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About Neha Dahiya MD
(Top Expert on this page)

Expertise
I can help patients understand their lab report results, help them with queries regarding what pretest prepration is required. How often a follow up test needs to be done. What does a particular tissue biopsy report mean in everyday english. I can explain the biopsy or cytology procedure. I can deal with Histopathology / cytology / clinical pathology and clinical chemistry queries. Helping in this manner will be my contribution to the community.

Experience
I am a pathologist and director of clinical laboratory services. I have been a practicing pathologist for last 9 years in a 350 bed multispecialty hospital laboratory.

Organizations
Indian association of pathologists and microbiologists.
MIAC - Member International Academy of Cytology
International association of Pathologists - indian division
Indian association of Cytology

Education/Credentials
MD (pathology)

   

You are here:  Experts > Health/Fitness > Medical Specialists > Pathology

Questions Answered By Expert  Neha Dahiya MD 
In Category  Pathology

SubjectDate Asked

Microcytic Anemia10/13/2008
  Q: Based on the following test results, i was diagnosed with Microcytic Anemia. Is there a ...
  A: the Hb is low and hence you have anemia. Microcytic anemia is diagnosed based on morphology of red ...
thyroid biopsy result10/11/2008
  Q: In April: Atypical cells present. Consistent with follicular lesion with hurthle cell features ...
  A: Colloid nodules are the most common nodules seen in thyroid and contain colloid a proteinaceous ...
BLOOD TEST10/10/2008
  Q: I just got back my 2nd set of blood tests. Went to the Dr. to complain about severe dizziness, as I ...
  A: WBC count of 5.9 and 7.3 is still within normal levels. ESR and hs-CRP are raised. These indicate ...
Abnormal Blood results10/9/2008
  Q: pulse 98 b/p 98/60 temp 99.0 no major complaints just tired. submitted a cbc and ua sample. ua was ...
  A: Let me assure you that this result does not indicate AML AML will show a markedly raised count of ...
high automated lymphocytes10/8/2008
  Q: my son has thes test result on gen physical exam LYMPHOCYTES %, AUTOMATED COUNT 48.0 20.0-70.0 % ...
  A: It is possible that your son has had a mild viral infection which can elevate the lymphocyte count. ...
Blood Tests10/8/2008
  Q: Following are my daughter's recent blood tests. Since her hystectomy on 8/5, she's had 3 bladder ...
  A: Post hysterectomy your daughter has had bladder infection and that can cause back and abdomen pain. ...
high automated lymphocytes10/8/2008
  Q: my son has thes test result on gen physical exam LYMPHOCYTES %, AUTOMATED COUNT 48.0 20.0-70.0 % ...
  A: First of all I am assuming that the normal range mentioned is for pediatric age group..as adult ...
colonscopy pathology report10/8/2008
  Q: I had a colonscopy three years ago and the doctor removed a large polop.He said repeat in three ...
  A: A followup is advised based on the histology (appearance) of the polyp under the microscope. If ...
lump in neck, diagnosed with mystery virus, and lyme disease10/5/2008
  Q: I have lyme disease (the symptoms come and go except for the joint pain and weakness), I have a lump ...
  A: Low RBC and hematocrit points towards anemia. Any infection which is long standing affects the white ...
Lipase Level10/4/2008
  Q: I was released from the hospital after 3 days and 2 nights for pancreatitus. The doctors said my ...
  A: in pancreatitis levels of lipase can go 5-10 times the normal. Alcoholis one of the cause. Blockage ...
lump10/3/2008
  Q: My 63yo father had a lump removed from upper groin, first diagnosed as a hernia, doctor said it was ...
  A: Hernia is in simple words protrusion of a part of the body through the tissues which normally ...
Need Help Understanding Cytopathology Report10/2/2008
  Q: My 70 year-old husband has been diagnosed with metastatic renal cell carcinoma. He has a large soft ...
  A: The immunostains as I had mentioned in my earlier reply help identify the tissue of origin for ...
Need Help Understanding Cytopathology Report10/2/2008
  Q: My 70 year-old husband has been diagnosed with metastatic renal cell carcinoma. He has a large soft ...
