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Doctor insights on: Is It Common To Biopsy Hypoechoic Liver Lesions

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Is it common to biopsy hypoechoic liver lesions?

Is it common to biopsy hypoechoic liver lesions?

Yes: From the way it looks on ct scan it can be concerning for cancer therefore a biopy is need to determine if cancer is present. ...Read more

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Dr. M. Hytham Beck
2 doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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Is subcentimeter heterogeneous hypoechoic lesions of the thyroid likely to be cancerous ?

Is subcentimeter heterogeneous hypoechoic lesions of the thyroid likely to be cancerous ?

No: A large study found that nodules less than 2.5 cm are usually harmless. It is also reassuring that there are multiple nodules. Thyroid nodules very common and frequently harmless. ...Read more

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BRCA stage3 FNAB report on MRM hypoechoic mass is fatty cells and stroma is there a possibilty to become malignant ? Is it necessary to be removed?47y

BRCA stage3 FNAB report on MRM hypoechoic mass is fatty cells and stroma is there a possibilty to become malignant ? Is it necessary to be removed?47y

It depends: I am not necessarily worried it may turn in to cancer but rather that the biopsy did not sample the tissue in that mass that is malignant. If the mammogram is very worrisome for cancer but the FNAB gave those results then your doctor may consider rebiopsy. Keep in mind FNA biopsy is less reliable than core-needle biopsy ...Read more

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An endoscopy discovered a "giant lateral spreading duodenal lesion" it is not malignant.. Is it usual for these to become malignant ?

An endoscopy discovered a "giant lateral spreading duodenal lesion" it is not malignant.. Is it usual for these to become malignant ?

What's the biopsy?: More than likely, the endoscopist biopsied the lesion in question. The histology of this lesion, not included with your question, will likely address your concern. Please discuss the results with your doctor who may choose to perform additional biopsies or order a ct scan to best prognose the extent and future course of your lesion (e.g. Whether surgery is needed or spread is possible). ...Read more

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Complex thyroid nodule biopsied said to be benign... Now regardless of the diagnosis... Could it be possible that nodule is cancerous and biopsy missed it?

Complex thyroid nodule biopsied said to be benign... Now regardless of the diagnosis... Could it be possible that nodule is cancerous and biopsy missed it?

Possibly: Thyroid nodules are notoriously difficult to interpret biopsy results, because the nodules themselves are often "complex" meaning non-uniform, and thus one portion may look benign while the other malignant, . ...Read more

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Is it possible to diagnose liver cirrhosis or liver cancer without a biopsy?

Is it possible to diagnose liver cirrhosis or liver cancer without a biopsy?

Yes and no: Cirrhosis is a histologic diagnosis but can made without a biopsy with almost certainty based on lab data, imaging studies and physical exam. Liver cancer (hcc) is also a histologic diagnosis, but in the setting of cirrhosis it can be made based on MRI or ct imaging criteria without a biopsy with >95% certainty. ...Read more

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Does focal ciliated metaplasia of the endometrium cause symptoms? Might it become malignant? How often should it be biopsied? What is it?

Does focal ciliated metaplasia of the endometrium cause symptoms? Might it become malignant? How often should it be biopsied? What is it?

Metaplasia: Metaplasia, like what you described, is not precancerous. You should follow up with your doctor because of the symptoms that led to the biopsy being performed initially. ...Read more

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Diagnosed with focal nodular hyperplasia which is a benign tumor of the liver. Is it safe to drink alcohol?

Diagnosed with focal nodular hyperplasia which is a benign tumor of the liver. Is it safe to drink alcohol?

Yes in moderation: This is a benign condition usually caused by use of hormones. So it is reversible and most of your liver is healthy. So occasional drinking should not be of any concern. Excessive use will damage it further. ...Read more

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2.4cm breast lump irregular, hypoechoic heterogeneous lesion. Getting biopsy. Is there anything other than cancer with that description it could be?

2.4cm breast lump irregular, hypoechoic heterogeneous lesion. Getting biopsy. Is there anything other than cancer with that description it could be?

Yes,: there are a number of benign entities that can cause a lesion with this appearance. In the absence of other descriptors, this sounds like a BIRADS category 4C lesion, which implies a 50-95% chance of malignancy. ...Read more

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Stage 3 lung cancer treated. now lesion on liveis it poss. lesion is not cancer or yes it is cancer ?

