The approach taken with other primary liver tumors is generally the same as for hepatocellular carcinoma . Patients with these other tumors are more likely to be candidates for surgery because they usually do not have underlying liver disease. Angiosarcoma & Hemangioendothelioma These diseases are less predictable than hepatocellular carcinoma and survival is variable. • If they have not spread at the time of diagnosis, surgery should be considered. • As in hepatocellular carcinoma, no systematic study of adjuvant chemotherapy or radiotherapy has been done. • Localized unresectable disease may respond to the same intravenous chemotherapy used for sarcomas and the tumors may occasionally shrink enough to allow the surgeon to remove them completely. • Advanced disease is approached in the same way as a sarcoma. Adenocarcinoma This type of tumor is approached in the same way as hepatocellular carcinoma. Its prognosis is similar.