  A: I am sorry to hear about your husband. This is not a very good situation. The FNA report is ...
necrosis9/29/2008
  Q: my brother-in-law had a brain biopsy and all that the pathology report showed was minute fragment of ...
  A: It is true if astrocytes are only occasional how can they be aggressive? A perfect question. If a ...
Monocytes, Neutrophils and CBC's9/27/2008
  Q: I have had 8 CBC's in the past 15 months due to undiagnosed mystery illness. In every test my ...
  A: I can understand your concern that the values keep increasing though still within normal range or ...
necrosis9/25/2008
  Q: my brother-in-law had a brain biopsy and all that the pathology report showed was minute fragment of ...
  A: p53 is positive in 25-40% of all GBM (glioblastoma multiforme)tumors and then again more so in ...
necrosis9/25/2008
  Q: my brother-in-law had a brain biopsy and all that the pathology report showed was minute fragment of ...
  A: I read the details provided by you and I am sorry to be confirming bad news. Glioblastoma ...
FNA Cytology Report9/23/2008
  Q: My 21 year old daughter had a FNA of a growth on left side of her thyroid-the diagnosis was ...
  A: I would not worry much about the Hurthle cells being cancerous. If there were some nuclear changes ...
Thyroid Level9/23/2008
  Q: I have a question hoping you can answer-- I've always yo-yo'd w/ my weight my entire life. Like ...
  A: I assume that the levels you have mentioned are for TSH and if so 2.6 is within normal range. This ...
Thyroid Ultrasound Results9/22/2008
  Q: My thyroid ultrasound results says that I have small foci of calcification in left inferior lobe. I ...
  A: Calcification can be seen in cases of cancer as well as non cancerous thyroid lesion. At times ...
questions9/21/2008
  Q: I'm not sure I'm even in the right forum, but maybe you can be of some guidence nonetheless. I'm a ...
  A: Of course a internal medicine person will answer this better. However, I think you should not take ...
Understanding MY Sons Bloodwork!9/19/2008
  Q: Could you help me understand my 16 year old sons blood work? I will post the results below. ...
  A: What was the reason for getting this bloodwork done? If signs and symptoms are known the results are ...
PSA Methods9/19/2008
  Q: Dr. Dahiya, I need some help understanding PSA Methods..and results.....I was originally measured ...
  A: I think the result from PSA ICMA lab is reliable. It is still within normal range of 0-4 ng/ml That ...
Abnormal test results9/16/2008
  Q: I had lab work done and noticed my WBC is high, RBC is low and my LYMPH ABS is high. All are out of ...
  A: The WBC count is raised in a number of conditions. It is the most basic test done and does not ...
PSA Methods9/15/2008
  Q: Dr. Dahiya, I need some help understanding PSA Methods..and results.....I was originally measured ...
  A: I apologize for this delay in my answer. Something unexpected came up and I was unable to attend to ...
Colon biopsy9/15/2008
  Q: I recently had a colonoscopy in which two biopsies were taken. The pathology report reads, ...
  A: The biopsy does not indicate any abnormality. One there is no evidence of cancer in the biopsy. ...
Low Iron9/15/2008
  Q: I usually donate blood about 4 times a year. I attempted to donate about 3 weeks ago and was told ...
  A: It is uncommon for men to have iron deficiency anemia. Some of the common causes can be... dietary ...
Lab Results9/10/2008
  Q: I got a copy of my lab results. Most are normal but my AST (SGOT) is only 5. My doctor did not say ...
  A: AST(SGOT) is used in conjunction with other tests to evaluate the liver. Low levels are rare and ...
pathologic diagnosis - scleroderma9/9/2008
  Q: please help me to understand this diagnosis. Specimen demonstrates sclerotic mid and deep dermis ...
  A: The report is essentially describing different parts of the skin. It has an upper portion called ...
Blood Tests & Pathology Report9/5/2008
  Q: My spouse is 57, and had a colonoscopy done 4 mos. ago, and a small polyp was found and removed. ...