Stage 3 lung cancer treated. now lesion on liveis it poss. lesion is not cancer or yes it is cancer ?

We can't tell you: Your physician will need to determine whether the liver lesion is cancer. If it is really there, and it is new in this setting, then it is probably cancer. ...Read more

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Complex thyroid nodule... Negative for malignancy ... Adenomatoid nodule with resolving hemorrhage? What? And is it still possible for it to cancerous

Complex thyroid nodule... Negative for malignancy ... Adenomatoid nodule with resolving hemorrhage? What? And is it still possible for it to cancerous

Low risk: The risk of malignancy in a thyroid nodule is low, especially after one negative biopsy but it is not 0%. That's why u still need to follow this nodule in time with another ultrasound to make sure it is not growing or changing significantly. If it does, u will need another biopsy or consider taking it out. The nodule u have had blood inside it which had been absorbed, thus "resolving hemorrhage". ...Read more

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CT scan report says " subcapsular early hyperenhancing lesion that is isodense to liver on portal venous & equiblrium phases." What could it be?

CT scan report says " subcapsular early hyperenhancing lesion  that is isodense to liver on portal venous & equiblrium phases."  What could it be?

Is this new lesion?: Benign tumors /neoplasms of the liver are not cancerous; malignant tumors are. See prior answer regarding differential for benign ones. Malignant tumors include: fibrolamellar carcinoma, hepatoblastoma, cholangiocarcinoma, cystadenocarcinoma, angiosarcoma, undifferentiated sarcomas, epitheliod endothelioma. Metastatic liver tumors originate elsewhere (frequently from stomach, breast, lung, colon) ...Read more

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What is diff betwen hypoechoic vs hyperechoic livr lesion seen in ultrasound? Can they both be either benign or malignent?

What is diff betwen hypoechoic vs hyperechoic livr lesion seen in  ultrasound? Can they both be either benign or malignent?

Black or white?: This is a description of the appearance of the lesion on the ultrasound as it reflects the sound waves. Hyper is more white and hypo is black. They can be both benign or malignant depending on other characteristics of the lesions and clinical context. ...Read more

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Thymic extra nodal marginal zone lymphoma diagnosis on thymectomy. How likely is it to spread to bone marrow? If so, is it serious? What are the treatments?

Thymic extra nodal marginal zone lymphoma diagnosis on thymectomy. How likely is it to spread to bone marrow?  If so, is it serious? What are the treatments?

It depends: The most important aspect about thymomas is not the histology and in some cases whether it has spread beyond the thymic capsule; but how it behaves clinically. The most important thing is to remove all of the tumor at the first setting even if it spread outside the capsule. External beam radiation is for treatment of local disease, chemo for systemic. ...Read more

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Can anaplastic thyroid cancer be found on ultrasound? Is the nodule or appaerance solid, cystic or both. Would the radiologist be able to tell?

Can anaplastic thyroid cancer be found on ultrasound?  Is the nodule or appaerance solid, cystic or both.  Would the radiologist be able to tell?

Tissue diagnosis: A diagnosis of anaplastic thyroid cancer would require removing part or whole of the lesion/nodule and examination by a pathologist. Radiology has not progressed enough in resolution to make this diagnosis. ...Read more

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HILAR MASS LESION IS SYMPTOMS OF LUNG CANCER ? what is the best medicine to remove hilar mass lesion .

HILAR MASS LESION IS SYMPTOMS OF LUNG CANCER ? what is the best medicine to remove hilar mass lesion  .

Concerning: There's no easy answer, Albert. A hilar mass may be lung cancer, or it may be trivial. Here in Kansas City, most of us have old histoplasmosis scars walling off fungi in our pulmonary hila. There's no pill to take just now. Find out the diagnosis and good luck. ...Read more

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1.5mm (yes, tiny) thyroid nodule found on ultrasound. Not characterized in any way except "solid nodule". Possible to biopsy at this stage?

Nodule too tiny: Biopsy of a 1.5 mm thyroid nodule would be difficult. Most biopsies occur when nodules reach a size of 1.0 to 1.5 cm. You should have follow up ultrasound scan probably in 3 - 6 months. ...Read more

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Dr. Debra Rosenblatt
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more