i definitely do not think this is liver cancer. The description sounds consistent with the fatty liver and hemangioma. i think its OK to wait without a worry.
Some history for the above:
I had gone in on 9/7/2010 for a Barium GI CT for IBS, which came up with no obstructions in the bowel. However, the liver lesion was found incidentally, which they said from the CT seemed like it was a hemangioma. They referred me to do an ultrasound to get a definitive confirmation, but the 9/22/2010 ultrasound was less clear and suggests that it is not a hemangioma from the ultrasound.
The ultrasound radiologist suspects it may be an atypical hemangioma in fatty liver setting, but it does not seem that he is definitive about this on the report. I also don't know why the 9/22/2010 ultrasound report shows a 2.8x2x2 cm size hypoechoic mass in the left lobe, while the CT lesion measurement is ( 13x11mm) and the location is in the right lobe...So do I have 2 different lesions, one on left lobe and one on right lobe, in addition to a 4mm lesion (cyst?) on right lobe?
I'm still waiting for AFP lab test to come in...I don't know why that test result is much slower compared to all the other test results; this is making me worry more! It seems that nothing is definitive that it is hemangioma (and thus non cancerous), so I'm panicking. Is there nothing else I can do but wait 3 months to scan again to see that lesion has not grown? Does that seem like an appropriate course of action? It seems like if it is not definitive, then if I wait 3 months and it turns out the lesion has grown, then I've lost 3 months of time where we could be attacking any cancerous growth? I apologize for all the questions...just anxious.
9/3/2010 tests
Component Your Value Standard Range
C-REACTIVE PROTEIN,SER,QL 0.1 <0.5- mg/dL
Component Your Value Standard Range
ESR 6 0-15 mm/Hr
Component Your Value Standard Range
ALBUMIN 4.8 3.3-4.7 g/dL
Component Your Value Standard Range
CALCIUM 9.9 8.5-10.3 mg/dL
Component Your Value Standard Range
CREATININE 0.85 60 >60- mL/min
GLOMERULAR FILTRATION RATE - AFRICAN AMERICAN >60 >60- mL/min
COMMENT, GLOMERULAR FILTRATION RATE SEE NOTE
9/22/2010 tests:
Component Your Value Standard Range
ALKALINE PHOSPHATASE 72 37-117 U/L
Component Your Value Standard Range
BILIRUBIN, TOTAL 0.5 0.2-1.2 mg/dL
Component Your Value Standard Range
ALT 48 <36- U/L
*****My prior ALT test value was 29 on March 2010, compared to the 48 here for ALT on Sept 22, 2010
Component Your Value Standard Range
AST 22 10-40 U/L
******My prior AST test value was 18 on March 2010, compared to the 22 here for AST on Sept 22, 2010
Component Your Value Standard Range
NUCLEAR AB,SER,QL NEGATIVE NEGATIVE-
Component Your Value Standard Range
IGG 1290 600-1600 mg/dL
from the description this seems like a benign lesion. You may have some fatty liver causing the abnormal ALT. I think we just have to wait and repeat the scan--CT scan is much better than U/S.