Does hepatomegaly require liver biopsy needles?

May 03, 2022

Liver biopsy is not necessarily required for hepatomegaly. Liver biopsy is mainly used to detect unexplained liver lesions. If the cause of the patient with hepatomegaly is clear, liver biopsy is generally not required.

There are many reasons for liver enlargement, including long-term heavy drinking and hepatitis virus infection. If the patient has a long history of heavy drinking, abdominal ultrasound or CT shows that the liver is enlarged, which is usually caused by alcoholic liver. There is no need to worry too much. Some patients can recover after quitting drinking in time. If the patient’s blood test for hepatitis virus antibody indicates that the hepatitis B E antibody, core antibody or hepatitis C antibody is positive, further blood test is needed to determine the HBV DNA and HCV RNA quantification. large, requiring timely antiviral treatment.

Conversely, if the cause of the patient's liver enlargement is unclear, and liver enlargement caused by alcohol, drugs, viruses, and autoimmune liver disease is excluded, a liver biopsy can be performed at this time.

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