4月的AFP正常，5月的彩超和6月的MRI： No suspicious focal liver lesion。

AFP：2.4 （Normal range: 0.0 - 8.9 ng/mL）

B超（5月）：Liver is normal in size with a coarse hepatic parenchyma echogenicity. The liver surface is slightly nodular. No focal lesion is identified in the liver

MRI （6月）： Marked T2 hypointensity of the liver consistent with iron deposition. Heterogeneous liver parenchyma in keeping with known cirrhosis. No suspicious focal liver lesion.

MRI（去年11月）：

Liver: Normal in size, measuring 13.1 cm craniocaudally. Mild surface nodularity suggesting cirrhosis. Diffusely decreased T2W signal with signal drop on in-phase from out-of-phase consistent with iron deposition/hemosiderosis. No focal hepatic lesion is

seen. Central portal and hepatic veins are patent. Left portal vein appears to communicate with large varices in the gastrohepatic space.

肝穿：transjugular liver biopsy with measurement of hepatic venous pressures

因為是transjagular，所以我理解取樣應該是在肝裏通頸的靜脈附近。報告說：The needle was removed and following exchange, a 0.035 access wire was advanced into the inferior vena cava.

六月初做了第一次Phlebotomy(不知為啥叫infusion encounter)，這周馬上要做第二次（Infusion Therapy 180 Min）。我打算問問醫生能不能做的更頻繁些。

另外，我睡眠不好，吃melatonin沒問題吧？

我做了些research，沒發現哪裏說有問題。好像還能chelate iron。https://pubmed.ncbi.nlm.nih.gov/35961513/

 

 

所有跟帖： 

• 既來之則安之,別忘每半年B超或MRI和血檢一次含AFP,先看看放血效果,睡眠不好鍛煉. -5181- ♂ (0 bytes) () 07/04/2023 postreply 16:38:28