A question on the stage and grade deciphering. My last biopsis, 7
years ago, showed stage 2 grade 4. The specialist put on his report
"probable cirhosis. That was my second biopsis, and the Dr. doesn't
want to do another one for me. Because I'm a Hemophiliac I have to
have my biopsis Trans-jugular. I'm assuming that in 7 years I would
have gone up a stage or so. Maybe I should insist on another biopsis
incase I'm a candidate for a transplant list. I'm 53 and in Canada the
cut-off for a transplant is 55.
Thanks for any info.
PaulG.
>A question on the stage and grade deciphering. My last biopsis, 7
>years ago, showed stage 2 grade 4. The specialist put on his report
[quoted text clipped - 8 lines]
>
>PaulG.
If you do go for another biopsy, get another specialist to read it. Stage 2
*usually* means non-bridging fibrosis; Stage 3 is bridging fibrosis; Stage 4
is cirrhosis; which would leave you quite a ways from a cirrhosis diagnosis.
You really cannot predict the progression of liver damage. You may well be
still Stage 2, or you could be Stage 4, or somewhere in between (about the
only thing you know is you haven't regressed).
I'm stunned that Canada has such a ridiculously low cut-off for liver
transplants! Cripes - I'm 55! I don't know what the typical wait for a
transplant is in Canada, but if you feel anxious about your situation,
insisting on a biopsy may be a good idea...
Cheers
/greyhackles
Russian - 22 Sep 2007 10:17 GMT
> You really cannot predict the progression of liver damage. You may well be
> still Stage 2, or you could be Stage 4, or somewhere in between (about the
> only thing you know is you haven't regressed).
To that point:
My 2006 biopsy showed "Stage 3 - bridging fibrosis, cannot exclude
cirrhosis", but then went on to say, "Consistent with 2001 biopsy.",
which I think means "no change".
Paul G - 22 Sep 2007 11:52 GMT
> > You really cannot predict the progression of liver damage. You may well be
> > still Stage 2, or you could be Stage 4, or somewhere in between (about the
[quoted text clipped - 5 lines]
> cirrhosis", but then went on to say, "Consistent with 2001 biopsy.",
> which I think means "no change".
Was your 2001 stage 3 as well?
Russian - 23 Sep 2007 06:31 GMT
> Was your 2001 stage 3 as well?
2001 was before I started getting my own copy of lab reports... learned
that here.
> A question on the stage and grade deciphering. My last biopsis, 7
> years ago, showed stage 2 grade 4. The specialist put on his report
[quoted text clipped - 8 lines]
>
> PaulG.
There is a blood test now called Fibrosure. It is most accurate on
early and
later stages of liver disease. You sound like a good candidate for
that.