Liver Transplant Expert Forum
What is your opinion?
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What is your opinion?

Dr Schiano,
There has been some recent changes in plans. CT scan found lesion in caudate lobe and segment 5. PET scan, biopsy was done. PET scan showed hot spot in the same area. Ultrasound guided biopsy was negative, but surgeon thought they did not obtain sample from the area.
So, the initial plan was to repeat biopsy. The surgeon said he would do an open biopsy due to scar tissue from previoius surgeries that would not make laporoscopy feasible. But after the tumor board discussed her case, now the plan is for EGD/EUS.  And if this biopsy comes back negative, they want to keep an eye on her and repeat CT scan of liver in 3 months.  I guess their reasoning is because her first biopsy was negative, all of her tumor markers were negative, except for CEA of 8.3, colonoscopy was negative, could they be thinking this is something other than cancer?  She does have hx of cholangitis.   Thank you
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517301_tn?1229801385
this may also be a prudent course of action as long as they an EUS-guided liver biopsy of the area.  it may in fact not be cancer which is my feeling and could be regenerative tissue in the caudate lobe because of its direct blood supply and mayve some focal inflammation
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517301_tn?1229801385
Thomas D Schiano, MDBlank
The Mount Sinai Medical Center
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