醫學三：80題 ( 包括內科,家庭醫學科等科目及其相關臨床實例與醫學倫理 )題庫下載題庫

Role of liver biopsy in HBV — Most patients will not need a liver biopsy. However, a liver biopsy may be useful in the following scenarios:

●Patients who have persistently elevated ALT but persistently low HBV DNA to exclude other causes of liver disease.

●Patients who do not meet criteria for treatment but are at risk for having histologically active or advanced liver disease that would benefit from treatment. These include patients who have ALT levels that are normal or mildly elevated (<2 x the upper limit of normal [ULN]), an HBV viral load that is persistently elevated (eg, >...

Role of liver biopsy in HBV — Most patients will not need a liver biopsy. However, a liver biopsy may be useful in the following scenarios:

●Patients who have persistently elevated ALT but persistently low HBV DNA to exclude other causes of liver disease.

●Patients who do not meet criteria for treatment but are at risk for having histologically active or advanced liver disease that would benefit from treatment. These include patients who have ALT levels that are normal or mildly elevated (<2 x the upper limit of normal [ULN]), an HBV viral load that is persistently elevated (eg, >6 months), and one of the following risk factors:

•Age >40 years.

•A family history of hepatocellular carcinoma (HCC).