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Gastroenterology  (Expert Forum)
 | 
Please tell me what this pathology report means
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

Please tell me what this pathology report means

by rwltrz1, Oct 03, 2009 11:35AM
Had gallbladder out on 9-21 and just picked up report, cannot wait for follow up appt. to know what this means, I'd prefer a private message than post but either is fine.

Please tell me this isn't cancer, ok the dx on report is written as followed:


Final DX: Chronic Cholecystitis with Focal Epithelial Adenomatous Hyperpasia, favor reactive, one reactive lymph node.

by Kevin Pho, MD, Oct 05, 2009 06:37AM
Answers can take 24-48 hours to appear.  Apologies for the delay.

The pathology report doesn't report cancer in the gallbladder.  That said, there is one reactive lymph node, that can be caused either from infection or inflammation, or cancer elsewhere.

You can evaluate the surrounding organs, including the liver as well as the biliary tree.  Further tests can include an abdominal CT scan or MRCP to look at the biliary ducts.

These options should be discussed with your personal physician.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin Pho, M.D.

KevinMD.com
Twitter.com/kevinmd
Member Comments (4)

by rwltrz1, Oct 04, 2009 09:34AM
why isnt a doctor answering me, i feel i paid 16 for nothing

by rwltrz1, Oct 05, 2009 09:46AM
To: KevinMD
Thanks for the reply, I admit I have been impatient due to also having anxiety issues and quite concerned.

I drove to my doctors and demanded to speak with him for a minute and he brushed it off saying the report shows you had a very bad gallbladder and the node was/is inflammed or infected as suspected, he told me no cancer and to never ask questions online, lol, however he is also the one who told me that my gallbladder was fine and only showed polyps and to not get it out yet but eventually will have to so maybe time for a new doc.

Now I did have a hida scan done and was inconclusive but I am assuming this report clearly shows I needed it out, correct?

I did also have a cat scan 6 week ago and showed no cancer or anything in fact it did not show my polyps either.

So my question is now what do I do now my doctor says dont worry you are fine now?

HELP

by rwltrz1, Oct 05, 2009 09:51AM
I also wanted to add that I have never felt better and until now have considered my gall removal a victory as I finally don't run to bathroom, eat what I want, no gas, no pain, no nothing and best I have energy like I havent had in years.

I also have had bloodwork done at time of surgery and all has shown fine with exception of a elavated RA and my cholesterol is a tad high.
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