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.
Welcome to icliniq.com.
For further information consult a pathologist online -->https://www.icliniq.com/ask-a-doctor-online/pathologist
Was this answer helpful?|
.. see the FNAC (fine needle aspiration), and ultrasound of the thyroid reports? Do you have a family history of thyroid illness? Revert with more information to an endocrinologist online --> .. ... Read fullWhat do high MPV and giant platelet in CBC mean?
.. gone through all the reports posted (attachment removed to protect patient identity). Mean platelet volume suggests the mean volume of single platelet, which is high and is mostly an incidental finding. Some bleeding disorders like functional defe... Read fullIs it true that gastric metaplasia is a precancerous lesion?
.. to your history, you were positive for gluten disease. So, you might have done tissue transglutaminase antibody testing. It is very sensitive for that and then, a biopsy for confirmation. In histopathology report, villous blunting present but int... Read full
Query: Hello doctor, I found a lump in my breast five months back. Initially, it was told to be a cyst. I followed up after four weeks, and the cyst was unchanged. My PCP recommended a needle biopsy to be safe. My surgeon felt more comfortable with lumpectomy because I have a family history of thyroid tum... Read Full »
Query: Hello doctor, There is a small lump in the breast. I have no pain or any other type of side effects also. But, as per the doctor's advise, I have gone for FNAC test. Please explain what is the problem. Read Full »
Query: Hi doctor, I had a biopsy done, and the surgeon was supposed to remove a lymph node to check for lymphoma. But, the surgeon removed my salivary gland by mistake. The surgeon sent off the salivary gland without knowing that he removed the wrong part and they ran a couple of tests. But, the report sta... Read Full »
Ask your health query to a doctor online?Ask a Pathologist Now