Malaysia Faces Silent Liver Cancer Crisis, 74 Pct Of Cases Detected At Stage Four
Yet, many cases go undetected until the disease is in its late stages.
Consultant General, Hepatobiliary Pancreatic and Liver Surgeon at Sunway Medical Centre Velocity (SMCV) Dr Johann Faizal Khan shared that one of the biggest barriers to improving liver cancer outcomes is the lack of effective public screening programmes.
'While high-risk individuals such as those with liver cirrhosis (long-term liver damage that causes scarring and poor liver function) and chronic viral hepatitis are screened, patients who appear relatively healthy may not even realise they have either of these diseases,' he said in a statement today.
Dr Johann noted that this issue is not unique to Malaysia, but reflects a global trend, with healthcare institutions now dealing with the long-term effects of undiagnosed or untreated chronic liver conditions.
According to the Ministry of Health, liver cancer, especially hepatocellular carcinoma (HCC), remains one of the leading causes of premature death in Malaysia, is the eighth most common cancer in Malaysia, yet it has the second-lowest five-year survival rate among major cancers at just 12.8 per cent.
Alarmingly, 74 per cent of cases are diagnosed at the most advanced stage (stage four), where treatment options are limited and outcomes are significantly poorer.
'The absence of early symptoms should not be mistaken for an assurance of good health. Many individuals who do not drink alcohol or engage in what are typically considered 'high-risk' behaviours assume that they are not at risk.
'In reality, liver cancer can develop silently, without any warning signs,' said Dr Johann, stressing the importance of regular health screenings regardless of perceived health status, as early detection remains the most effective way to improve outcomes.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


New Straits Times
3 hours ago
- New Straits Times
Over 90pct of insurance premium adjustments under 10pct, says Finance Ministry
KUALA LUMPUR: More than 90 per cent of revised insurance policies saw premium increases of less than 10 per cent as of April 30, the Finance Ministry said. The ministry said that over 200,000 policies had benefited from deferred premium adjustments, while more than 14,000 lapsed policies were reinstated. "The adjustment of Medical and Health Insurance and Takaful (MHIT) premium rates is symptomatic of the broader issue of medical cost inflation, which is the main contributing factor. "This inflation is driven by factors such as the rise in non-communicable diseases, investment costs in cutting-edge medical technologies and the largely unchecked cost of providing and utilising healthcare services," he said. It said this in a written reply to Pang Hok Liong, addressing concerns over the government's action on rising private medical insurance premiums, which many Malaysians can no longer afford, forcing some to cancel their policies. The ministry attributed the spike in MHIT premiums in 2024 to a surge in claims following the Covid-19 pandemic, compounded by a delay in premium rate adjustments by insurance and takaful operators during the pandemic. In a separate response to Sim Tze Tzin (PH–Bayan Baru), the ministry said stakeholder engagement is ongoing to consider all views on the development of a basic MHIT product under the Reset strategy, aimed at tackling medical cost inflation and expanding access to affordable coverage. "While the basic MHIT product aims to enable more individuals to obtain affordable insurance coverage, the decision to purchase this product remains voluntary and subject to individual choice. "As with other insurance and takaful products, policyholders may pay the basic MHIT premiums using any financial resources at their disposal," it said. While contributors may use their Employees Provident Fund Sejahtera Account, previously known as Account 2 to pay for premiums, the ministry said there is no compulsion to do so. It said the product's framework has yet to be finalised, with the concept expected to be completed by December and implementation targeted by end-2026.


The Star
4 hours ago
- The Star
New medical innovations to address rising cancer burden in Malaysia
The Hospital Picaso medical team is showcasing a cutting-edge, minimally invasive therapy for patients with prostate cancer. Prostate, pancreatic and liver cancers remain among the most pressing health challenges in Malaysia, with late-stage diagnoses continuing to impact patient outcomes. Prostate cancer is one of the most common cancers affecting Malaysian men, with many cases detected only at advanced stages. Liver cancer is also one of the most common cancers among Malaysians, while pancreatic cancer remains one of the deadliest due to late detection and limited treatment options. In Petaling Jaya, Hospital Picaso – a dedicated centre of excellence for advanced surgery and integrated oncology – is responding to these challenges with next-generation treatment options. It is the leading hospital in Malaysia to offer Irreversible Electroporation (IRE), a non-thermal ablation technique that targets cancer cells while sparing healthy tissue. This innovation represents a significant advancement in prostate cancer care, giving patients more precise options with fewer long-term complications. 'This technique gives us a targeted way to treat prostate cancer, while reducing damage to surrounding structures,' said Hospital Picaso consultant urologist Datuk Dr Loh Chit Sin. 'This treatment can help patients to retain urinary continence and preserve erectile dysfunction. 'These outcomes address two of the biggest concerns men face – maintaining quality of life while seeking effective care.' Known as Irreversible Electroporation (IRE), this technique utilises high-voltage electrical pulses to destroy cancer cells without the use of heat. This method allows treatment near delicate structures, such as nerves, ducts and blood vessels, making it suitable for tumours in the prostate as well as liver, pancreas and kidneys. It reflects a more personalised approach to cancer care that supports both survival and post-treatment well-being. Building on this advancement, Hospital Picaso is also introducing the Electrochemotherapy (ECT), further expanding its interventional oncology capabilities. ECT combines short electrical pulses with localised chemotherapy to enhance drug absorption directly into tumour cells. It is particularly effective for difficult-to-access or previously unresponsive tumours in the liver and pancreas. By concentrating treatment where it's needed most, while limiting systemic side effects, ECT offers new hope to patients with limited options. New technologies are expanding what's possible but early detection is still key to better outcomes. 'When we detect prostate, pancreatic or liver cancer early, we're able to offer options that are less invasive and more targeted,' said Dr Loh. 'With techniques like Irreversible Electroporation and Electrochemotherapy, we're not just treating the disease – we're giving patients more control over their treatment journey.' At Hospital Picaso, these innovations represent more than medical advancement. They mark a shift in how cancer care is delivered – giving patients better options, making treatments more precise and helping people live more fully during and after recovery. KKLIU: 2321/EXP 31.12.2027


