Do I need a liver biopsy if I have hepatitis?

Maybe. Depends on the type of hepatitis. Usually not done for acute hep. Can see if viral, or other cause, e.g. Autoimmune, toxic, drug hepatitis. Biopsy may help define the stage of disease, the amt of inflammation and scarring present. May affect decisions re: treatment type and/or duration.
Perhaps. Given the diagnosis of chronic hepatitis, liver biopsy is often performed to assess a baseline involvement of the liver. After getting that baseline, further liver biopsies may be performed to assess treatment effects, progression of disease and the presence/absence of fibrosis and cirrhosis.

Related Questions

When do I need to have a liver biopsy if I have hepatitis?

If it changes rx. In general a liver biopsy is useful to "stage" liver disease. It is the best way to assess how much damage hepatitis has caused to the liver. However there are some noninvasive and clinical ways of detecting different levels of disease, especially cirrhosis. I usually recommend biopsy for my patients who are opting against current treatments to assure that we are not missing progressive disease. Read more...
Depends. Most physicians will follow your liver enzymes through blood work and ultrasound scanning of the liver to follow the process of hepatitis. Viral counts will also be followed. Liver biopsy is usually not performed until there is an indication of liver dysfunction such as dramatic change in liver enzymes or findings on ultrasound. Read more...

At what stage is a liver biopsy required with hepatitis c?

Liver Biopsy. With hepatitis c, a liver biopsy is often required at the time of initial diagnosis to document any microscopic changes that are present in the liver at baseline. Additional biopsies may be required at a later date to assess benefit of treatment or progression of disease. Also, if there is any change in your blood studies a biopsy may be warranted. Read more...

What does this pathology from a liver biopsy mean: predominately lobular hepatitis with periportal fibrosis.

Part of the story. The liver cells themselves are still being killed in groups by whatever's causing the liver disease, and there is scarring around the portal areas but not yet actual cirrhosis. This information will guide your physician in treating you, based on the rest of what's known. Good luck. Read more...
Inflammation & scar. You could have a number of different causes for your underlying liver injury, hence your doctor ordered this liver biopsy to help grade (ie look for inflamatory cells) and stage (ie see how much scar is present) your liver. Although you have inflammatory cells resulting in some scar formation, a combo of your lab tests, history and pathology will aid your doctor in determining what the next step i. Read more...