  A: I apologize for the delay in answering your question. LDH(LD) is a test which estimates levels of ...
CBC9/5/2008
  Q: My results showed a platelet count of 131, Seg of 74, Lymph of 13 and Atypical Lymphs of 1 are ...
  A: The platelets are mildly reduced but not significant enough to cause any problem. The other counts ...
Thyroid problem8/25/2008
  Q: I got a tyroid test done and my T3 and T4 are normal but my TSH is 11.3 way above the normal range. ...
  A: A High TSH with normal T3 and T4 hormones is suggestive of mild or subclinical hypothyroidism. This ...
High CBC and Beta hCG results8/24/2008
  Q: I had a beta hCG test done on July 20th after testing positive on a urine hcg test. The serum hCG ...
  A: In general for a miscarriage the hCG values halve every 48 hours. the WBC count can rise asa ...
Mole Spread & High ANA8/23/2008
  Q: I'm 51 years old and for the last year I've noticed an increased in moles and then a gradual pain in ...
  A: ANA test is done to rule out or confirm auto immune disorder. The ANA test results have to be ...
HistoPathology report8/20/2008
  Q: My mother was diagnosed with invasive ductal carcinoma a few weeks ago. Her nipple and a lump ...
  A: Your mother has been diagnosed to have Ductal carcinoma in situ (DCIS). Ductal means it is a cancer ...
low monocytes8/20/2008
  Q: I recently recieved blood work that revealed my monocytes as 4.4% when reference range is 5.7%-13.0% ...
  A: If this was a routine checkup and you are otherwise healthy there is no cause for concern. The ...
Blood work results question8/17/2008
  Q: My wife's blood test results is showing that her lymphocytes were 1.3, her absoulte monocytes was ...
  A: Lymphoma can affect blood cell counts and they can drop. However a drop is not diagnostic of return ...
lipase amelaze levels8/17/2008
  Q: My dad just had his prostate removed 2 weeks ago and is now back in the hospital with his lipase ...
  A: Lipase test is done to measure the levels of lipase a type of protein (enzyme) which aids in ...
pathology report on sarcidosis8/16/2008
  Q: i was diagnosed with pulmanary fibrosis sarcidosis last year ,im going to see my specialist in sep ...
  A: Sarcoidosis is a disease the exact cause of which is not known. It is understood that something ...
CBC after cancer8/14/2008
  Q: I had lobular breast cancer, 2 tumors, grade 1 (borderline grade 2) with (2) surgeries to remove ...
  A: your CBC results are still within the normal range even though some values are at the borderline ...
Solitary Infantile Myofibromatosis8/12/2008
  Q: The pathology report dx'd it as 'solitary intraosseous infantile myofibromatosis' and describes the ...
  A: 'solitary intraosseous infantile myofibromatosis' is rare but most common tumor found in this age ...
White blood count8/11/2008
  Q: My wife had blood work done and the lab called her to say that that her white blood count was 16.0 ...
  A: A white blood cell count of 16.0 (16,000 cells / microlitre) is a mildly elevated count and often ...
bladder ca biopsy8/11/2008
  Q: I had 3 tumors removed from my bladder by a URO, and he said one was "aggressive", and usually comes ...
  A: Transitional cell carcinoma is the most common cancer of the bladder. It arises from the lining of ...
Blood Test Results8/7/2008
  Q: I'm a 32 year old woman, 5'8 and 138 lbs and I have been having problems in my knees for at least a ...
  A: All your bloodwork shows values within normal range and are not suggestive of any specific disease. ...
Atypical epithelial cells8/6/2008
  Q: If an FNAC report of a lump in breast mentions the presence of highly atypical ductal epithelial ...
  A: Atypical cells are those which have an appearance (morphology) in between that of normal cells and ...
FNAC finding. Is everything OK ?8/4/2008
  Q: My wife has delivered a baby 1 month back, while feeding she found a painless lump in her left ...
  A: Congratulations on the new baby. What your wife has been diagnosed with...Galactocele is often seen ...
bladder cancer8/4/2008
  Q: My father just had his bladder removed. the pathology report says "several cysts on liver", ...
