I'm not sure if I can help but I will try.
so this is non-alcoholic cirrhosis?
as of yet undetermined cause?
how did this come to her doctor's attention?
what where her symptoms?
it is easier to use the site if you type a sentence and send it so I can begin to think about an answer
1. is she still having symptoms?
2. has she been studied for prior hepatitis infection?
so first of all let me tell you a bit about cirrhosis
this literally means scarring of the liver
it can be mild
or it can be severe
it sounds as if in her case it was found 'incidentally' in that she had an abscess/ulcer of the liver post operatively
and some other post operative complications
so the question is to what degree is her liver function compromised and then, what caused it
THIS LINK HERE IS A VERY GOOD REFERENCE ON CIRRHOSIS
as you can see
absent alcohol as a cause, hepatitis is usually to blame, and the first infection may have been 'subclinical', meaning, she may not have been that sick
yes, that can indicate a more advanced stage
is she jaundiced or retaining fluid at this point?
how long ago was the surgery and why did they remove her uterus?
probably something called a utering fibroid or 'leiomyoma'
unless this was found to be a cancerous tumor
fibroid.... that issue is now closed leaving the cirrhosis to figure out
are they planning on doing a liver biopsy?
so let's get to the meat of your question. what can I help you with regarding her current situation?
cirrhosis is rarely a sign or result of cancer
whether things are to get worse or not depends on the cause.
and this is what her doctors are trying to determine at this point
what would be more helpful is the radiologist's interpretation of the study. do you have that?
so trying to read between the lines here....
usually in advanced liver disease
the radiologist will say that it is advanced and then give estimated of the percentage of liver involved with cirrhosis
so this is a fairly positive result I think
given her symptoms it would be reasonable to hope that this is not a rapidly progresSive process
there is much work to be done because we don't know the cause
what will happen next is the CT scan, which will give more detail about the state of the liver, and, perhaps, a suggestion as to the cause
but usually the ultimate diagnosis will come from liver biopsy
where a small piece of the liver is studied under the microscope
if she has HEMACHROMATOSIS, for example
this is where the diagnosis will be made
there is no evidence that diet will play a part here though there is nothing wrong with eating a mmore healthy diet
certainly she should avoid alcohol
i would be surprised if they had not already checked for hepatitis C, which can be a bad disease to have
but the other rarer causes of cirrhosis are probably still on the table
such as hemachromatosis
so it is likely a biopsy will be the next step
no, unfortunately, hepatitis C, in it's chronic form, is not curable
there are treatments that will slow the disease
but no cure as of today
THIS IS AN IMPORTANT AND GOOD LINK ON HEP C
the link above should be very helpful in that regard
as I said, I think this would have been done early as the tests are relatively easy to run
so that leads rarer causes on the list
the blood test is good, a biopsy might still be necessary to rule out active infection or other causes that could be in addition... but if her blood test for hepatitis C is negative then this is not the cause.
I would refer you to this link from the mayo clinic
which, towards the end of the article, talks about prognosis, diet, and treatment
I think that is the likely scenario
in some cases
if cirrhosis is progressive
a liver transplant is eventually needed
though from what you have told me that is not something to be considered at this point
cirrhosis is present based on the xray and ultrasound findings
the extent of it is to be determined
the cause is to be determined, as is the treatment
do you mean the ulcer/abscess?
I thought you said that she had been treated for that and the subsequent studies showed that the lesion had cleared?
so this is difficult
liver cysts are common and benign
this could be a simple cyst which is of no concern
the 3 phase liver C makes more sense
as they will be looking at this area closely
very hard for me to hazard a guess about this lesion
but this makes biopsy more likely and more necessary if this is still therre.
I am obviously not calling the shots, but it would seem this would be the right way to go.
yes, that would be a good idea. I am very interested in this case.
would you like me to schedule a follow up with you?
I am only paid when positive feedback is received. so yes, you would pay to list another question, but would only pay me a second time if you felt my answer was a good one for you.
though in a follow-up situation I might be mistaken. I am very sorry I am not sure about this.
you are most welcome
Thank you so much for your question. It was a pleasure talking with you. If this answer has been helpful to you please consider leaving positive feedback. Should you require my assistance in the future simply start your question with ‘for 911doc’, and I am usually on the site most days.
I'm still here....
we can certainly do that
I live near Nashville TN
and trained in Denver
have a good evening.
If you leave positive feedback I will schedule a follow up
if you leave the question open you can come back to it under the 'my questions' tab,
though after some days the questions 'time out'
I hope this helps
good night, sir.
you are welcome.
please let me know what is found.