Exophytic complex large liver cyst - British Liver Trust

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Exophytic complex large liver cyst

Norrahsjake profile image
8 Replies

Exophytic complex large liver cyst, can anyone explain what exophytic means. I have to have a Mir scan , I’m scared what else they are going to find .

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Norrahsjake profile image
Norrahsjake
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8 Replies

Exophytic means the cyst is growing outwards from the surface of your liver. Liver cysts are explained in the following quote from 'Dr. Melissa Palmer's Guide To Hepatitis and Liver Disease':

"A cyst is an enclosed sac or cavity containing either air, fluid, or semisolid material. They are a relatively common finding in the liver and are usually solitary. Liver cysts are usually benign. Occasionally they are present at birth, but they are not inherited. They are most frequently found in the right lobe of the liver and are more common in women than in men.

Most liver cysts are asymptomatic. Thus, they are most commonly detected during the evaluation of unrelated problems. Right-sided abdominal pain or abdominal distention may occur when cysts exceed 5 centimeters in size. In rare cases a cyst may bleed, become infected, or become cancerous. If one of these complications occurs, a fever, abdominal pain, or elevated liver enzymes will typically be present. If a repeat radiologic imaging study reveals growth or change in the size of the cyst, close follow-up will be necessary, and needle aspiration or biopsy of the cyst should be considered. Cancer is diagnosed by aspiration of fluid from the cyst using a needle guided by a radiologic imaging study. "

Norrahsjake profile image
Norrahsjake

Thanks , I appreciate you relying

RLCJ profile image
RLCJ

I agree that the issue of exophytic is not so much of an issue in thstbit only means that it is growing beyond and outside the liver ( but attached) and itvin itself is not a source of concern. What IS potentially a source of concern is the use of the word “ complex”. A simple cyst is s fluid filled sac with no internal echoes on ultrasound or other structures within. A complex cyst however contains things other than just fluid including the possibility of nasties ie malignancy. A complex cyst requires more intensive imaging and potentially even biopsy to evaluate what exactly is “ complex” about the cyst. So. Get this sorted out. Exophytic not an issue but complex exophytic could well be an area of concern.

Good luck

RLCJ

Norrahsjake profile image
Norrahsjake

Thanks for replying, I have a doctors appointment booked and am waiting for a Mir scan. I’m trying to be calm and not worry but it’s very hard not to think about it .

Norrahsjake profile image
Norrahsjake in reply toNorrahsjake

Hi, my Dr rang me on Monday night out of the blue and he is referring me as urgent to a Hepatobiliary surgeon . It was a bit of a shock , I have a appointment on 23/08/18 , he said he didn’t want me waiting weeks for a Mir scan.

Robyn11cho profile image
Robyn11cho in reply toNorrahsjake

Hi Norrahsjake, any update ? Hope you’re doing well .

Norrahsjake profile image
Norrahsjake in reply toRobyn11cho

Hi,

sorry for late reply, not been on this site for a while, im very well thanks, turned out I have multiple liver cysts, I had a operation in feb for a cyst fenestration for the largest cyst , I’m lucky as they are simple cysts . Thank you for asking, hope you are well.

in reply toNorrahsjake

Great to read thta you are doing ok. Take care

Trust1

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