Wednesday, June 15, 2016

肝肿瘤 Liver Lesions ...

Focal Lesion (1)
- a well defined margin anechoic lesion(2) with posterior enhancement is seen in the right lobe of the liver measuring 1.94 cm x 1.74 cm x 2.06 cm suggestive of liver simple cysts(3).
- a well defined hyperechoic lesion(4) seen in the right lobe liver with slightly posterior enhancement with no internal vasularity (blood vessel) seen, measuring around 1.07 cm x 0.91 cm, most likely hemangioma(5).

(1) Lesions can be tumors, they can also be infections or areas of trauma. However, it depends on what type of lesions found on the liver.
(2) The fact that yours are Anechoic is a great sign and means they are simple cysts (may be empty or contain watery or mucus types of fluid)
(3) Simple liver cysts — fluid-filled cavities in the liver — usually cause no signs or symptoms and need no treatment. However, they may be large enough to cause pain or discomfort in the upper right part of the abdomen.
(4) A hyperechoic liver lesion at ultrasonography (very strong echoes on an ultrasound) as round hyperechoic lesions with well-defined irregular margins. The majority of these lesions are detected incidentally in asymptomatic (no disease) patients. Lesions size < 1.0 cm are usually benign (not harmful).
(5) Hemageioma is a benign (not harmful) tumor of blood vessels, usually self-involuting tumor (swelling or growth).A liver hemangioma, really is made up of a tangled of blood vessels. Characterised by increased number of normal or abnormal vessels filled with blood. The cause of hemangioma is currently unknown in medical today. Most cases of liver hemangioma are discovered during a test or procedure for some other condition. Most people who have a liver hemangioma never experience signs and symptoms and don't need treatment. There's no evidence that an untreated liver hemangioma can lead to liver cancer.

What is lesion on liver 肝肿瘤 ?

Lesions usually are simple cysts of the liver contain fluid. This can be seen on liver imaging with ultrasound or CT scanning. They are found in about 1 percent of adults and are more common in women than men. Physical examination, blood studies and ultrasound findings are usually sufficient to distinguish simple cysts from other less-common lesions that can appear cystic. Occasionally, a CT scan is needed to make the distinction, and rarely a needle biopsy or surgical resection is done to make the diagnosis.

Signs and symptoms of liver cancer:
(info only, no worries)
1. Weight loss (without trying)
2. Loss of appetite
3. Feeling very full after a small meal
4. Nausea or vomiting
5. An enlarged liver, felt as a mass under the ribs on the right side
6. An enlarged spleen, felt as a mass under the ribs on the left side
7. Pain in the abdomen or near the right shoulder blade
8. Swelling or fluid build-up in the abdomen
9. Itching

10. Yellowing of the skin and eyes (jaundice)

Viruses and alcohol use reported to be some of the major causes of liver cysts (lesions), however it could be also inherited (genetic). Other causes of liver lesions seems to be dietery habits. 

Here are 8 of the main causes of liver lesions:
1. Alcohol causes fatty liver.
2. Obesity which major cause of fatty liver resulting in liver lesions.
3. Diebetes with insulin surge in the body cause weight gain.
4. High Salt intake.
5. Smoking has oxidative stress to the liver.
6. Overuse of certain medication example: antidepressants, mood stabilizers, Corticosteroids (used for treating inflammation) and pain relievers.
7. Overdose of vitamin A can increase the production of certain liver enzymes when taken in excess amounts, causing damage.
8. People undergoing chemotherapy for cancer treatment have a risk of damaging their livers because of the associated side-effects of the drugs.

One more thing, Viral hepatitis A, B and C and autoimmune hepatitis attack the liver cells directly causing inflammation. So check the blood test results if you should be getting the Hepatitis Vaccinations injections. But before administering the Vaccination, inform the doctor of the Liver Lesions conditions. 

In General, Liver cysts do not impair the liver's ability to function. The cyst(s) are usually found by ultrasound (US) or computed tomography (CT scan). Simple liver cysts are always benign. They usually appear on the surface of the liver. No specific treatment is required for asymptomatic (non disease) whatever the size.

One or two liver cysts usually do not cause any problems and do not require treatment, however, sometimes the cysts are numerous or grow very large and require medical attention. One or more large liver cysts can cause pain or discomfort in the right upper abdominal region. If they cause significant discomfort, cysts can be drained or removed in hospital.

These cysts usually arise when a small area of liver cells dies or degenerates. The most common cause is advancing years and poor diet and lifestyle. Sometimes these cysts can be full of “fatty material” in those with a fatty liver. At other times the cysts are filled with fluid or mucus. These cysts do not represent liver disease because the liver, being such a huge organ, has plenty of other areas containing healthy cells to enable liver function to remain normal.

In many cases it is possible to gradually shrink the cysts using nutritional medicine.
1. Remove dairy products from your diet. Hormones of diary products causes cysts growth.
2. Avoid or minimise exposure to substances that cause damage to liver cells, such as alcohol, some medication and drugs, environmental chemicals and sugar in excess.
3. Take a selenium supplement. (contrains Antioxidants that protect cells from damage) Selenium is required in order for your liver to manufacture the powerful antioxidant glutathione. Selenium helps to protect liver cells from damage.
4. Drink raw vegetable juices regularly.
5. Green Tea helps.
6. Artichoke leaf extract as blood cleansers act as detoxification for the liver.

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