What would you do? Biopsy or not?

<p>My Ultra sound+MRI examine of the liver had result of potential sorosis of the liver. Doctor recommend a Biopsy to ascertain the sorosis. The operation requires to put me into sleep.</p>

<p>What is your experiences with Biopsy? Thoughts?</p>

<p>Of course the decision is on me and my family.</p>

<p>I’m not familiar with that term. Are you referring to cirrhosis?</p>

<p>I assume it is cirrhosis. In this case, I would absolutely have the biopsy. </p>

<p>The possibility that there is something very wrong with your liver that needs attention is far greater than the risks of anesthesia.</p>

<p>Absolutely get a biopsy. You need to know if you have chirrhosis and biopsy is the definitive measure. If you are uncertain what caused the liver damage sometimes a b iopsy can help with that.</p>

<p>Thanks, it is cirrhosis, sorosis is just a common/layman name. cirrhosis is the medical term.</p>

<p>I’ve never seen the alternate spelling for cirrhosis,but it is a very serious disease, definitely get a biopsy.</p>

<p>[CirrhosisDiagnosis</a> - Cirrhosis Health Information - NY Times Health](<a href=“Well - The New York Times”>Well - The New York Times)</p>

<p>I didn’t get a chance earlier, but most physician’s will say that biopsy is the ‘gold standard’ for diagnosing the stage of liver disease. A family member had one because of liver damage from years of methotrexate use for rhematoid arthritis but did not have the normal rise is ALT/AST until much damage was done. Ultrasound and MRI showed the liver to not be smooth so a biopsy was ordered. The biopsy was able to determine that it was not chirrhosis…yet. It was an outpatient procedure and painless. Your liver is an organ that can heal itself if the liver is not staged at chirrotic. A number of things can damage a liver and it’s important to know what is damaging it and at what stage the damage is. In my family member’s case the ultrasound showed the “bumpy liver appearance” and the MRI showed that it was damaged but the liver was not deemed chirrotic by the biopsy.</p>

<p>DEFINITELY get the biopsy! My mom was thought to have had cirrhosis because of years of alcohol abuse. Her docs just treated her for that—actually she by then did have pretty severe liver disease, but they did NOT do a biopsy. </p>

<p>Point is, she had an emergent situation requiring surgery and while they were “in there” they did biopsy her liver. Turned out, she had been suffering from hemachromatosis for years, which had actually caused the liver damage, and which could have been treated. So, YES, DO HAVE THE BIOPSY.</p>

<p>It is necessary to have the biopsy. You seem concerned about the sedation. There are at least 3 types of biopsy procedures. Check with your surgeon to see the approach that will be used. More than likely, you will have the procedure done as an “outpatient”. This will require that you have nothing to eat or drink after midnight the night prior and the facility will call you the day or so before to give you the arrival time, the admissions office may call to obtain the billing information. Your doctor or nursing staff will advise you on whether or not you should take your medication that morning or whether or not to discontinue any medication such as aspirin or any others that affect blood clotting. The sedation portion of the procedure is OK, don’t be concerned! It will likely be what is called “conscious sedation”, you will have a very small IV put into your hand and the nurse or anesthesiologist will administer just enough of a sedative, you will think that you are sleeping and won’t remember the procedure. You will “awake” and may be a little groggy, but that’s all. Make sure you have someone with you to drive you home, and most importantly, to write down what the doctor tells you about what he/she found. You will be discharged about an hour or so later, they will give you tea, water, crackers or toast. You may have a very small dressing or bandaid, you will be given a follow up date with the doctor. You will not be able to do strenuous exercises or lifting, etc. for about 2 days. The results take a few days. Best of luck. Just a hint, always write down what the doctor tells you, and feel free to write down and ask ANY questions you may have.</p>

<p>Don’t worry these days about the anesthesia. Anesthesiologists are used to all kinds of patients and today’s drugs and monitoring make even major surgery go well.</p>

<p>Get the biopsy.</p>

<p>You don’t need general anesthesia for an ultrasound guided liver biospy. You only need local anesthesia with or without sedation. (An open liver biopsy or laparoscopic liver biopsy will require general anesthesia.)</p>

<p>(- an anesthesiologist)</p>

<p>My grandfather got a lung biopsy and his condition got worse and he unfortunately passed. He was steadily improving before the biopsy. Not sure if it played a factor as an autopsy was not performed. Sad but true.</p>

<p>If my doctor recommends a biopsy, I’m having it – it’s that simple. If I have concerns, I’ll discuss them with the doc, but in the end I’m following his/her advice.</p>