  A: The most common form of bladder cancer arises from the lining cells of the bladder called ...
Blood Tests & Pathology Report8/4/2008
  Q: My spouse is 57, and had a colonoscopy done 4 mos. ago, and a small polyp was found and removed. ...
  A: Let me first address the lymphocytes level. The values of CBC are dynamic and there is always a ...
atypical mole8/2/2008
  Q: My Dr. noticed an atypical looking mole. She asked if I wanted it shaved or removal requiring ...
  A: Atypical moles are different from regular moles. They are bigger in size with irregular ill defined ...
abnormal report of reneal funtion test8/2/2008
  Q: what is the meaning of report if blood urea is normal and serum creatinine is high of a ...
  A: Renal function tests are done to evaluate the function of kidney. It is ordered in patients with ...
Blood test results8/1/2008
  Q: I have 3 areas where I was out of range and would like to know what it means. I had eaten prior to ...
  A: There is a very minimal change of your values from the normal range. These as such do not have any ...
Ultrasound findings for Thyroid8/1/2008
  Q: -) terms... I deeply appreciate your time and God Bless you.... HISTORY Goiter. FINDINGS The left ...
  A: A radiologist will do a better job at explaining this report. However, here is my take on this. The ...
PSA Assay Test8/1/2008
  Q: Dr. Dahiya, The results of my past four PSA tests follow: 7.5ng/mL in Aug. '07; 10.1ng/mL in ...
  A: The recommendation in general is to stick to one lab and one specific method of assay. PSA done in ...
FNAC report7/31/2008
  Q: My mother was having an injury in her left breast's nipple. The wound did not heal despite strong ...
  A: A mammogram should pick up a lump in the breast. The FNAC report mentions the word "lump" - ...
FNAC report7/31/2008
  Q: My mother was having an injury in her left breast's nipple. The wound did not heal despite strong ...
  A: The FNAC report indicates that the diagnosis is cancer of breast. It does not give grade of tumor ...
pathology normal ranges7/30/2008
  Q: Can I get the standard normal ranges for all the pathology tests
  A: You can request the lab where you get your blood work done to give you the reference ranges for ...
CT Findings -7/29/2008
  Q: I recently had a CT of the chest to rule out a PE (I have a history of PE) and while they found no ...
  A: If the lymph nodes and the nodules had any suggestion that they are malignant the radiologist would ...
Potassium Limits7/29/2008
  Q: Neha, I have been studying a bit, on the internet that is, concerning sodium/potassium imbalance as ...
  A: Sodium and potassium are known as electrolytes in medical language. These are measured alone or part ...
hurtle cell7/27/2008
  Q: i had a fna on 7/08. my endocrinologist told me i will need another fna in 6 months. she did not ...
  A: The report mentions that you have Hashimoto's thyroiditis. It is a kind of immune mediated disease ...
bladder cancer7/24/2008
  Q: My father just had his bladder removed. the pathology report says "several cysts on liver", ...
  A: The cysts in the liver are small fluid filled cavities in liver...since nothing more is mentioned ...
what is the cause of high mm/hr ?7/24/2008
  Q: I just had blood work done and my mm/hr is 73 what can be done for me ?
  A: If I understand correctly this must refer to your ESR test (erythrocyte sedimentation rate) This is ...
Monocytes7/24/2008
  Q: Lab report says 4.60% aginst a norm of 2 - 4% Is it Ok or do we need to take any treatment.
  A: 4.6% is Ok...there is no need for further evaluation. All blood test values have a range derived ...
Protein electrophoresis7/24/2008
  Q: Today I received my tests showing a high Beta Globulins at 1.5 g/dl. What could be the reason for ...
  A: Was this part of your total protein estimation? If so raised globulins will have a proportionate ...
swallen nodes7/22/2008
  Q: i had a swallen node in my neck and did the FNA, results come out okay, was a reactive node, i been ...
  A: A reactive lymph node can occur in response to any infection in the body. To diagnose HIV infection ...
abnormal lymph absolute number7/22/2008
  Q: I just received my yearly blood test results and saw that my LYMPH ABSOLUTE number is 1.3L (low is ...
