• loss of appetite
  
   
• feeling sick or vomiting
  
   
• weight loss
  
   
• unusual tiredness
  
   
• fever without obvious cause
  
   
• jaundice. The growing tumour often blocks the flow of bile into the intestine. Bile builds up and cannot be removed. The blood’s waste red blood cells cannot be removed. This leads to jaundice, which makes the whites of the eyes and the skin turn yellow
  
   
• bloating or swelling in the abdomen
  
   
• a lump or dull pain in the upper right-hand side of the abdomen, or pain when the liver is pressed on.

If you have cirrhosis or a long-term hepatitis infection, the symptoms tend to appear quite quickly. Otherwise, they are creeping and less definite. As the tumour grows, back pain may develop.

These symptoms are often caused by other things, but if you have any of them for more than a week or two, without known cause, you should see your GP.