Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I have had SLE for at least 18 years, probably since I was younger as a teenager. I have just been diagnosed with Papillary Carcinoma. Two tumors, each less than 4cm. My AST level is elevated to 73... Is is more likely that it is Lupus-related liver damage... or metastatic thyroid cancer?
[|AI|]  Hi thanks for contacting Chat Doctor... I really appreciate knowledge... Yes here the mentioned two possibility rule out first...1.SHE is Multisystemic disease so can affect liver ...lead to fibrosis or necrosis....2. Second papillary carcinoma via blood may spread to the liver.... So liver biopsy done to rule out above two cause.... If above two cause not present then there might be fatty liver or gall stone like condition ruled out by USG ... If you have myositis like muscle problem then also it can raise... Temporary cytomegalovirus like infection also can lead this.... Take care.... Chat Doctor.