new to board need advice about 2 lesions?

[khandog]

i just received this report from the VA...there are 2 lesions at the right lobe of liver.smaller lesion shows enhancement suggestive hemangioma,this remains stable,the second lesionis is de novo and shows early enhancement,there is also late ring enhancement suggesting neovascularity and could represent metastatic disease.naturally a primary maligancy of the liver cannot be excluded.A biopsy may be required ,(due to the location of the lesion close to liver dome the approach may be somewhat difficult)the2 lesions are at the right side of liver one is 6mm,the second is 3.2x3.9cm....with a definite ring enhancement.my platelets are 59000 and i have addisons disease on top of hep C.If any one could help me understand i thank you in advance.Is a biopsy the only way to go?i'm worried i'll bleed out?the only way they can do it is put me out and have ct scan lead them to get the liver biopsy because of the tricky location?My DO says there crazy to do the procedure?i need some help understanding this its all way over my head and level of education. thanks ,Will

[Jema X]

Hi will, I'm not sure if I can help but I can tell u that my liver surgeon wouldn't biopsy my tumour (turned out not to be cancer) because liver cancer can 'seed' elsewhere very quckly. There was also the bleeding risk. I'd go for a second opinion for sure. I wish you luck. Juliet

[McRegnal87]

Hi Will
Welcome to the liver board. There are many of us who have been offered different courses of testing and treatment. In the UK the Drs tend to shy away from biopsy because of what Juliet says about seeding the tumor. Seems they are much more likely to do this in the US though. Many of us are living with liver lesions and just watching and waiting keeping blood tests up to date and so on. It is not an easy thing to get your head round but we have all managed it somehow although I reckon speaking from a personal point of view it has made me a little more neurotic! I think you should ask for a second opinion before taking any course of action. It seems that it is very difficult for Drs to make a definitive diagnosis by just looking at scan pictures and there are some on here who had scans saying the growth was benign when it wasn't and many more who had scans that said possible malignancy and it turned out they were benign. So you can see it is difficult either way. Click on any of our names on the board to see what we have been suffering from and what the outcomes have been. The adenoma/fnh/haemangioma board has the most comprehensive list. Sorry can't be more helpful than this but feel assured that you are not alone
Mc

[khandog]

to Mc and Juliet,Thanks for the quick return ,Seeding was just brought to my attention and it worries me!This is because of hep C and getting on the transplant list......it's like if i have cancer i get to the top of the list?this sounds crazy but the VA is out there.for all i know it could be practice for there new doctors?i have little to no pain in my liver and my numbers are ALT198...AST200...T BILI 0.90...D BILI 0.50 yes there high .with Addison's disease for over 10 yrs.now and take steroids to stay alive.however,that started the liver #'s to jump along with plate count decrease.i don't know what to do i have no history of cancer,i'm more worried of bleeding out internally.Thanks for any and all feed back i have till the end of the month to think it out .best of health to all, Will

[hepcdad]

Hi Wil. We seem to have the exact same problem. I just found this site and I'm probably too late to offer advice to you. I've decided to have a ct-scan guided biopsy even though I was told it was in a difficult spot to biopsy. I too am worried about the bleeding, but i have read there is a type of 'glue' that would stop it. Best wishes for you and I hope you have made the right decision. Mine will be done April 3. April 4th I expect we will both post how well things went for each of us.