Question

Main Symptoms: Ultrasound indicates liver hemangioma, slightly thickened spleen, spleen size (thickness 44, long diameter 114). Two-and-a-half test results: Hepatitis B surface antigen greater than 240, Hepatitis B surface antibody 5.0, Hepatitis B E antigen 0.01, Hepatitis B E antibody 0.1, Hepatitis B core antibody 0.1. Routine liver function test results: Total bilirubin 25.0 (elevated), Lactate dehydrogenase 86 (low), A/G ratio 1.26 (low), Globulin 35.1 (elevated), the rest within range. I would like to ask what do these indicators mean, and are the indicators outside the range serious? Why is the spleen enlarged, is it a symbol of liver cirrhosis?

Answer

  1. There are many factors or causes for a slightly enlarged spleen, and based on the information you provided, it cannot be determined as liver cirrhosis. 2. The total bilirubin and globulin in the liver function test are elevated, while other indicators are normal, which does not necessarily mean you have liver disease. 3. The first item in the hepatitis B five-item test is higher than the normal value while the other four items are basically normal, which is not easy to explain and may be a test error. It is recommended that you have a follow-up check in a month. 4. Liver hemangioma is common in many people and generally does not require treatment; it only needs regular follow-up.