I don't know every one is aware of it, if liver cancer is detected in early stage, it is curable. So, as long as you are monitoring your liver once in 6 months, no need to worry about HBV..
Anyhow for liver cirrhosis we have antiviral medications which will get rid of this cirrhosis if its in early stage..so, let us stop worrying about HBV consequences and focus on below stuffs:
1. Monitoring liver once in 6 months.
2. Healthy diet.
3. Daily exercise.
4. Medication if required.
5. Vit d3 if you are deficient.
1 out of 4 will die because of Hepatitis B, they are the one who were not aware of this disease until it reached final stage of liver cancer or cirrhosis or who were not monitoring it, although they knew it!!
Experts can add/comment any other points if I am wrong.
Liver cancer is not curable. Maybe treatable, but not curable. If liver cancer is detected, the part of tumor might be chemoed and then when tumor shrinks a little, then that part of liver has to cut out. Liver cancer is no way curable, besides stomach and pancreatic cancer, liver cancer kills the fastest
You can cut out 80 percent of liver I read, but then if it appears again you are out of luck. If it's detected and no it did not spread to other organs, then maybe a candidate for a transplant. But the positive side is 80-85% will live long lives without hbv being a concer until late late in life and of the 15-20-25 percent, who get liver disease, not all is liver cancer and cirrhosis and other liver disease make up the rest. We all want to live long and hopefully we will. The best advice is live healthy, and teach your children to be independent and successful so they will do fine, if something happens to us earlier than we expect. Not to be a ball buster, but we have to face the truth and then all these worst case scenarios won't see that bad, bc we will be able to filter out information available by Dr GOOGLE.
I don't thinks we or I am a spammer. We all have genuine concerns, about ourselves and this hb virus. There are other factors like genotypes and other measurable factors we are not aware of. Liver cancer is a real concern for chronic hbv people. Even ifs it's mininal, it's like 3 to 10 folds increase compare to somebody without chronic hbv. It's the only real concern for us because if hcc was not associated with hbv, then what concerns are there for hbv.
Knowing the truth, even the worst case scenario is more educational and benefitical then turning a blind eye to it. Yes it's scary and depressing, but it s real and we need to face the truth and possible outcome, even if it a small possibilities. What are the percentage and possiblilities of having chronic hbv, 350 million out of 6BILLION, but here we are. In the USA, if it was not for immigration, and people from other countries than USA, hbv would be non existent. People born in the USA, of age of 30 or less, hbv is zero.
I'm in a very small minority, as I was born and have lived my whole life in the US, am Caucasian, and never met anyone else personally with HBV but did contract it.
Last year an ultrasound found a liver lesion, that now was shown its apparently been there all along, but still am closely monitoring it. I really thought I had HCC. My Hepatologist said as long as one does not have cirrhosis they put you on antivirals for life, resect the liver, and closely monitor as he said once the body learns how to make cancer one has a higher chance of a reoccurrence. He said if the HCC comes back again then one needs a transplant, and close monitoring hopefully would catch it small where one would still be a candidate based on the US Milan criteria. They have gotten more strict on this criteria because it used to put HCV patients as a disadvantage I was told. Good thing is HCV is now cureable which could help us get livers if needed. If one gets HCC a second time that person automatically get a high score, which places them higher on the list. Every 3 months this is reassessed and if the HCC gets bigger than the Milan criteria they can chemoemoboize (can't give regular chemo) to try and keep within the guidelines. The hard thing with HBV HCC is it often infiltrates areas which disqualifies one based on Milan criteria.
If one has cirrhosis from the start of first HCC then they cannot resect and would need a transplant from the start.
After transplant they give antivirals + HBIG to protect the HBV from infecting the new liver. This has been shown to be very successful for the new liver.
Wow! Did the doctor say you will be okay? When did you find out? Did the ultrasound miss the lesion in the past? What will be your option so you will be safe? Good thing you caught it. Did the dr say maybe it was a fatty liver maybe?
No fatty liver, it was a definite 11mm hyperechoic lesion on the liver from a regular 6 month ultrasound in January of last year. I went to my Hepatologist right away and the next month had a cat scan, MRI in June, ultrasound/fibroscan in September. In March have another MRI scheduled. They went back to my first ct scans starting in 2005 and I was shown this lesion. I wanted proof it had really been there all along. Even with that I still can't figure out why it wasn't mentioned then, crazy still to me. I'm told it's a hemangioma. I'm told if this next MRI shows no change then I can go back to 6 month alternating us and Fibroscan. A hemangioma is benign, usually do not change, and many people have them found on incidental scans usually for another reason.
I did all the research when I thought the lesion was HCC. HCC is a real risk factor of HBV. A risk factor is just that though, something that raises our risk but does not mean everyone with HBV will get HCC, just like not all smokers get lung cancer. The best thing we have is to regular monitor and catch something when small, which is a plus to knowing our HBV status. If small most are able to resect and do quite well, especially with antivirals after. One good thing with the liver is it can regenerate to normal size/function within months. It also is a very forgiving organ and you can survive on very little function, but that is unnecessary with monitoring and antivirals if needed.
My dear friends
It so confusing for me because some of you say that we will most probably die if something completely different than Hcc, that if treated we can live ling lives
And some of you write about sych a great risk!!
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