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Suggest Treatment For Cyst Formation In Liver

Posted on Mon, 23 Mar 2015

Question: Can u please advise re the scan .
Its a case if liver mets in liver . My father has cysts too. Can u plz confirm what can be seen?

Answered by Dr. Shailja Puri (26 minutes later)

Brief Answer:
Lesion in liver and solid and appear to be due to malignancy

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
The lesions present in the liver are hyper-dense and solid.
Thus, the lesions are not cystic but they are solid.
Solid lesions in liver are more likely to be due to solid malignant deposits.
An ultrasound or CT guided aspiration of the lesions is required,
In this investigation, cells are aspirated from the lesions and the cells which are aspirated are examined microscopically.
The nature of the lesion can be determine by aspiration and thus further management can be done.

If you have more queries, I will be glad to answer.

Thanks
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Shailja Puri (18 minutes later)

Hi we all ready know there R liver mets.but how many do you see?

Also there was only 1 liver met in august which was 1.5 cm, started irinotecan in october.

Scan done january 2015- increase in liver met 4.4 cm now and a new sub pleural nodule .

Does this mean chemo
Not worked ?

Since XXXXXXX till now not had chemo and now extra 7 liver lesions . Can u get this many lesions in 2 months ?

What can
Be done?

Answered by Dr. Shailja Puri (10 hours later)

Brief Answer:
New metastatic lesions, chemotherapy needs to be reviewed

Detailed Answer:
Hello and welcome again,
There is an increase in number of solid foci or metastatic foci in the liver.
The chemotherapy needs to be reviewed.
There can be a change in chemotherapy or addition of new chemotherapeutic agent.
For further management, you need to consult your oncologist.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Shailja Puri (1 hour later)

Can i aks how many lesions can u see?

Answered by Dr. Shailja Puri (4 minutes later)

Brief Answer:
CT liver is showing 5 large and 5-7 small lesions

Detailed Answer:
Hello and welcome again,
The CT scan of liver is showing five large lesions and multiple 5-7 small solid lesions.

Thanks
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Shailja Puri (2 hours later)

Thx do all
These look like metastases to you as he did have some cysts too?

Answered by Dr. Shailja Puri (29 minutes later)

Brief Answer:
Lesions on CT liver are solid. Cysts have an empty centre

Detailed Answer:
Hello and welcome again,
Cysts should have an empty centre but the lesions on CT scan are solid and have no empty looking centre thus possibility of cyst is ruled out.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Pradeep Vitta