical Oncologist
Dr. Misael C. Cruz
Radiation Oncologist
Dr. Noel S. Chua
Medical Oncologist
Dr. Paulo S. Tioleco
Medical Oncologist
Dra. Rosalina P. Tongol
Internal Medicine