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Doctor insights on: Is There A Way To Screen People With Hepatitis C To Check For Liver Cancer

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Dr. Barry Rosen
4,342 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Is there a way to screen people with hepatitis C for liver cancer?

Is there a way to screen people with hepatitis C for liver cancer?

MD, SONO, AFP lab: Liver cancer (ca) in hep c generally occurs if there is cirrhosis (scarring) of the liver. Hep b can get ca without cirrhosis. Check with md for viral load, genotype, other possible hep viruses, other causes chronic liver disease (autoimmune, iron, copper disease). May need liver biopsy to decide on need for rx (and type). Sonogram (no xrays), Alpha feto protein (afp, tumor marker). ...Read more

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How common is it for people with chronic hepatitis C to need a liver transplant?

How common is it for people with chronic hepatitis C to need a liver transplant?

Liver failure due to hepatitis C is the most common reason for liver transplantation in the United States: But because most infected people don't know about their condition until it's advanced, researchers can provide only rough estimates of the risk and rate of progression to liver failure in chronic hepatitis C. Without treatment, most people who get hepatitis C remain infected for life. Infections that persist in this way are called chronic. Chronic hepatitis C infection causes ongoing liver inflammation that leads to scarring (fibrosis). As fibrosis progresses, scars gradually replace healthy liver tissue. In response to tissue loss, the liver goes into growth mode, increasing cell production and forming new blood vessels. Instead of repairing the damage, though, these changes cause new problems that are more likely to lead to liver failure than is fibrosis alone. This stage of liver damage is known as cirrhosis. Hepatitis C-related liver failure is usually a result of cirrhosis. The Centers for Disease Control and Prevention (CDC) reports that out of 100 people infected with hepatitis C, approximately 60 to 70 will develop chronic liver disease — specifically, hepatitis and fibrosis — and 5 to 20 will develop cirrhosis. An estimated 1 to 5 out of 100 people with chronic hepatitis C will die of liver failure or liver cancer resulting from the infection. ...Read more

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Anyone know what is a reason other than hepatitis for liver enzymes to be elevated in the blood?

Anyone know what is a reason other than hepatitis for liver enzymes to be elevated in the blood?

Yes: Numerous issues can increase enzymes such as numerous meds and many other diseases. Also the ast and alt can also be elevated by certain muscle diseases. ...Read more

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Is it possible to use the HIV immune person's blood to find a cure for aids?

Is it possible to use the HIV immune person's blood to find a cure for aids?

Good question: There have been numerous studies on individuals infected long term with HIV who have maintained a low viral load. It is an ongoing process. ...Read more

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Is there any way to tell if someone is at risk for a brain aneurysm? And what age should people be screened for this?

Is there any way to tell if someone is at risk for a brain aneurysm? And what age should people be screened for this?

Family history: Family history of aneurysms can increase one's risks of aneurysm as can certain diseases of the blood vessel walls such as fibromuscular dysplasia. Screening requires angiography which visualizes the blood vessels. ...Read more

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Is it possible for someone with a Hep C/multi sub-strain HIV co infection who uses recreational drugs to transition to AIDS in under a year?

Is it possible for someone with a Hep C/multi sub-strain HIV co infection who uses recreational drugs to transition to AIDS in under a year?

Full Blown AIDS: Unfortunately yes, with both infections and if not properly treated or if your strain of HIV is resistant, you can progress to bull blown AIDS in a short period of time. Do you have a specialist? Here is a link to the mobile clinic in Houston Schedule http://www.houstontx.gov/health/hiv-mobile-clinic And another link for HIV Advocacy http://www.centerforaids.org/ ...Read more

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Hi doctors i would like to ask is it possible to get fatty liver for a non alcohol drinker ? Whats the best cure if there is a cure for fatty liver.

Hi doctors i would like to ask is it possible to get fatty liver for a non alcohol drinker ? Whats the best cure if there is a cure for fatty liver.

