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Doctor insights on: Percutaneous Liver Biopsy

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Hows stereotactic biopsy procedure done?

Hows stereotactic biopsy procedure done?

Computerized locati: The suspicious density, seen in x-ray but can not be felt , this area is located in two or more planes, marked, computer guided needle enters, at the marked site and takes biopsy, radio opaque, marker is placed for future reference, that biopsy was taken from correct location , then simple small dressing will be applied. ...Read more

Percutaneous (Definition)

In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more


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Is liver biopsy painful?

Is liver biopsy painful?

It's not a bee sting: Despite using a local anesthetic, a liver biopsy is at best uncomfortable. A rather large gauge needle is used. Goes through the skin and muscle on the side of your abdomen and into the liver. Once there, the worse is over, pain wise. ...Read more

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What liver disease? alkphos548&650,gammaGT526&742,plasma ALT152.liver biopsy waiting results.Had xray,scans MRI.found polys,so gallbladder removed

What liver disease? alkphos548&650,gammaGT526&742,plasma ALT152.liver biopsy waiting results.Had xray,scans MRI.found polys,so gallbladder removed

Stump the chimp: Can't tell from the numbers. Lot's of diseases could do this. If we could tell from the numbers there would be no need to perform a biopsy. Biopsy should be definitive or narrow the list down dramatically. ...Read more

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Liver cyst on CT scan need biopsy?

Liver cyst on CT scan need biopsy?

Almost certainly not: Provided it is a 'simple cyst' which is a fluid filled sac. Sometimes if there is debris or septations as cyst may be aspirated. If you are asymptomatic and the lesion is a simple cyst, it's best left alone. ...Read more

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Can a percutaneous liver biopsy cause bilateral pleural effusions and ascites?

Can a percutaneous liver biopsy cause bilateral pleural effusions and ascites?

Not likely: Most likely the liver condition that you suffer from is at the root of your pleural effusions and ascites. A paracentesis- an abdominal tap or a thoracentesis, a pleural tap might help in better understanding their etiology. ...Read more

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Ultrasound guided or CT guided biopsy of liver. Which is more accurate?

Ultrasound guided or CT guided biopsy of liver. Which is more accurate?

Both are accurate : Liver biopsies are performed for both focal liver lesions and nonfocal generalized liver disease playing a key role in the diagnosis and prognostication of various diffuse liver dysfunctions. Ct-guided procedures are generally reserved for tissue sampling of focal hepatic lesions, not accessible by ultrasound. ...Read more

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Liver biopsy: Section reveals liver parenchyma, shows 12 portal tracts. Scattered portal tracts areas are infiltrated by lymphocytic inflammatory?

?what does Ur Doctor: The doctor who advised you to have a liver biopsy is expected to tell you about this report. What did he/she say about the lymphocytes in the portal tracts? To my mind, it implies some degree of hepatitis going on. But I do not have the results of your Liver function tests(LFT's). That would help us in the interpretation ...Read more

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Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Possibly: For initial treatment after surgery, you shouldn't need to get kras testing. However, if this is metastatic or recurrent colon cancer, then it may help to determine if egfr based therapies like Cetuximab can help (they only work for kras "wild type"). Remember that if you do recur (god forbid), management may be different at that future time! not something to worry about with your current story. ...Read more

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Alp 170 liver biopsy positive pas kupffer cells portal macrothphyes?

Not specific: These are nonspecific descriptors without your clinical history and reason for the liver biopsy, it's difficult to know exactly what it means. In general, elevated liver enzymes may indicate liver injury and with the biopsy findings we can make figure out where the injury is occurring within the liver and what cells or liver structures are affected. ...Read more

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My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

See GI doctor: Looks like that she has sustained major liver damage from the alcohol. She needs the expert care of a GI doctor and is at risk for upper GI hemorrhage as well. ...Read more

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Right pulmonary pleural based nodules suspicious for metastasesnsive hepatic metastases means?

Right pulmonary pleural based nodules suspicious for metastasesnsive hepatic metastases means?

See details: Please ask this question to the doctor who ordered the tests. That doctor is the only one who can put this result in context for you. The reading, unfortunately, suggests the underlying cause is a malignancy. However, there are other possible causes. That is why your own doctor will be the best one to provide an answer. ...Read more

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Ace levels high, liver enzymes high, possible sarcoidosis dx, can sarcoidosis cause fatty liver on ultrasound. Dr scheduling liver& lymph biopsy.

Ace levels high, liver enzymes high, possible sarcoidosis dx, can sarcoidosis cause fatty liver on ultrasound.  Dr scheduling liver& lymph biopsy.

Sarcoidosis - Liver: The most common radiographic finding of hepatic sarcoidosis is hepatomegaly. Ultrasound can show diffuse increased homogeneous or heterogeneous echogenicity in hepatic sarcoidosis appearing similar to fatty liver. Focal liver nodules (thought to represent coalescence of small granulomas) can also be seen in hepatic sarcoidosis. Liver involvement by sarcoidosis typically responds well to steroids. ...Read more

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Can SIRT be done if 3 liver metastses and 3 peritineal nodules ?

Can SIRT be done if 3 liver metastses and 3 peritineal nodules ?

Need more info: Selective internal radiation therapy (SIRT) or radioembolization, has proven to be effective in terms of extending time to progression of disease and providing survival benefit in treatment of liver colorectal metastases. Patients who have failed systemic chemotherapy appear to benefit from this therapy. Concurrent use of Y-90 in first & second line chemotherapy is currently being investigated. ...Read more

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Is transjugular biopsy performed by a hepatologist or interventional radiologist, or both?

Is transjugular  biopsy performed by a hepatologist or interventional radiologist, or both?

Mostly neither: It isnt the generally used procedure. Not only is it a big deal, it is ONLY used in complicated patients because the general biopsy technique of just ramming a needle through the skin into the liver is a lot simpler. Surgical specialist with medical clearance in a hospital setting is the usual for this all but abandoned procedure. ...Read more

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If chemotherapy fails what options lfd metastic colon cancer? Mets to liver , peritoneal , lymph node ?

If chemotherapy fails what options lfd metastic colon cancer? Mets to liver , peritoneal , lymph node ?

Experimental therapy: Some cancer centers do research on patients with aggressive cancers or cancers who do not respond to usual treatment. Although after chemotherapy, there are not very many options and people would like to keep patients as comfortable as possible. Hope it is helpful. ...Read more

Dr. Jan Lei Iwata
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. Heidi Fowler
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