|Ultra sound shows liver lesion.
Dec 21, 2011
I had an ultrsound done on my abdomen and the results were mildly coarse hepatic echotexture and I have a well defined hyperechoic liver lesion most likely representing a hemangioma. They want to do a biopsy of my liver since it's been awhile and if thats not so good, they want to give me an MRI to rule out liver cancer. I also have mild to moderate kidney disease and I am afraid to take the contrast with the MRI. My creatinine is 1.18. Is this safe? I'm also HIV positive with an undetectable viral load.
| Response from Dr. McGovern
Your creatinine level is okay right now so I think the MRI is a good idea. It is probably - most likely- a hemangioma...
There are very good treatments now for hepatitis C genotype 1 infection (the most common type in the US). Preliminary results in HIV/HCV coinfected patients show that triple therapy with pegylated interferon, ribavirin, and telaprevir lead to rapid suppression in about 70 percent of patients at 4 weeks of treatment. We dont' know the final results yet, but this is very exciting news.
If you have genotype 2 or 3, you can do very well with pegylated interferon/ribavirin therapy.
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