Got my biopsy

[Frogking]

I got my biopsy results. The assistant called and said liver biopsy showed "extreme fat infiltration " but no sign of scar tissue.

How accurate are biopsys and does liver scar as a whole? Does this confirm i have no cirriosis?

[nash2 Partner]

Hi Frogking

Well, congratulations. To be clear a doctor should be the one to really interpret your tests but I can tell you what the general understanding is. Biopsy has long been the gold standard for diagnosis. It does, like all procedures have an error rate, but in context with other information is generally regarded as accurate. So what does extreme fat mean? The liver can contain a very large amount of fat since fat itself is not chemically harmful but makes liver cells vulnerable to damage. So the assistant said that you had a lot of fat but it had not become NASH so you have NAFLD. Good news as if you manage your diet and weight there is every chance that you can resolve your risk of liver disease. The liver does normally scar throughout but can be patchy so that is the risk with biopsy. Good news but making sure what the doctor thinks is smart.

Wayne

[Frogking in reply to nash2]

I understand doctor has to look at ir and have appointment the 27th but pa still have alot of schooling. I would hope a pa at a high end hospital can tell difference between cirrosis and no scaring. It wasn't fibrosis and error. She said no signs of any fibrosis or scaring but said the sample was extremely fatty. Idk what that means. She said doctor will go over in detail but don't have cirrosis.

Any regards this should be good news?

[Mariah1203 in reply to Frogking]

the PA did not actually read like interpret the core sample of your liver on microscope slide. A specialist trained in Pathology did. And then they type up the results for the doctor. Anyone then can read that.

[Frogking in reply to nash2]

And fatigue is my main symptom and inhear fatty liver can cause that

[Mariah1203 in reply to nash2]

"scar throughout but can be patchy," if anything that would lead to misdiagnosis of Cirrhosis, not NALFD, right? or other way around?

[nash2 Partner in reply to Mariah1203]

Well, I suppose there are variations but scaring would follow the inflammation so if there are conditions which create patchy fat deposition it could be either. Think of people who never exercise so never get their blood flow up. They may have parts of the liver where local pressure reduces the blood flow so they are affected at a different rate than other areas. As pressure builds in the liver those other channels will take over the flow. So while the disease is diffuse or spread throughout the organ you might see local differences over time

[Mariah1203 in reply to nash2]

yep thats exactly right

[nash2 Partner]

Fatigue can have many mothers but anything that affects the liver can contribute. Good news, many of us wish we had your problems

Gool luck

Wayne

[Mariah1203 in reply to nash2]

no joke..many of us wish we had your problems, lol

[Mariah1203]

BIOPSIES are as accurate as it can get. As far I'm concerned that's great news, considering if you change your lifestyle, you will live a normal healthy life.

[Frogking in reply to Mariah1203]

I hope that's case and not patchy liver. Still having many symptoms of cirrosis. Have blue veins creeping up my right shoulder. I'm working on losing weight.

[Mariah1203 in reply to Frogking]

if it helps any, i have never heard of anyone that has cirrhosis and also has blue veins creeping up right shoulder. I understand you are scared. Here's the thing with fatty liver... Change is hard. Many people don't want to give up the foods they love, and quitting drinking is very scary for most. If people aren't honest with themselves first and then others trying to help, then I'm not sure if any diagnosis can be made.

[Frogking in reply to Mariah1203]

I don't drink at all. And change easy part I was changing. Lost, 35 pounds and that's when symptoms got worse so I stopped. And thought enlarged veins was part of cirrosis

[Frogking in reply to Mariah1203]

I'm more afraid of having nothing to fight for

[Mariah1203 in reply to Frogking]

do you see a psychologist or therapist?

[Frogking in reply to Mariah1203]

No having aspergers I don't do well telling strangers about my feelings I don't understand

[Mariah1203 in reply to Frogking]

well that's something I can totally relate to .. That's why I dont go to one. My son (he's 8 yrs old) and I both have Aspergers (mild form) and both of us are Mensa members and OCD

[Frogking in reply to Mariah1203]

Well that's cool. Small wall then you understand that having a small sickness your not sure what it is is far more stressful then having terminal one. I actually felt the most peace when convinced myself have cirrosis

[Mariah1203 in reply to Frogking]

Cognitive behavior therapy is what I think I was told to go to. Ia lso have PTSD from near death esperience and thats when they discoved the appergers and adhd too

[Frogking in reply to Mariah1203]

Discovered?

[Similau]

Congrats! I have no medical degree, don't know how accurate any test could be. Take it as a positive result for now. Yay!