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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 24467
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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Dear Dr. Devlin, my name is ***** *****. Our Dog has been

Customer Question

Customer: Dear Dr. Devlin, my name is ***** *****. Our Dog has been recently diagnosed with Cirrhosis. I get from a previous answer from you to another question that it is important to have a liver tissue biopsy to identify the causes. Our vet did not recommend it. I would appreciate your advice
JA: Thanks. Can you give me any more details about your issue?
Customer: The vet conducted an echography exam and diagnosed cirrhosis and hepatic fibrosis
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Submitted: 12 months ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 12 months ago.

I'm sorry that your question wasn't answered in a timely manner. I believe that your vet didn't recommend an ultrasound-guided needle biopsy but biopsy is still important. Suspicion of cirrhotic/fibrosing liver disease should prompt the consideration of wedge biopsy of the liver rather than ultrasound-guided core biopsy, because a firm, severely fibrotic liver may be difficult to penetrate safely with core biopsy instruments, especially if ascites is present. Additionally, needle core biopsies are often inaccurate in cirrhotic livers.

Please respond with further questions or concerns if you wish.

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