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Risas to Dr. Heinrik

I just got home from the doctor's office. My doctor is on vacation, I got another doctor. He told me the broncoscopy show that there are 3 spots in my lungs that we need to follow up with another ct. and probably a biopsy. I asked his secretary for a copy of the pathology report. 1) bronchial washing: negative for malignant cells. bronchial epithelial cells and macrophages. 2) right lower lobe, bronquial brushings: negative for malignant cells. bronchial wpithelial cells with reactive cellular change, rare macrophages and sparse acute and chronic inflammation. 3) negative for malignant cells. bronchial epithelial cells, rare macrophages and sparse acute and chronic inflammation.
Tissue submitted 1) bronchial washing 2) brush biopsy, rll 3) brush biopsy, brush tip. Gross description: 1) Specimen consists of 15 ml of hazy colorless fluid from which a cytospin and cell block are prepared. Note: scant cell block material may not survive tissue processing. 2) Specimen consists of 2 smears. 3) Received is a brush tip from which scant tissue is removed and submitted for cytospin. Please could you translate easi for me? Thank you for your help.
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Thank you very much for your prompt attention. I have an overactive autoinmune system, I have IGA nephropaty. I got an appoitment with my pulmonogist in may. Thank you
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Avatar universal
Hi,

I looked at the report and I focused on some of the jargon:

1)bronchial washing: negative for malignant cells. bronchial epithelial cells and macrophages (the bronchial washing is a technique in which a small amount of fluid is applied on the airways of the lung to get samples of epithelial cells or lining cells or you can think of it as the skin of the airways; macrophages are cells that protect the airways by engulfing foreign particles be it dirt or bacteria – so these are normal findings; no malignant cells is good news)
2) right lower lobe, bronquial brushings: negative for malignant cells. bronchial wpithelial cells with reactive cellular change, rare macrophages and sparse acute and chronic inflammation (reactive cellular change and acute and chronic inflammation are terms used to describe a response of the lung against an insult, this is usually infectious in nature, at times, an overactive immune system may produce such insults)

Note: scant cell block material may not survive tissue processing (this is a common thing for bronchoscopies, this means that the sample obtained is very little that an attempt to treat it in order to perform more testing or to store it for future testing would likely yield no intact cells; there are other biopsies that obtain larger chunks of tissue and hence are able to undergo processing. The statement is included as part of protocol of the pathology laboratory and is not meant to indicate that the sample obtained from you was inadequate to obtain a diagnosis)

In general, this is great news for you.
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