Yes, it's possible: Yes it is possible to have a fatty liver (called steatosis) without consuming alcohol. A fatty liver can be caused by being over weight. It can also be caused by certain medications, especially by certain types of chemotherapy. Steatosis is usually reversible, but if it is not treated it can cause to long term liver damage and even liver cancer. ...Read more

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What makes some people with hepatitis C more likely to get liver cancer?

What makes some people with hepatitis C more likely to get liver cancer?

Cirrhosis: Hepatitis c commonly causes chronic liver disease. Over time, if untreated, and with ongoing inflammation, can lead to scarring (cirrhosis). Hep c patients with cirrhosis are at increased risk for liver cancer. Goals of rx are to get rid of virus, stop the inflammation, prevent the scarring, and prevent cancer as well as liver failure. ...Read more

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How to get a non-fda research test for infectious diseases with little to no involvement from m.D.? Right person to ask for this? Educated guess?

How to get a non-fda research test for infectious diseases with little to no involvement from m.D.? Right person to ask for this? Educated guess?

Commercial labs: Not certain what you are asking and what specific tests you want done, but you might check with a local commercial laboratory and see if they have a phlebotamist or require physician orders to run tests. ...Read more

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Are there any gene therapies available to treat infectious diseases and if so, is it possible for mutations to create a immunity to the therapy?

Are there any gene therapies available to treat infectious diseases and if so, is it possible for mutations to create a immunity to the therapy?

Not there yet: Good question- the short answer is no. Major hurdles are still being worked out such as how to deliver or alter a gene so it doesn't harm the patient, as well as avoiding mutations that will will offset the benefits of gene therapy. ...Read more

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Is the fybrosure test a good way to determine what stage you liver damage is or would a byopisie be better ? Finished hep C treatment !

Is the fybrosure test a good way to determine what stage you liver damage is or would a byopisie be better ? Finished hep C treatment !

No more Biopsies?: Yes. It is a very good and safe way to measure fibrosis of the liver. Liver biopsies are now going the way of history and are being perform much less often than in previous years. ...Read more

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Is it safe for a person with celiac disease to donate blood?

Is it safe for a person with celiac disease to donate blood?

Sure, if not anemic: Celiac sprue isn't "catching"; you're blood is not tainted by infection.. If you don't have iron deficiency or anemia (both not uncommon in celiac), then yes you could donate blood, and thank you for doing it. ...Read more

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Does a new diagnosis of hepatocellular carcinoma add points to the meld score of a cirrhosis patient? Patient is going to be evaluate for transplant. Hepatologist has not started testing to see if hcc is primary or a metastasis? Shouldn't they be doing

Usually: A diagnosis of hepatocellular carcinoma often adds "tumor exception points" to the meld score. Unlike most cancers, hepatocellular cancer can be diagnosed based on imaging and laboratory findings without a biopsy. A tumor usually has to reach 2 centimeters in size before it affects the meld score. ...Read more

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How often should a person with cirrhosis get screened for liver cancer?

How often should a person with cirrhosis get screened for liver cancer?

6 months: Every 6 months with an ultrasound and AFP blood test. We alternate ultrasound with annual ct scan or MRI of the liver at our center as the ultrasound has some limitations in cancer detection. ...Read more

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Is there a good way to prevent hepatitis b and c?

Is there a good way to prevent hepatitis b and c?

Blood borne disease: Can be transmitted in different ways. Most common are: IV drugs (sharing needles), sexually (hep b more than hep c), tattoos, blood transfusion before june 1992 (as couldn't screen for hep c), during birth (if mother unaware has hep b). Prevention is to avoid the above. In usa, vaccines given for hep b during childhood, if you never had, get it. No vaccine for hep c yet.Talk to doctor if concerned. ...Read more

Dr. Mark Ingerman
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


Dr. Carlo Contreras
329 doctors shared insights

Liver Cancer (Definition)

A primary cancer more common in those exposed to hepatitis B or hepatitis C or cirrhosis from other causes. It can also be a secondary cancer, spread from another site such as ...Read more