Understanding Liver Nodules and Calcifications: Are They the Same?
Liver lesions and calcifications? Hello, doctor. I would like to ask if hepatic nodular hyperplasia and calcifications in the liver are the same thing? If the fetal protein level is elevated at 17 and there are calcifications in the liver without hepatitis B or C, could this pote...
Dr. Chen Shidian Reply:
Nodules and calcifications should be considered different/unrelated. Elevated fetal protein levels are assessed by a gastroenterologist who monitors changes in values and conducts follow-up with ultrasound, computed tomography, or magnetic resonance imaging.[Read More] Understanding Liver Nodules and Calcifications: Are They the Same?
Understanding Newly Detected Liver Nodules: Causes and Next Steps
Hypoechoic liver nodule Hello, due to mild fatty liver and gallbladder polyps, I have been undergoing abdominal ultrasound follow-ups every six months at the clinic. There is no evidence of hepatitis B or C. During my last visit in October, the doctor noted two liver nodules (one...
Dr. Chen Shidian Reply:
The shadow of fatty liver may just be an artifact, and experienced gastroenterologists can often make this determination, but further follow-up is still necessary for confirmation.[Read More] Understanding Newly Detected Liver Nodules: Causes and Next Steps
Understanding Liver Nodules: What You Need to Know After Imaging Tests
Questions about liver nodules? Three months prior to the company health check, I was following up on a 0.5 cm gallbladder polyp at a gastroenterology clinic, and no other issues were found. During the company health check, it was noted that the gallbladder polyp had increased to ...
Dr. Chen Shidian Reply:
1. Follow-up for gallbladder polyps once a year. 2. For liver nodules, follow-up should be determined based on the physician's imaging report, but it can be done in 3 months.[Read More] Understanding Liver Nodules: What You Need to Know After Imaging Tests
Understanding Colorectal Cancer Risks and MRI Limitations
Colorectal cancer MRI Doctor, I had a full-body MRI last year, and there is a liver nodule about 1 cm in size. I underwent a colonoscopy six and a half years ago. I have noticed some white mucus in my stool, and recently I've been experiencing significant gastrointestinal di...
Dr. Chen Shidian Reply:
Colorectal cancer screening only requires a fecal occult blood test, so there is no need to worry too much. Liver nodules can be monitored with ultrasound.[Read More] Understanding Colorectal Cancer Risks and MRI Limitations
Understanding MRI Detection of Colorectal Cancer Stages and Liver Metastasis
Colorectal cancer MRI 1. In general, at what stage of colorectal cancer can it typically be detected on an MRI? 2. Regarding the differences in imaging, should liver metastases from colorectal cancer appear significantly different from liver nodules on an MRI? (If it is metastati...
Dr. Chen Shidian Reply:
MRI is primarily used to assess advanced metastatic disease, lymphatic liver nodules, and liver metastases, but there is overlap in their evaluation; therefore, biopsy is still necessary when needed.[Read More] Understanding MRI Detection of Colorectal Cancer Stages and Liver Metastasis
Understanding Liver Nodules: Insights for Concerned Families
Hepatic adenoma Hello Doctor, my mother is 60 years old. She was diagnosed with stage 1A gastric cancer in August 2018 and underwent surgical treatment. Since then, she has been undergoing annual check-ups. In July 2020, an abdominal CT scan revealed a small nodule in the liver. ...
Dr. Chen Shidian Reply:
Please follow up or refer the imaging to a radiologist to determine if additional examinations are needed.[Read More] Understanding Liver Nodules: Insights for Concerned Families
Understanding Liver Nodules: What You Need to Know After Your Ultrasound
Three liver nodules? Hello, I had a health check-up in August this year, and the ultrasound revealed three hypoechoic nodules in my liver (1.44 cm in segment 2, 0.97 cm in segment 4, and 1.64 cm in segment 7), along with mild fatty liver. My AFP levels are normal, and I have anti...
Dr. Lin Minghui Reply:
Hello, a 26-year-old male underwent a health check and was found to have fatty liver and three hypoechoic liver nodules measuring less than 2 cm, with a family history of liver cancer. The differential diagnosis for liver nodules is extensive, including benign hepatic steatosis, ...[Read More] Understanding Liver Nodules: What You Need to Know After Your Ultrasound
Understanding Pancreatic Cysts: Symptoms, Diagnosis, and Follow-Up Care
Pancreatic pseudocyst Hello Doctor Chen: I have been experiencing a sensation of a foreign body in my right abdomen for 3-4 years. Sometimes, I also have abdominal pain that radiates to my back (the area is not fixed). My blood test showed a slightly elevated bilirubin level (1.6...
