Hello.
Lesley, would you mind giving us an update on this case?
The liver certainly appears very abnormal. This could indicate neoplasia, but could still just be non neoplastic reactivate change. In an ideal world, I would take FNA’s if possible. FNA’s of the liver are not perfect and will not be diagnostic in many cases, but might be diagnostic in some neoplastic cases. In some cases the only way to make a definitive diagnosis is going to be a biopsy.
In cases where biopsy is not an option and I was to pick a regime of supportive care I would consider a combination of a product that contains sAME (Denamarin) and ursodeoxycholic acid (Destolit). Antibiotics are often not that useful in these cases. If all else fails then I do not disagree with good old steroids!
Hope that helps.
Scott 🙂