  A: The various ranges for blood tests are set after taking numerous samples from a given set of normal ...
thyroid nodules7/14/2008
  Q: on the pathology report 2 slides showed extensive acute inflammation with microphages and occasional ...
  A: This is a descriptive report - just telling what is seen. The neutrophils seen could be because the ...
HLA-B27 positive male & low white cell7/12/2008
  Q: I have twins, both 15 and positive for HLA-B27, the wbc for one is 4.3, is that related? A worry for ...
  A: HLA B27 is an antigen found on the surface of white blood cells. It is either present or absent. If ...
low wbc7/12/2008
  Q: i have had 2 blood tests 4 weeks apart and both have shown a low wbc : 3.4 10*9/L (4.0 - 11.0 normal ...
  A: As per the information provided by you I cannot make an attempt to decide what can be the cause for ...
blood test results7/9/2008
  Q: I was in the emergency room the other day with intense stomach pain and pulsation in the abdomen. ...
  A: I would not unduly worry about these blood tests. Blood glucose tests measure how well your body ...
Regarding WBC count7/8/2008
  Q: I mm 27 years old and pregnant for 6 weeks. yesterday i checked my blood test . in that i saw my WBC ...
  A: Congratulations! May God bless you with a healthy baby. During pregnancy lot of changes occur in a ...
LOW WHITE BLOOD CELL COUNT7/1/2008
  Q: MY WBC IN DEC, 'O7 WAS 4.2 AND HAS DECREASED TO 3.4 6/24/08 (SIX MONTHS TIME). MY ANA TITER IS ...
  A: The antibodies and ANA titre alone are not sufficient for diagnosis of Lupus. ANA titre / ...
low white blood cell count6/30/2008
  Q: My doctor told me recebtly that a CBC that I had a month and a half ago showed that my WBC count was ...
  A: I do not think you should unduly worry about the WBC count. In fact the count has improved since the ...
Thyroid US/FNA results6/27/2008
  Q: I am a 41 yr old female. I recently went to my GYN MD for routine appt. She found that my thyroid ...
  A: These terms are better explained by a radiologist. In ultrasound, the images are obtained by sound ...
Thyroid US/FNA results6/27/2008
  Q: I am a 41 yr old female. I recently went to my GYN MD for routine appt. She found that my thyroid ...
  A: The FNA report after the cell block interpretation indicates that the thyroid possibly has a ...
Epitheleal cells lymph node post TT6/22/2008
  Q: Are Epitheleal cells in neck lymph node precanerous typically Had TT 8/30/07 followed by i-131 Oct ...
  A: Lymph nodes do not have epithelial cells and if present always need to be evaluated. In an FNA ...
Lymphocytes/Elliptocytes/Acanthocytes6/20/2008
  Q: Dahiya, My 19 month old son is sick a lot and we had some blood tests that came back with Moderate ...
  A: Your doctor can advise better as he / she would have examined your son. Now just by the blood tests ...
low lymphocyte count6/19/2008
  Q: Dahiya, I just got my blood results and I realized that my lymphocytes are low 16.9. My neutrophils ...
  A: I think that the raised neutrophils are because of the fever and sore throat you have. It may even ...
low lymphocyte count6/19/2008
  Q: Dahiya, I just got my blood results and I realized that my lymphocytes are low 16.9. My neutrophils ...
  A: Please do not be worried about HIV infection. If you have not had any unprotected sex, used non ...
pet scan report6/18/2008
  Q: What does this mean? Left upper lobe, transbronchial biopsy: lung parenchymal tissue with moderate ...
  A: The PET scan has revealed a nodule in the lung which is solid and 1.3 cm in size. there is another ...
surgical pathology report6/18/2008
  Q: What does this mean? Left upper lobe, transbronchial biopsy: lung parenchymal tissue with moderate ...
  A: This report describes the features of tissue taken from the lungs. It mentions that the tissue ...
low absolute monocytes6/18/2008
  Q: A recent blood test revealed slightly elevated MCV, MCH, and RDW counts. It also showed a slight ...