Dr. Chen Qifeng Reply:
Pancreatic cysts are generally not a major concern, while liver nodules need to be evaluated based on their characteristics. Typically, ultrasound examinations do not specifically emphasize the relationship between height and pancreatic size, but rather observe whether there is a...[Read More] Understanding Pancreatic Cysts: Symptoms, Diagnosis, and Follow-Up Care
Understanding Liver Nodules: Concerns and Next Steps for Patients
Questions about liver nodules? I recently had a health check-up and found the following results: 1. A 1.3 cm liver cyst in segment 8. 2. A hyperechoic nodule in the liver measuring 1.1 x 1.3 cm in segments 7 and 8. 3. Hypoechoic nodules in the liver measuring 2.8 x 2.1 cm in segm...
Dr. Chen Shidian Reply:
Hello, please bring the copied images to a medium or large hospital's gastroenterology department for further examination and confirmation. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Liver Nodules: Concerns and Next Steps for Patients
Understanding Liver Nodules: Concerns and Next Steps for Patients
Hepatic nodular hyperplasia Recent abdominal ultrasound examination report: low echo liver nodule (right lobe, approximately 0.7 cm). Can you explain my situation? I do not have hepatitis B or C and am very concerned it could be a tumor or cancer. My body fat percentage is relati...
Dr. Chen Shidian Reply:
Hello, Miss. You can follow up with the gastroenterology outpatient clinic in three months. There may not necessarily be any changes, so there is no need to worry. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Liver Nodules: Concerns and Next Steps for Patients
Understanding Liver Nodules: Should You Worry About a 0.7mm Finding?
There is a nodule in the liver? Hello, doctor. I have hepatitis B and have been continuously monitored. Recently, during an ultrasound examination, a 0.7 mm hypoechoic nodule was found. The doctor is not very certain whether it is a tumor or another benign condition; they only su...
Dr. Chen Shidian Reply:
Hello, sir. Generally, a size greater than 1-2 centimeters is required for a CT scan to determine whether a lesion is benign or malignant. Please follow up with a ultrasound in three months to monitor any changes. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Liver Nodules: Should You Worry About a 0.7mm Finding?
Understanding Liver Issues: Insights on Rough Liver, Nodules, and Fatigue
Liver problems? Dear Dr. Tsai, I apologize for bothering you again. My liver is rough, and my spleen is slightly enlarged. The surface antigen is negative, the surface antibody is positive, and the core antibody is positive. I have not been vaccinated, and I have developed antib...
Dr. Cai Anshun Reply:
Hello: (1) With aging or fatty liver disease, fibrosis may occur. (2) Liver nodules can be benign or malignant. (3) If you are experiencing fatigue, you should evaluate the quality of your sleep and whether your work is too strenuous; it is not solely related to liver issues. (4)...[Read More] Understanding Liver Issues: Insights on Rough Liver, Nodules, and Fatigue
Accuracy of Liver Biopsy: Impact of Sampling Location on Diagnosis
What is the accuracy of liver biopsy? Hello Dr. Chen: I have fatty liver and have undergone a liver biopsy. The biopsy was performed on a 1.2 cm unknown tumor, but the needle was not inserted directly into the center of the tumor; it was placed nearby (as the physician was concer...
Dr. Chen Qifeng Reply:
Hello: The main focus of liver biopsy is to accurately obtain the target tissue. It is generally performed under ultrasound guidance, and with the advancements in current instruments, the accuracy is quite high, at least over 90%. As for the biopsy results, as long as they are be...[Read More] Accuracy of Liver Biopsy: Impact of Sampling Location on Diagnosis
Understanding Unidentified Liver Lesions in Fatty Liver Patients
An unknown foreign object has developed on the surface of the liver? Hello Dr. Lee, I would like to ask about my father who is 61 years old. He was recently diagnosed with fatty liver (with normal liver enzymes), but there is a 1 cm unidentified mass on the surface of his liver. ...