The Star
4 hours ago
- The Star
Doctor fosters patriotic fashion trend in hospitals
A Malaysian doctor seeking a practical and patriotic way to dress at work has started a quiet fashion trend by producing a range of hospital-compliant scrubs for healthcare employees. Dr Nisha Puvan, who works in a government hospital in Kuala Lumpur, said it started as a passion project. 'Wearing vibrant (batik) prints lifted my spirits and created a positive effect on my colleagues and patients,' she told Bernama. She founded clothing brand craftbynishapuvan which she runs from Subang Jaya, Selangor. She said the idea took off during the Covid-19 movement control order in 2020 when she began making batik face masks. In August 2023, when the Public Service Department issued a directive requiring civil servants, including doctors in public hospitals, to wear batik every Thursday, Dr Nisha decided to create batik scrubs for hospital staff. To make sure the batik attire would not compromise on practicality and hygiene, she carried out research and tested fabrics that met infection-control standards to ensure they remained breathable, durable and colourfast. 'The scrubs had to be short-sleeved, free from embellishments that could potentially harbour bacteria and withstand frequent washing. 'I wore them daily – tweaking pocket sizes, material thickness and even testing how colours held up over time,' she said. The scrubs, she said, were made from cotton-blend fabrics adorned with batik prints, handcrafted by local artisans using traditional techniques. For Dr Nisha, functionality is key. 'Doctors are constantly on the move – from clinics to wards to emergency rooms – and we carry many items,' said the internal medicine specialist with a special interest in gastroenterology. 'So, I designed (scrubs with) large pockets and added tailored features without compromising style.' Today, her scrubs are being worn by many doctors working in government and private hospitals and at private practices nationwide. While she currently receives bulk orders from certain departments of government hospitals, Dr Nisha has expressed a desire to collaborate with the Health Ministry to supply batik scrubs to public hospitals on a larger scale. She said some district hospitals ordered scrubs in specific colours – such as blue for Mondays and green for Tuesdays. Her client base also included Malaysian professionals working abroad, particularly in the United Kingdom and Australia. 'It is mostly Malaysians abroad who want to wear something that connects them to home. 'Batik gives them a sense of pride in being Malaysian.' Dr Nisha manages her business on her own – from handling her social media accounts and taking orders to quality control and packaging. 'It is a one-woman show. I have a couple of tailors, but I do everything else,' she said, adding that her four-year-old twin daughters were also involved in the creative process. 'If a print is not attractive, they will say so. It is my way of introducing them to their Malaysian heritage.' Apart from scrubs, the brand also offers customised batik sarees, cheongsam, baju melayu, lehenga and coordinated family sets. 'We cater to all body types,' Dr Nisha said, adding that some families chose a single signature batik print and would request different styles to be made, such as a cheongsam for mum, Mandarin-collared shirt for dad and matching outfits for the children. Recognising the need for modest wear among Muslim doctors, the brand is expanding its range of scrubs to include adjustable sleeves, longer tunics and higher necklines. Sustainability is also a priority, with craftbynishapuvan using deadstock fabrics – leftover materials from larger productions – to reduce waste. Dr Nisha attends to her business after working hours, often packaging orders at night while her children are asleep. 'When I am at work, I stay fully focused on my patients. 'Craft comes after-hours... it is how I unwind and recalibrate.' Referring to her batik scrubs, she said: 'This is my form of patriotism. A quiet pride. 'We may not realise it, but even what we wear can carry our identity, dignity and culture into places that feel cold and clinical. 'Every time I see a doctor in batik scrubs, not just in my hospital but any other place, it reminds me that the Malaysian heritage is alive, adaptable and proudly worn.'