Liver Core Biopsy

[nikki1224]

I received the final diagnois on my liver biopsy which states:

Liver with focal lobular inflammation.

What does this mean?

[sunspot]

A liver bx should be about a page long. Call and get your full report. You got stiffed.

[Penelope1911]

This is all I could find for you...hope it helps.

Several grading and staging systems have been proposed that use a variety of scores (Bedossa, et al, 1994; Desmet, 1994; Ishak, et al, 1995; Ludwig, 1993; Scheuer, 1991). Many of these systems have been modified from Knodell, 1981. Examples of a simple and a somewhat more complex system are given.

System adapted from Ludwig, 1993

Portal and Lobular Inflammatory Activity

0       None or minimal portal inflammation, no necrosis
1       Portal inflammation (chronic persistent hepatitis)    without necrosis
        and/or lobular inflammation without evidence of necrosis.
2       Mild limiting plate necrosis (mild chronic active
        hepatitis) and/or focal lobular necrosis.
3       Moderate limiting plate necrosis (moderate  CAH)  and/or
        severe focal cell damage
4       Severe limiting plate necrosis (severe CAH) and/or
        bridging necrosis.

[friole]

Boy that is not much information you got.  Maybe it is just the preliminary report.  About the only think I can discern is that when the inflammation is lobular, that is a stage 2 or 3.  Grade one is minor inflammation and it is usually portal.

This biopsy report that you have says nothing about the Stage of your fibrosis (scarring).  

Sorry, I would request the written report.
frijole

[NYgirl]

I'd call the doc and ask exactly what it means to you.  It's all gobbledeegook how can they understand you to look and go oh yes! of course! I know what this means!

Get it all in writing so you can review it and look at it on line and stuff, that helps me so much

[EquineLori]

Wow!  What an asset to this forum you are!  Thank you and how are you?  Lori

[Penelope1911]

Hi and thank you for saying that!! I feel like more of a pain in the butt sometimes w/ all the whining and begging for a joke the otherday!!!! LOL. I don't think I'll do that again..not quite sure if that was appropriate or not, but BOY did I need that!!! It really helped me out that day, more than I could say. It helped me get going after 3 horrible days after my first tx. I feel really good today, NOT looking forward to Thursday. How are you doing??? Thank you for the support. Hugs to you!!!

[EquineLori]

Thank you, my dear.  I hesitate to respond and 'hijack' this thread and be accused of 'chatting', however, I think you, sunspot, nygirl and FRIOLE answered nikki's qustion rather completely.  I'm struggling with anemia pretty severely.  My new doc. scripted Procrit for me, but wants to wait a bit before I take it as I was initially taking twice the recommended Riba dose.  I'll get blood work done again of Fri. I don't feel better than before, but I don't feel much worse either.  Who knows?  Kind regards, Lori