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Suggest Treatment For A Cyst On The Liver
My mother is having 4 cyst on her liver whose sizes are 173*128 mm 73*69mm 38*38mm 49*35mm She was having pain near her liver and the doctor she consulted gave her antacid and gastric medicines.After eating them the pain went away for nearly 4 months.now again she is having pain near her liver when she is standing for long time.Please suggest is antacid the correct medicine for this and are these cyst big enough to be operated and removed completely?
Wed, 30 Jul 2014
Hi,
I am sorry to hear your mother is having pain.
Cysts in the liver are a fairly frequent finding on USG scans. Most often these cysts tend to be "simple cysts" and do not cause any trouble what so ever to the patient. That is one of the reason why they can grow upto 25 cms without the patient being aware of it. Some of the other causes for cysts in the liver include certain heriditary diseases (where there will also be cysts in the kidneys) and infections (Amoebiasis). Rarely malignancies can also appear as a cyst. But in all of these conditions, the patients will usually have symptoms form the disease.
In your mother's case, it appears to be a simple cyst (based on what you have written). Although mostly asymptomatic, simple cysts can also produce symptoms when 1) they enlarge to a big size 2) when there is bleeding into the cyst or 3) when they develop an infection in the cyst. In your case, the pain seems to be due to the big size of the cysts. Hence it needs to be treated. The type of treatment will depend on the number and distribution of the cysts in the liver (one lobe or both lobes), physical fitness of the patient and operative expertise of the treating doctor. The simplest treatment would be USG guided aspiration of the cyst, but the risk of recurrence exists. We could do a laparoscopic "de-roofing" of the cysts (recommended) or even resection of part of the liver if the remaining liver parenchyma is suffecient.
Hope this helps and please do not hesitate to contact me for further details.
I am sorry to hear your mother is having pain.
Cysts in the liver are a fairly frequent finding on USG scans. Most often these cysts tend to be "simple cysts" and do not cause any trouble what so ever to the patient. That is one of the reason why they can grow upto 25 cms without the patient being aware of it. Some of the other causes for cysts in the liver include certain heriditary diseases (where there will also be cysts in the kidneys) and infections (Amoebiasis). Rarely malignancies can also appear as a cyst. But in all of these conditions, the patients will usually have symptoms form the disease.
In your mother's case, it appears to be a simple cyst (based on what you have written). Although mostly asymptomatic, simple cysts can also produce symptoms when 1) they enlarge to a big size 2) when there is bleeding into the cyst or 3) when they develop an infection in the cyst. In your case, the pain seems to be due to the big size of the cysts. Hence it needs to be treated. The type of treatment will depend on the number and distribution of the cysts in the liver (one lobe or both lobes), physical fitness of the patient and operative expertise of the treating doctor. The simplest treatment would be USG guided aspiration of the cyst, but the risk of recurrence exists. We could do a laparoscopic "de-roofing" of the cysts (recommended) or even resection of part of the liver if the remaining liver parenchyma is suffecient.
Hope this helps and please do not hesitate to contact me for further details.
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