  A: The report has to be interpreted in light of the signs and symptoms you have. Most often increased ...
mole removal6/15/2008
  Q: I had a mole removed from my back at the middle near the top my Doctors nurse called and said they ...
  A: I do not understand the question. Most likely you had a skin biopsy done and it must be showing ...
Subclinical Hyperthyroidism6/13/2008
  Q: What exactly is subclinical hyperthyroidism? An ER doctor recently said that I may have this. My TSH ...
  A: I am not an expert in endocrinology so do not have indepth knowledge on the subject. Sub clinical ...
core needle biopsy6/11/2008
  Q: A recent mammogram (the second one, which was requested for a better look) has shown ...
  A: I can understand your concern about the number of samples needed. A core biopsy is requested because ...
SCLEROSING ENCAPSULATING PERITONITIS6/8/2008
  Q: How easy/difficult is it to diagnose SEP (or EPS)?
  A: Sclerosing Encapsulating peritonitis or abdominal cocoon is a rare disorder. Fibrocollagenous tissue ...
blood test results6/5/2008
  Q: My Grandson who turns 21 in July recently had some bloodwork done for the fire department where he ...
  A: At 21 your grandson should be in reasonable good health. A single reading of low neutrophils and ...
thymic tissue6/5/2008
  Q: I recently had a CT scan of the chest and the report stated that there is a mild triangular-shaped ...
  A: A radiologist who has seen the images of the CT scan can better comment on the nature of the soft ...
blood test6/5/2008
  Q: hgb 118,wbc 4.7, neut 1.8{smudge}, band {atypical mono}, lymphocyte 2.4{atypical} what does this ...
  A: An investigation cannot be interpreted on its own...it has to be correlated with clinical signs and ...
blood count test6/4/2008
  Q: I am a cll patient. What does a abs lymph count of 10.1 indicate.
  A: The absolute count in your case will be 10.1x thousand / microliter of blood Therefore in a ...
results if full blood count6/4/2008
  Q: I am 12 weeks pregnant and recently had a full blood count done. Could you please tell me what this ...
  A: Wishing you a problem free pregnancy and a healthy baby. During pregnancy there can be some ...
Possible lymphoma6/2/2008
  Q: My 18-year-old son has been very ill for several months. He became suddenly ill last summer and has ...
  A: Burkitt's lymphoma is extremely rare in united states so it is not advisable to straightaway jump to ...
Calcified Thyroid Nodule6/2/2008
  Q: After having a CT scan of the neck,I've been told that I possibly have a calcified thyroid nodule. ...
  A: Calcification in a thyroid nodule is indicative of malignancy, however, calcification may also be ...
Need to understand what Pathology report means........before decision on surgery6/1/2008
  Q: I have a lump in my neck; 4.3 cm. I had a sonogram with showed the lump and many other smaller ...
  A: Your FNA report indicates a complex picture with features overlapping with benign conditions and ...
WBC5/31/2008
  Q: ..WBC is 12.6 normal is 3.8-10.8 Thous/mcl and the Neutrophils, absolute is 9097 Normal range ...
  A: The WBC count is slightly elevated with neutrophils ( a type of white blood cells)contributing to ...
hepatic lesion5/30/2008
  Q: What is a subcentimeter indeterminate hepatic lesion? Should this be followed up?
  A: The term is self explanatory...The lesion (mass / lump) in the liver is less than a centimeter in ...
tumor spread aggressive ?5/29/2008
  Q: what about the aggressive and what does mean this stage ?! i ask my doctor and tell you this kind ...
  A: Aggressive is just what it means in English language. assertive or pushy. In other words has a ...
lymphocyte count dropping5/28/2008
  Q: Dahiya, I've asked you some questions in the past and I thanks you so much for your help. Now I ...
  A: Based on the information provided above I agree with your physician and the ENT surgeons. The lump ...
Renal Cell Carcinoma and CT Results5/28/2008
  Q: Dahiya, You have answered questions for me in the past with my husbnd's path report after the neph, ...
