Expert Treatment for Liver Cyst by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He asks detailed questions about your epigastric pain-when it started, how long it lasts, whether it's related to meals or activity-and examines your abdomen for tenderness, fullness, or masses in the upper right quadrant.
Blood Tests
We order liver function tests (ALT, AST, ALP, bilirubin) to assess hepatic health, a complete blood count (CBC) to detect infection or inflammation, and inflammatory markers like CRP if an infected cyst is suspected.
Imaging Studies
- Abdominal ultrasound: the first-line test to visualize cyst size, location, and effect on adjacent structures.
- Contrast-enhanced CT or MRI: to better characterize the cyst wall, septations, or any complex features and rule out other sources of upper abdominal pain.
Diagnostic Aspiration (if indicated)
For large or symptomatic cysts, Dr. Pothuri may perform an ultrasound-guided aspiration to relieve pressure, analyze fluid for infection or abnormal cells, and confirm the benign nature of the cyst.
Frequently Asked Questions
What size of liver cyst is dangerous?
Cysts under 5 cm usually don't require treatment. Those over 10 cm may need removal if they cause pain, pressure, or other symptoms.
What is the ICD-10 code for liver cysts?
The most common code is K76.89 (other specified diseases of liver), though codes may vary based on cyst type and associated conditions.
How is a liver cyst diagnosed?
Initial evaluation is with an abdominal ultrasound. CT or MRI scans can further characterize size and features. Blood tests help rule out infection or other liver issues.
When is surgery required?
Surgery is recommended for large or symptomatic cysts that cause pain, risk of rupture, or complications. Minimally invasive options are preferred whenever possible.
Can diet changes shrink a cyst?
No specific diet will shrink a simple liver cyst. However, a healthy, balanced diet supports overall liver function and may help prevent additional liver issues.
Are liver cysts cancer?
Most liver cysts are benign. Rarely, cystic tumors can occur-these require further imaging and possibly biopsy to rule out malignancy.
How often should I get checked?
Follow-up imaging is typically recommended every 6-12 months, depending on cyst size and symptoms. Dr. Pothuri will tailor a monitoring plan to your needs.