Liver Biopsy Report

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

gateway43
New Member


Date Joined Feb 2017
Total Posts : 12
   Posted 5/12/2017 4:43 PM (GMT -6)   
Can someone interpret the following:

Macrovesicular Steatosis
Mild Portal Inflammation, No Interface Hepatitis Identified
Foci of Mild Lobular Chronic Inflammation
Trichrome Stain Showing Stellate Portal Fibrosis

I have to meet with Dr. in 2 weeks. The biopsy was done due to continued abnormal liver function testing.

Thanks

ppm guy
Veteran Member


Date Joined Apr 2010
Total Posts : 1079
   Posted 5/12/2017 8:50 PM (GMT -6)   
hi Gateway43, and welcome,
the biopsy gives you a inflamation and liver damage assessment. it uses certain stains to show iron, copper and type of damage.

you have "non alcoholic fatty liver disease".

your iflamation is mild with no interface (necrosis)

the trichome stain is used to stage your damage and tell whether you have fibrosis or necrosis.

you didn't include the metavir grade and stage.. but your info shows you have mild inflamation and non cirrhotic.

best of luck and let us know how your getting along

gateway43
New Member


Date Joined Feb 2017
Total Posts : 12
   Posted 5/12/2017 9:45 PM (GMT -6)   
Thanks,

There is no score.

The description of the trichrome stain is variable portal fibrosis with short stellate septa, focal perivenular fibrosis and focal pericellular fibrosis

Reticulin stain is portal fibrosis with short fibrous septa, no cirrhosis

Sure I will need treatment and also hoping to stop or reverse this damage.

ppm guy
Veteran Member


Date Joined Apr 2010
Total Posts : 1079
   Posted 5/12/2017 10:32 PM (GMT -6)   
now that you have a diagnosis, you CAN reverse this. Talk to your dr about life style changes, and checking your A1C and lipid tests. Ask the dr, about waiting on treatment.

I had cirrhosis up until 2012. I cured hep c, quit drinking and started eating lots of fruit and vegetables. I eliminated all simple carbs. I also started lifting weights and doing squats holding on to the kitchen counter.

I am now 66 years old and have a healthy, regenerated liver. I was very lucky

gateway43
New Member


Date Joined Feb 2017
Total Posts : 12
   Posted 5/15/2017 9:21 AM (GMT -6)   
Can someone give me idea of the grade and stage from the trichrome and rericulin stain? I couldn't find it anywhere on the biopsy report. I'm new to all this.

Thanks

ppm guy
Veteran Member


Date Joined Apr 2010
Total Posts : 1079
   Posted 5/15/2017 4:19 PM (GMT -6)   
I would put your grade at 1.. and your stage at f1 to possibly f2.

macrovesicular is the mild type of steatosis..
your portal inflammation is mild
and mild lobular chronic inflammation
so mild is grade 1

you staging info, lacked language that would be stage 3. which would be bridging fibrosis with many septa. perivenular and pericellular fibrosis would be stage 1. focal portal fibrosis can be stage 2. so f1 to f2.

only your dr can tell you for sure. I research viral hep, and have no experience dealing with patients.
I double checked myself using
tpis.upmc.com/tpislibrary/schema/steatohepstag

your dr has all your bloodwork and imaging to give you a much better evaluation.

gateway43
New Member


Date Joined Feb 2017
Total Posts : 12
   Posted 5/15/2017 4:51 PM (GMT -6)   
Thanks

I just want to be prepared for appointment and can admit some anxiety at this point.

ppm guy
Veteran Member


Date Joined Apr 2010
Total Posts : 1079
   Posted 5/15/2017 7:34 PM (GMT -6)   
A healthy dose of concern is good. you caught this in time.

let me know what the doc tells you. sharing your story helps many folks, that read these posts daily.
best always
New Topic Post Reply Printable Version
Forum Information
Currently it is Sunday, October 22, 2017 3:22 PM (GMT -6)
There are a total of 2,885,704 posts in 316,631 threads.
View Active Threads


Who's Online
This forum has 157739 registered members. Please welcome our newest member, fjzraa.
410 Guest(s), 13 Registered Member(s) are currently online.  Details
John_TX, imagardener2, 07kr5, Artist Mark, Doggiedo, Casa11, Jerry L., Tsak11, Pirouette, Slowdive182, Uniform Charlie, FLBeachgal, GaryDouglas


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2017 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer