Posted By kd on July 13, 1999 at 09:42:34
I am a 48 yo female. A little over a year ago, I underwent a renal scan to try to find the cause of my systolic hypertension. While there were no renal artery problems, they located a soft tissue mass (>3 cm) within the medial aspect of th anterior segment of the right lobe of the liver which was hypervascular as well as a smaller (1.5 cm) similar appearing nodule at the tip of the right lobe of the liver. This was done with a CT with contrast (heterogenous internal enhancement during the arterial phase). The impression was that "its enhancement characteristics were somewhat nonspecific, but not entirely compatible with hemangioma. Differential considerations include both primary and secondary hypervascular hepatic neoplasm, hepatic adenoma, or focal nodular hyperplasia.
Subsequently, I underwent a RBC SPECT Scan to R/O hemanioma. The "right lobe of the liver failed to demonstrate accumulation of red blood cells to suggest evidence of hemangiomas."
I was sent to an area teaching hospital for further investigation. I had a cardiac MRI (for another reason) which showed the liver lesion but without sufficient definition to help identify the it. I also had an abdominal MRI which revealed a 2.4x2.7x3 cm lesion on the infraomedial aspect of the posterior segment of the right lobe of the liver...slightly heterogeneous...predominantly decr. signal intensity on the Tx weighted images...moderately incr signal intensity on the T2 weighted images relative to liver...Following gadolinium admin., ...lesion demonstrates immediate intense and heterogenous enhancement...persists up to 10 min. after contrast admin. Impression:...hepatic neoplasms such as focal nodular hperplasia and a hepatic adenoma or hepatocellular carcinoma. The imaging characteristics are not diagnostic of either an adenoma or an FNH.
The docs shrugged and said it's probably hemangioma. Go away and come back in 6 mo for a re-scan. Too vascular for biopsy. (Which I have no problem with - the lack of the biopsy, I mean.)
6-mo follow-up CT scan (almost a year ago) - Saw the larger mass but not the smaller one on the tip of the right lobe. No changes and no new lesions. No comments were made beyond that that would help in diagnosis.
1. Do you have any ideas as to the identity of the lesion. Is an identity important?
2. Could this liver lesion contribute to the atherosclerosis obliterans that has been diagnosed in me? My arteries are not so slowly clogging and they don't know why.
3. I take Lipitor for borderline high cholesterol levels. With Lipitor the readings are consistently in the low 120s. It also seems to have lowered chronically high GGTPs ranging from 64 to 107, high Protein and Albumin levels.
Could the Lipitor be contributing to/causing the lesion?
4. Do you have any ideas as to what I should be doing about this? Because I have some heart problems (3+ mitral regurg) and vascular problems (with carotid occlusion and TIAs), the focus seems to go to other areas and I'm not getting any guidance as to the importance of this liver thing (other than they don't want to operate on the other stuff because they don't know what the liver thing is).
If you can give me some information that will help me ask the right questions or give my docs a new direction, I'd be VERY appreciative.
Thanks for considering my question.
Posted By PS -kd on July 13, 1999 at 09:59:03
I forgot to mention, in case it is important - I do not have hepatitis C (had the shots) or cirrhosis of the liver. I am a non-drinker and always have been. My grandfather (who was an alcoholic) did die of cirrhosis of the liver and/or black lung disease (I've heard both.) I do not smoke (never have) and am thin for my size (93 lbs, 5'3").
Posted By Danetta Schreiber on September 25, 1999 at 22:25:17
I am also 48 and was diagnosed with liver hemangianomas of the liver in 1982. I have 3--- one large one on the right lobe and one large one on the left lobe and then another smaller one.
I have been trying to find out more about them because I had a hysterectomy in May and am on Premarin and when these were first diagnosed my doctor said to not take any birth control pills or hormones. They are suppose to make them grow.
I had a CT 9-99 and they seem to be about the same. They are not able to operate because I have to many and they feel the surgery has as much risk as just leaving them alone.
Would appreciate any info anyone has on where I can get more info. I have found that they really don't know much about these, everyone just seems to be very vague about them.
I too, 53 female has been apart of this unique club for 23 yrs now. I also became a pt of specialist , esp Cleveland Clinic. I have had a one time 15 masses ranging 4cms to 1cm. The problem hypervascular mass is centered in the middle of the portal hepatis. Over the yrs , mine have change charactericts also. Very few are detected since I was prescribed tamoxifin to decrease estrogen levels 10 yrs ago. I do have moderate to severe total right side and epigastric pain. How is the quality of life for each of you? Bless u and thank-you, Teresa
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