Avatar universal
biopsy
What is the standard for doctors to do a liver biopsy I was told
consistent liver function tests would have to be abnomral is this correct?
Cancel
5 Answers
Page 1 of 1
96938 tn?1189803458
It might be more than liver function tests if the suspicion is hep-c.  The progression, at least for me, abnormal liver fucntion tests, test to confirm presence of hep-c, geno typing, viral load (at this point hep-c diagnosis confirmed) and then a biopsy.  Some people here report that, based on the geno-type, some docs may not order a biopsy before treatment.  I think that most people would agree that having a biopsy is important to give the doc and the patient a 'full view' of the condition.  Biopsy is not as bad as it sounds - scary until you go through it and then looking back, no big deal.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
A doctor friend of mine I grew up with. ( a GP works at the free clinic in seattle) said that almost everyone would show some kinda damage on a biopsy. Even if you have been a casual drinker for many years you would show damage.

                                                       Ron
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
107513 tn?1232290064
Yeah, blood labs are just about meaningless as far as damage goes. I had PERFECT blood labs, and ALT's only slightly elevated prior to tx. My CT scan showed nothing, actually came back 100% normal. Yet, biopsy revealed stage 2/3 fibrosis.
If HCV is present, you really want to get a biopsy done to get a feel for what is "really" going on inside. Find out if you have time to wait, or tx and intervention is necessary right now..
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
As true with many aspects of hep c treatment, there probably isn't any one standard regarding biopsy. Some doctors biopsy practically everyone HCV postive, some own biopsy genotype 1's, others may use liver function tests as part of a determining formula. Biopsy is relatively risk free but not absolutely so. On the other hand, the risks of not having a biopsy may outweigh any risks involved.

You'll find a good dialogue on when/whether to biopsy here:
http://www.medscape.com/viewprogram/2053
Look for articles 4 and 5. Free Medscape registration may be required but well worth it.

All the best.


-- Jim
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Recent Activity
406584 tn?1399591666
Blank
Dee1956, and 10356 commented on VICourageous's status
56 mins ago
406584 tn?1399591666
Blank
10356, and Dee1956 commented on 10356's status
1 hr ago
317787 tn?1468754865
Blank
Dee1956 commented on Belle313's status
21 hrs ago
Blank
Weight Tracker
Track your weight over time
Start Tracking Now
Top Hepatitis Answerers
317787 tn?1468754865
Blank
DC
163305 tn?1333672171
Blank
Rural Mural, CA
446474 tn?1446351282
Blank
San Francisco, CA
Avatar universal
Blank
1747881 tn?1358189534
Blank
Greeley, CO
2059648 tn?1439770265
Blank
Hepatitis C Community Resources