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
4 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
Comment
Post 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
Comment
Post 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
Comment
Post 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
Comment
Post Comment
Your Answer
Avatar universal
Answer
Do you know how to answer? Tap here to leave your answer...
Answer
Answer
Post Answer
A
A
Explore More In Our Hep C Learning Center
image description
What Is Hepatitis C?
Learn about this treatable virus.
image description
Diagnosing Hepatitis C
Getting tested for this viral infection.
image description
Just Diagnosed? Here’s What’s Next
3 key steps to getting on treatment.
image description
Understanding Hepatitis C Treatment
4 steps to getting on therapy.
image description
Your Guide to Hep C Treatments
What you need to know about Hep C drugs.
image description
Managing Side Effects of Treatment
How the drugs might affect you.
image description
Making Hep C Treatment a Success
These tips may up your chances of a cure.
Recent Activity
1253584 tn?1332881554
Blank
ang_811 commented on Intoducing Katie, My ...
8 hrs ago
317787 tn?1473362051
Blank
Dee1956 commented on meegWpaw's status
14 hrs ago
317787 tn?1473362051
Blank
Dee1956 MEEGY 258 days!!! Comment
14 hrs ago
Blank
Weight Tracker
Track your weight over time
Start Tracking Now
Top Hepatitis Answerers
317787 tn?1473362051
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