Dr. Li Yongming Reply:
In clinical practice, the diagnosis of "fatty liver" refers to the condition where the weight of fat (primarily triglycerides) accumulated in the liver exceeds 5% of the total liver weight, or when more than 10% of liver cells in a liver tissue biopsy exhibit fatty vacu...[Read More] Understanding Unidentified Liver Lesions in Fatty Liver Patients
Understanding Liver Hemangiomas and Fatty Liver: What You Need to Know
Hepatic hemangioma and fatty liver disease? During a health check-up, an ultrasound examination revealed a hepatic hemangioma. After consulting another clinic, the results showed four hemangiomas (approximately 1 cm each) and fatty liver (weight 50 kg). The doctor mentioned that ...
Dr. Chen Qifeng Reply:
Hello: If it is fatty liver and hemangioma, then indeed, follow up as indicated in <a href="https://adoctor.tw/article/36394">#36394</a>. There are many causes of fatty liver, with common ones including obesity, high blood lipids (triglycerides), poorly cont...[Read More] Understanding Liver Hemangiomas and Fatty Liver: What You Need to Know
Understanding Liver Nodules: When to Worry About Cancer Risk
Liver nodule measuring 1.2 cm? My husband started experiencing hepatitis B inflammation in 2002 (at the age of 36), with significantly elevated ALT and AST levels. He was hospitalized three times in 2003 due to persistently high levels. At the end of 2003, he began taking Hepatit...
Dr. Chen Shidian Reply:
Hello, Miss: Sorry for the late reply! 1. Roughness indicates fibrosis; if necessary, a liver biopsy can be performed for assessment. 2. Viral treatment requires a long-term commitment, ideally over three years, and may need to be extended to new therapies if necessary. If medica...[Read More] Understanding Liver Nodules: When to Worry About Cancer Risk
Understanding Liver Cirrhosis: Causes, Diagnosis, and Fibrosis Insights
Cirrhosis Dear Vice President Tsai, I have a few questions I would like to ask you, thank you. 1. What are the causes of liver nodules? Does the presence of liver nodules indicate the presence of liver cirrhosis? 2. Can liver cirrhosis be detected through ultrasound? 3. If the ...
Dr. Cai Yaozhou Reply:
Cirrhosis can be detected through ultrasound, which may appear coarse; however, the liver does not necessarily exhibit signs of fibrosis. The definition of cirrhosis involves hepatocyte necrosis, with the remaining liver cells regenerating to form nodular structures surrounded by...[Read More] Understanding Liver Cirrhosis: Causes, Diagnosis, and Fibrosis Insights
Understanding Liver Nodules: Tumors or Inflammation Residue?
Liver nodules? Hello Director Chen: I recently had an ultrasound and found a nodule in my liver that is less than 0.5 centimeters. Is a nodule considered a type of tumor, or is it a remnant from liver inflammation? Besides the ultrasound, what other tests or precautions should I ...
Dr. Chen Shidian Reply:
Hello, Wang Yin: After nodular regenerative hyperplasia, the liver tissue regenerates irregularly, resulting in nodules measuring 1 to 2 centimeters. Generally, regular follow-up with ultrasound and alpha-fetoprotein testing is required. If there is an increase in size, a liver b...[Read More] Understanding Liver Nodules: Tumors or Inflammation Residue?
Understanding Liver Tumors: Should We Wait or Act Now?
There are two tumors in the liver? Hello, my father is 60 years old and has been experiencing persistent hiccups and vomiting. He went to Changhua Show Chwan Hospital for examination, and the report indicated that there is a tumor in his liver, but it is unclear whether it is ben...
Dr. Lin Minghui Reply:
Hello, liver tumors include liver nodules, liver abscesses, hemangiomas, hepatocellular carcinoma, cholangiocarcinoma, and metastatic tumors. It can sometimes be challenging to assess whether a liver tumor is benign or malignant, and the patient's clinical condition should b...[Read More] Understanding Liver Tumors: Should We Wait or Act Now?
Understanding Liver Health: Long-term Effects of Medication and Monitoring
Could you please provide more details about the liver issues? 1. Long-term use of Ganciclovir can have side effects. It may affect other organs, including the kidneys. 2. Since your liver function has returned to normal but the E antigen has not yet turned negative, it is advis...
Dr. Chen Zhiping Reply:
Hello, generally speaking, there are no significant side effects from the treatment, and it does not affect other organs. The e-antigen has not turned negative (treatment should continue), liver function tests are normal, and the treatment goal has not yet been achieved (the e-an...[Read More] Understanding Liver Health: Long-term Effects of Medication and Monitoring