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Old 08-31-2006, 07:41 PM   #1
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Question Liver biopsy results ?

I recently had my 3rd liver biopsy. The first showed fibrosis. I did combonation therapy and the fibrosis was cleared, but not the virus. 5 years ago my biopsy showed no damage. The biopsy I just had showed Macro and Micro Steatosis and chronic inflamation. I understand the Macor steatosis, I think. I am a little more confused about Micro Steatosis. I understand the difference in cell structure, but not what it means. The information I have found seems a little vague. Can anyone tell me what it means?

 
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Old 09-01-2006, 07:05 AM   #2
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Re: Liver biopsy results ?

Quote:
Originally Posted by restless
I recently had my 3rd liver biopsy. The first showed fibrosis. I did combonation therapy and the fibrosis was cleared, but not the virus. 5 years ago my biopsy showed no damage. The biopsy I just had showed Macro and Micro Steatosis and chronic inflamation. I understand the Macor steatosis, I think. I am a little more confused about Micro Steatosis. I understand the difference in cell structure, but not what it means. The information I have found seems a little vague. Can anyone tell me what it means?
Hi restless,

You really need to discuss a biopsy with the doctor. Biopsies are not true/false or multiple choice tests, they are complicated data sources requiring interpretation--sometimes quite a lot of interpretation--and reference to the particular case and case history at hand.
I will say that the two scores usually of greatest concern are stage and grade--inflammation and fibrosis progression. you have not here reported either of those items, and they are the most important by far. steatosis is neither of these, but is a condition itself (fatty liver) which in turn is just as likely (some would say more likely) to produce liver inflammation and fibrosis as is hep c. I'd go further and say that the combination of hep c and steatosis is not a happy one.
Talk it over with your doc and let us know what (s)he says.

sean

 
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Old 09-01-2006, 08:35 PM   #3
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Re: Liver biopsy results ?

Thanks Sean. I've been around for a while and I respect and appreciate your input. Of course I will discuss with my doc. As usual I am having a hard time getting away from work to schedule the appointment. Maybe this is a nudge so that I spend less time taking care of work and more time taking care of me. Thanks agian and good luck with your treatment.
Peace,
restless

 
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