After testing positive for celiac disease, I had an EGD and biopsy three weeks ago. The pathology report stated that I had marked acute and chronic inflammation with severe reactive epithelial changes including villus blunting and gastric metaplasia. I was negative for H. pylori as I was treated for that approximately four years ago. My GI mentioned that the pathology report did not specifically say celiac disease as many he gets back to do. Why did they not name celiac specifically? I have read that gastric metaplasia is considered as a precancerous lesion. Is this true? I had a CT scan in before four months, and that revealed extensive mesenteric adenopathy. I was referred to an oncologist, and he ordered for an endoscopic ultrasound with fine needle aspiration biopsy. It was negative and showed some shrinking of lymph nodes, but they were still enlarged. My symptoms leading up to CT were several months of nausea, abdominal pain, fatigue, and weight loss. In the last few weeks, I noticed a small lump on my neck and my GI doctor confirmed in a physical examination this week that I have two swollen lymph nodes in my neck. He wants to see me again in a month or sooner if they get larger. I have attached a copy of my CT scan report. The duodenum biopsy report showed active duodenitis with gastric metaplasia in duodenum bulb in duodenum biopsy.
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