  A: I remember answering your earlier questions. I am happy to note that your husbands scan is normal. ...
Liver Lesion5/21/2008
  Q: I had a lesion discovered incidentally while preparing fro a lipoma removal in a nearby area. The ...
  A: I am sorry, but it is difficult to comment on the lesion without actually seeing the image. An RBC ...
Liver Lesion5/21/2008
  Q: I had a lesion discovered incidentally while preparing fro a lipoma removal in a nearby area. The ...
  A: RBC scan is done to detect bleeding from any internal organ. Red blood cells are tagged with ...
lymphocyte count dropping5/20/2008
  Q: Dahiya, I've asked you some questions in the past and I thanks you so much for your help. Now I ...
  A: My reply was not to alarm you or make you any more anxious. Reading your mail shows you have a ...
Pathology5/20/2008
  Q: I am a student of MD Pathology.We have been asked to select topics for thesis.I am totally puzzled ...
  A: welcome to Pathology. It is a challenging and interesting field Generally a thesis topic is ...
lymphocyte count dropping5/20/2008
  Q: Dahiya, I've asked you some questions in the past and I thanks you so much for your help. Now I ...
  A: It is always good to get detailed information as that way I am able to assess the situation better. ...
Liver Disease and Blood Test Result Help5/14/2008
  Q: I am frustrated and I was hoping you can help me. I was recently diagnosed with early stage of ...
  A: The bloodwork shows all counts to be on the lower side. The leukopenia could be because of a number ...
path lab, pregnancy and breast feeding5/13/2008
  Q: I am an assistant in a pathology lab. I stain cytology slides and do general histology assistant ...
  A: I am not aware of any resource which specifically gives information about chemical exposure and ...
autopsy report5/12/2008
  Q: what does the term "grossly" mean in an autopsy report? i.e. the large intestines are intact and ...
  A: In reference to pathology specimens "Grossly" is used for the outer appearance of biopsy / organ / ...
genes5/10/2008
  Q: I thought BRCA1 and 2 were the main breast cancer genes. How come one rarely sees the HER2 ...
  A: BRCA 1 and 2 are genes which can mutate that is have changes which can make the person more likely ...
Test results5/9/2008
  Q: I rushed to hospital on April 22, 2008 with severe chest pains, I was told my the physician that I ...
  A: your hematocrit is at the upper limit of normal. Dehydration, inadequate lung function because of ...
thyroid nodule - Ultrasound & FNA5/8/2008
  Q: I am concerned about the results of a recent needle biopsy of a thyroid nodule. The ultrasound was ...
  A: Chronic lymphocytic thyroiditis is an alternate name for Hashimoto's thyroiditis. This is an ...
Chemistry & hematology5/5/2008
  Q: For the past 2 years I have had a constant slightly elevated wbc at present 11.7 ABS lymph 3.9 ...
  A: A reference range for any laboratory test is set after taking samples from a representative healthy ...
lymph nodes4/30/2008
  Q: Can you tell me the normal size of a groin lymph node? My ultrsound states that I have several lymph ...
  A: There is no guideline for the size of normal lymphnodes in adults. However, once the nodes are more ...
Partial Thyroidectomy Pathology Results4/29/2008
  Q: I had a 1.5 cm nodule on the right side of my thyroid and had a partial done on 3/25/08. The report ...
  A: Your report states Hashimotos as the diagnosis. This is a benign autoimmune disorder. Hurthle cells ...
Pathology report from UGI endoscopy4/27/2008
  Q: Please explain: chronic gastritis with early corckscrew foveolar changes. Thanks
  A: Chronic gastritis is long standing inflammation of the lining of stomach. It can be due to various ...
Lipase levels4/23/2008
  Q: My Lipase level was elevated. The range is 21-67 and my level was 75. I have been having chronic ...
  A: Lipase levels are raised most commonly in conditions related to the pancreas. In acute pancreatitis ...
Mole Biopsy4/22/2008
  Q: I recently had a mole biopsy done at my family doctor, he call a week later and said there were ...
  A: The biopsy of a mole can be either benign (a regular mole) or cancer (melanoma). Many a times the ...
