Hello and thanks for posting

NASH (non-alcoholic steatohepatitis) itself is not a cancer. People with NASH can develop liver lumps or tumours for several different reasons, some benign and some cancerous. The biopsy you've had is often the key test that tells doctors exactly what the lesion is.

An enlarged lymph node does not automatically mean cancer. Lymph nodes can become enlarged for a number of reasons, including inflammation, infection, liver disease, or because they are reacting to something going on in the body.

However, when doctors find an enlarged lymph node near a tumour, they usually want to investigate it carefully because cancer cells can sometimes travel to lymph nodes. This is one of the reasons lymph nodes are often biopsied when they look suspicious on a scan.

I know it's easier said than done but try and take things one step at a time until you know more.

 I hope this is of some use. Give us a ring if you would like to talk anything over. The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

Kind regards,

Celene

Hello and thank you for your further post

Doctors can sometimes be fairly sure that a liver tumour is cancer based on CT and MRI scans alone, especially when contrast dye shows a very characteristic pattern. Certain liver cancers can "light up" or hold onto contrast in a way that looks very different from normal liver tissue. Because of this, specialists may tell a patient they believe it is cancer before a biopsy has confirmed it.

However, the scan findings are not the same as a tissue diagnosis. The biopsy is what provides the definitive answer about exactly what type of tumour it is.

The difference between 2.5 cm and 6 cm sounds worrying, but it does not necessarily mean the tumour has grown that quickly. The original scan may not have captured the full size accurately. Different scans can sometimes measure a tumour differently.

Hopefully, you will know more soon.