Ultrasound examination for hepatitis B?
I am a carrier of hepatitis B and have had it since childhood.
I go for an ultrasound every six months to a year.
Recently, during my ultrasound, a very small polyp was found.
Both the ultrasound doctor and the outpatient doctor said it is very small and not concerning, and that I can continue to follow up every six months.
However, I have never had anything show up in previous ultrasounds, and I am feeling anxious about this finding.
Should I consider getting a second opinion at another hospital?
Tsang, 30~39 year old female. Ask Date: 2012/11/01
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: Gallbladder polyps generally do not present symptoms.
They should be monitored for changes in shape, size, and gallbladder wall.
Sometimes, polyps that are too small may not be clearly visible.
Typically, gallbladder polyps that are 1 cm or larger have a potential risk for malignancy, and surgical removal may be considered.
Regular follow-up is recommended.
Best wishes, Dr.
Lin Ming-Hui, Taoyuan General Hospital, Department of Health.
Reply Date: 2012/11/01
More Info
As a Hepatitis B carrier, it's understandable to feel concerned about any new findings, such as a polyp detected during an ultrasound. First and foremost, it's important to recognize that the presence of a small polyp, especially one that has been assessed by medical professionals as insignificant, is often not a cause for alarm. Polyps can be benign growths and are relatively common, especially in individuals who undergo regular imaging studies.
In your case, the ultrasound findings indicate a small polyp, and both the ultrasound technician and your attending physician have reassured you that it is small and not concerning. The recommendation for regular follow-up every six months is a standard approach to monitor any changes in the polyp's size or characteristics. This is particularly important for individuals with a history of liver disease, as they may have an increased risk of developing liver-related complications, including hepatocellular carcinoma (liver cancer).
Regarding your concerns about the polyp, it is essential to understand that not all polyps are precursors to cancer. Many remain stable over time and do not require intervention. The key factors that determine whether further investigation is necessary include the size of the polyp, any associated symptoms, and your overall health status. Since the polyp is small and asymptomatic, the current medical advice to monitor it is appropriate.
However, if you continue to feel anxious or uncertain about the findings, seeking a second opinion from another healthcare provider can provide additional reassurance. A gastroenterologist or a hepatologist, specialists in liver diseases, can offer more insight into your specific situation and the implications of being a Hepatitis B carrier in relation to the polyp.
It's also worth noting that Hepatitis B carriers should maintain regular check-ups, including liver function tests and imaging studies, to monitor for any potential liver damage or complications. This is particularly crucial as chronic Hepatitis B can lead to liver cirrhosis and increase the risk of liver cancer over time. Regular monitoring allows for early detection and intervention if any issues arise.
In summary, while it is natural to feel apprehensive about new findings such as a polyp, the current medical advice suggests that it is small and not a cause for concern. Regular follow-up is recommended, and if you have lingering doubts, seeking a second opinion can help alleviate your worries. Always prioritize open communication with your healthcare providers about your concerns, and ensure that you are receiving comprehensive care for your Hepatitis B status.
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