Dr. Ambalathu Veettil Hussain Shihaz
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I had a gastroscopy a week back and when I asked the doctor if I had cancer she said no. On arriving home I saw on the report that there was a tiny nodule in the cardia which has been biopsied. My question is, why would she say emphatically that I do not have cancer if she has done a biopsy?
Hi,
Welcome to icliniq.com.
I have gone through your query in detail. The endoscopy has shown a healing ulcer and is showing healing as well as a small hiatus hernia. There is a very tiny nodule in cardia (proximal part of the stomach), which has been biopsied. These tiny nodules are usually innocuous, but as a routine approach, it is biopsied to rule out any kind of early changes, if any. The report is very clear that they have not found anything sinister (please read it as cancer). I am almost certain that the biopsy is going to come out as benign. Please continue with PPI and wait for the biopsy. Once you have the biopsy and have any further concerns, you could always get back in touch.
Patient's Query
Hi doctor,
Thank you so much. I feel much better for knowing this. Can I just ask, if it was something sinister, would not leaving it 6 to 8 weeks make it much worse?
Hi,
Welcome to icliniq.com.
If (please emphasise on the if) it was sinister, leaving it for 6 to 8 weeks might make it a bit worse, depending on what stage of the cancer it was. Early cancers would not change much within 6 to 8 weeks but advanced cancers would. Having said all that, I would like to reiterate the fact that upper GI endoscopy in your case has not found anything sinister. Please do not worry. I do not think there is anything to be worried here, especially, in terms of cancer-based on the report you have uploaded (attachment removed to protect patient identity).
Patient's Query
Hi doctor,
Thank you so much. I know I am panicking but today is the anniversary of my sister dying last year from breast cancer and it is very much in the forefront of my mind. Hopefully, I can calm down now.
Hi,
Welcome back to icliniq.com.
I am sorry to hear about your loss. You can contact me for any other further queries.
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Medical Gastroenterology
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