Can a liver biopsy miss cirrhosis or alcohol liver disease?? Mine showed no fibrosis but mild steatosis

Unlikely. Cirrhosis affects the whole liver and a biopsy is unlikely to miss the lesion. Steatosis is one manifestation of alcoholic liver disease. If there is any concern about liver disease, you should not use alcohol, or Tylenol (acetaminophen). If you are overweight, lose weight. Take vaccination for hepatitis A and B.

Related Questions

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...

My husbands liver biopsy showed ''cicken wire'' fibrosis bridging cirrhosis but was not staged. Also mentioned something about ballooning. Ideas?

Stage 4. If the pathologist is using the term "cirrhosis" by definition it's stage 4. Chicken wire may refer to mild fibrotic bands rather than thick bands and is potentially reversible depending on the cause. Ballooning can be seen in alcoholic liver disease as well as fatty liver disease known as NASH which is seen in non-alcoholics. Can also see in some viral liver diseases implying an acute process. Read more...
Yes. My hope is that he will be able to stop drinking. If he has concurrent liver disease from any cause, I hope this will also be addressed. Only he has the power to stop. THis kind of thing can regress on achieving sobriety, at least in part. Read more...
Steatohepatitis. Your husband has Steatohepatitis. Chicken-wire (or pericentral fibrosis) is a term which defines Steatohepatitis. Bridging cirrhosis, under the Brunt classification, can be considered stage 2-3, among liver pathologists. Ballooning refers to ballooning denegeration (marker of individual liver cell injury). The causes are NOT only alcohol, but can be with Non-alcoholic and Alcoholic Steatohepatitis. Read more...

Liver biopsy done found fibrosis. No hep no bc no alcohol. Can biopsy not be deep enough in 9.5cmX6cm mass to see the true issue?

Liver biopsy. If the current biopsy has a diagnosis which is not conclusive I would ask for a second pathology group to evaluate the biopsy sample. A 9.5cm mass is large and can usually be targeted. Ask your doctor to speak with the radiologist who performed the biopsy to ensure they feel the needle was in good location during the biopsy. A repeat biopsy may be in order. Best of luck. Read more...

What types of cirrhosis can a liver biopsy and fibroscan miss?

You are okay man! A Biosy that is adequate and that does not show cirrhosis rules out cirrhosis and our question is how to help a thoughtful guy like yourself to be comfortable. A second pathologist reading is available if you wish, or a consult with a specialist in emotions. Read more...

Liver biopsy = hepatic parenchyma showing moderate to severe chronic hepatitis w/bridging fibrosis &focal changes of early micronodular cirrhosis. Grade 3-4 stage 3-4. Can thyroid cause this? Or what?

No. thyroid problems do not cause cirrhosis. you may have an autoimmune hepatitis leading to cirrhosis, which could be associated with thyroid disease. There are many causes of cirrhosis, ask your doctor to test you, as most can be checked with a blood test. . Read more...
Probably not. This biospsy in suspicious for hepatitis ( chronic) B or C, alcohol or chemical toxicity. You must follow up with your GI doc. Not a thyroid issues,except possible fatty infilration form hypothyroidism. Read more...