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.

Related Questions

Are elevated ANA levels and Hepatitis C diagnosis enough to warrant liver biopsy to test for autoimmune hepatitis?

Seems unlikely. If you have a diagnosis of hepatitis C(HCV), it seems unlikely that you have both autoimmune hepatitis(AIH) and HCV(though not completely impossible). Realize that ANA levels are incredibly specific, a found (+) at low levels in >20% of healthy individuals. In fact up to 5% of HCV patients have (+) ANA levels without AIH. You may need the liver biopsy to better stage the effect of HCV on liver. Read more...

After a hep c diagnosis, then a liver biopsy of cancer. How long to live?

Liver biopsy. Liver cancer is a serious cancer and needs to be treated quickly and aggressively. The prognosis depends on a number of factors, including the size, precise location and local/distant spread of the tumor. The oncologist would be able to provide more precise information given the specific details of a case. Read more...

I had a liver biopsy to test condition because I have HCV. 1970 or 71 when I contacted it was sharing needles. Is biopsy only liver test?

No. The virus strain, how much virus is in your blood, and levels of some blood chemicals are also important. Here's hoping you will be able to rid yourself of the virus under treatment -- many can. Read more...

Without a liver biopsy how will I know if or when my chronic hep c becomes cirrosis or cancer?

Follow up. You will need to be followed regularly by your doctor. Your doctor will get a blood work including an Alpha feto-protein ( cancer marker for liver cancer) and ultrasound of the liver - periodically to evaluate your liver. This is done more- for one with liver cirrhosis-as the risk for developing liver cancer in liver cirrhosis is more significant than just chronic hep c alone, without cirrhosis. Read more...

Diagnosed 10 yrs ago with hep. C., my doctors haven't once discussed treatments, nor a liver biopsy, nothing! How do I encourage him to do something?

Natural medicine has. Natural medicine has better results with hep-c, because allopathic doctors are trained exclusively to use pharma chemicals. The last time i checked there was no anti viral for hep-c , that was effective. A liver biopsy and repeat studies of the state of inflammation and repeat biopsy if the patient has chronic inflammation markers. Chronic infections occur when there is metabolic dysfunction blocks. Read more...
Find an expert. Maybe it's time to see an expert. People with hepatitis c generally need a biopsy to determine whether they need to be treated. We can now cure hepatitis c, so it's not a disease that should be ignored. Read more...

Why do doctors prefer fibrospect to liver biopsy for detection of liver damage in HCV patients?

Less risky. Due to sampling error and the relative risk of biopsy, PROMETHEUS FIBROSpect II testing is useful for initial patient evaluation and when biopsy is contraindicated or refused. The short answer is it is less risky, but a liver biopsy may still be needed, it is just an alternative, different doctors have different preferences. Read more...
Less invasive. Knowing the amount of inflammation and level of fibrosis in the liver can help in deciding what hepatitis therapy a patient needs. Though the liver biopsy is considered the gold standard, the newer generation of tests, when taken in clinical context, can estimate the amount of inflammation and level of fibrosis in the liver. Read more...

My liver biopsy shows inflammation & early fibrosis from the hep c, developing fibrosis indicates beginning stages for developing cirrhosis.

Your question? yes fibrosis without disease modification can progress into cirrhosis however this process usually takes 30-40 years. with new HCV drugs, we expect 95-98% eradication rates so with early fibrosis and treatment in case of any progression, it is unlikely that you'll ever get to cirrhosis. Read more...

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...