Patient's question:
Main symptoms: Ultrasound suggests liver hemangioma, slightly thickened spleen, spleen size (thickness 44, longitudinal diameter 114).HBsAg test results: HBsAg > 240, anti-HBs 5.0, HBeAg 0.01, anti-HBe 0.1, anti-HBc 0.1.
Routine liver function test results: Total bilirubin 25.0 (elevated), ALT 86 (decreased), A/G 1.26 (decreased), globulin 35.1 (elevated), the rest are within range.
I would like to ask what these indicators mean. Are the indicators outside the range important? Why is the spleen enlarged—is it a sign of cirrhosis? Also,
Doctor's answer:
1. There are many factors or causes for a slightly enlarged spleen, and based on the information you provided, it cannot be concluded as cirrhosis.2. Elevated total bilirubin and globulin in liver function tests, with other indicators normal, do not necessarily indicate liver disease.
3. The first item in the hepatitis B five-item test is higher than the normal value, while the other four are basically normal, which is difficult to explain. It may be due to testing errors. It is recommended to re-examine after one month.
4. Liver hemangiomas are common in many people, and they generally do not require treatment. Regular follow-up is sufficient.