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Medical Forum / Diseases and Disorders / Hepatitis / October 2006Liver staging defined?
I was reading "The Russians" post regarding his last liver biopsy came back at stage 3. My first & only liver biopsy came back betyween a 2 and a 3. Since I've just been recently diagnosed with Hep C and waiting to begin tx, can anybody take a sec to explain the different degrees of staging. I understand it relates to scarring of the tissue, but like: What stage is cirrhosis ? What stage do you get on a liver transplant list? How fast can someone not drinking advance to the next stage? I was told anyone above stage 2 should consider the treatment...which is why I am going for it... I think I may have had it since 1989, after being flagged and not allowed to give blood in a job related blood drive. All thoughts & info greatly appreciated. Lonesomedave- >I was reading "The Russians" post regarding his last liver biopsy came >back at stage 3. >My first & only liver biopsy came back betyween a 2 and a 3. >Since I've just been recently diagnosed with Hep C and waiting to begin >tx, can anybody take a sec to explain the different degrees of staging. >I understand it relates to scarring of the tissue, but like: "Metavir" fibrosis staging is expressed from 0 through 4. 0 = no scarring 1 = minimal scarring 2 = scarring is present and extends beyond the areas of the liver that contain blood vessels 3 = bridging fibrosis 4 = cirrhosis fwiw, I was between stage 2 and 3 just prior to starting therapy, but essentially asymptomatic. That's one of the important aspects about chronic HCV - most people don't experience symptoms until the liver is nearly shot. >What stage is cirrhosis ? Stage 4. >What stage do you get on a liver transplant list? I'd be surprised if someone below Stage 4 could actually get on the list. >How fast can someone not drinking advance to the next stage? This is something that cannot be determined, as it clearly would vary from patient to patient. Bottom line: don't drink if you are HCV positive. >I was told anyone above stage 2 should consider the treatment...which >is why I am going for it... Interesting advice, but I disagree with it. Anyone chronically infected with HCV should consider treatment, with the level of urgency increasing with Fibrosis staging. >I think I may have had it since 1989, after being flagged and not >allowed to give blood in a job related blood drive. > >All thoughts & info greatly appreciated. >Lonesomedave- In a post made just yesterday here (by Bob "Cactus Jammies", iirc) there was a particular paragraph that caught my eye, describing some favorable statistics in reversal of cirrhotic levels of fibrosis following a successful HCV treatment. That should give hope to a lot of folks - but I would advise against relying on such an outcome to delay treatment... Cheers /greyhackles Dear lonesomedave a liver transplant is not a bed of roses. Talk to your doc and find others that have had one. I have. I wouldn't do it, if I knew then what I know now. That's just me though. Everyone has a different outlook. Are you a foghat fan? If not get to put on the "foghat" it's coming!! hahahah! Keep your sense of humor! I'ts one thing that will keep you sane through all this!! On Oct 24, 9:20 pm, "shawn2" <shawn.oxf...@nospam.sbcglobal.net> wrote: > Dear lonesomedave a liver transplant is not a bed of roses. Talk to your > doc and find others that have had one. I have. I wouldn't do it, if I knew > then what I know now. That's just me though. Everyone has a different > outlook. Are you a foghat fan? If not get to put on the "foghat" it's > coming!! hahahah! Keep your sense of humor! I'ts one thing that will keep > you sane through all this!! A transplant is not a bed of roses, but it beats the alternative. I think you had more than your share of problems. The meds were your problem, not the transplant. Right? They made a huge mistake in your case. I know you will never get anyone, that counts, to agree with you, but you should have had a much better outcome. They made a whopper mistake. The cure almost killed you. Hi all - a newbie speaking, so apologies if I am off topic etc. I have grade 2, stage 2, Geno 3 hep c and my doctor suggests a 6 month treatment. Age 44, infection bewteen 5 and 25 years ago I know there will never be a good time for treatment, but I was just about to try to move jobs and if I did so, a new employer would not appreciate 6 months of under, or non-perfromance. Do you think I can reliably stall treatment for a year or two? Is the risk to my health too high? Are there any sources of statistics on progression rates appropriate to my situation? Is there a more appropriate forum, or source of another medical opinion on the net? Thanks. George > I was reading "The Russians" post regarding his last liver biopsy came > back at stage 3. [quoted text clipped - 14 lines] > All thoughts & info greatly appreciated. > Lonesomedave- Hey George, I don't know if you can still get it on your news server but on on Oct 23, I posted the "HCV treatment options from clinicaloptions.com (Very Long)" article which should help you find what you're looking for. -cactus jammies ============= > Hi all - a newbie speaking, so apologies if I am off topic etc. > [quoted text clipped - 34 lines] >> All thoughts & info greatly appreciated. >> Lonesomedave- |
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