Prostate cancer4/21/2008
  Q: My husband is 63 and, other than high blood pressure, has always been healthy. He now has a PSA of ...
  A: I am sorry to hear about your husbands cancer diagnosis. I wish him good health and quick recovery ...
FNA of thyroid nodule4/18/2008
  Q: I received my biopsy report which my Dr. says are nothing to worry about and come back in November. ...
  A: Your thyroid hormones are within the normal range. So Unithroid is working for you. Histiocytes / ...
Colloid nodules4/18/2008
  Q: Man this is hard I have so many!! I had a FNA of one nodule it is 2.5cm I ahve anoth on the other ...
  A: If you have thyroid nodules and have normal FNA report most likely you do not have cancer. Your ...
FNA of thyroid nodule4/18/2008
  Q: I received my biopsy report which my Dr. says are nothing to worry about and come back in November. ...
  A: Your report states that the material submitted for exam is inadequate to provide a definite ...
Lymph Node.....4/14/2008
  Q: I am not sure you can help me but given your expertise category thought you might have a good idea. ...
  A: A lymph node which is palpable is considered enlarged. In the neck region if the node is generally ...
PSA4/13/2008
  Q: I had a PSA test (family doctor) the first week of Feb 2008 and my PSA was 2.8. My doctor wasn't ...
  A: 3.06 is still below the cutoff of 4.0 ng/ ml A free PSA is usually interpreted in relation to PSA ...
Clark's Nevus4/12/2008
  Q: I had a biopsy done on a mole on my right forearm that looked per the doctor atypical. The doctor's ...
  A: Your biopsy suggests that you have a regular mole with some features in between that of a normal ...
CMV & Pregnancy4/10/2008
  Q: My daughter is 25 years old and two months pregnant. She is a Special Education Teacher with the ...
  A: CMV - cytomegalovirus is a very common virus which infects people of all ages. Once infected by the ...
second opinion4/8/2008
  Q: I just got the results back from my FNB and it indicated a nodule located in the isthmus was ...
  A: I am glad that the information provided by me is useful to you. There is at yet no pre cancerous ...
PSA4/6/2008
  Q: I had a PSA test (family doctor) the first week of Feb 2008 and my PSA was 2.8. My doctor wasn't ...
  A: Rigorous physical activity which may affect the prostate, such as bicycle riding, may cause a ...
second opinion4/6/2008
  Q: I just got the results back from my FNB and it indicated a nodule located in the isthmus was ...
  A: Celiac disease does not contribute to a false positive diagnosis. People with celiac disease have an ...
second opinion4/4/2008
  Q: I just got the results back from my FNB and it indicated a nodule located in the isthmus was ...
  A: FNA is almost 92% accurate in diagnosing papillary carcinoma of thyroid. Most cytopathologists are ...
FNA4/3/2008
  Q: Back in September 07 I had a many test one of them was a fine needle aspiration. I was diagnosed ...
  A: Dr Marluce Bibbo's e-mail is marluce.bibbo@mail.tju.edu Phone :(215) 955-1197 Mailing Add Thomas ...
FNA4/2/2008
  Q: Back in September 07 I had a many test one of them was a fine needle aspiration. I was diagnosed ...
  A: I would recommend that you have them send to a center of excellence where there are people who are ...
FNA4/2/2008
  Q: Back in September 07 I had a many test one of them was a fine needle aspiration. I was diagnosed ...
  A: I am sorry to hear about the misdiagnosis and the unnecessary surgery, if indeed that is what it ...
TB skin test3/29/2008
  Q: I had to have a TB test done, well actually I was required to take two of them. The test's were done ...
  A: A TB test called Tuberculin test or Mantoux test is done to ascertain if you have been exposed to ...
Liver lesion3/28/2008
  Q: Everything on the MRI was normal, except for an incidental finding of a tiny cyst within the liver, ...
  A: FNAC is one option. Yes, if the lesion is too small it will not be possible to do an FNAC and get ...
T4 levels3/28/2008
  Q: What are normal test levels for T4 in the blood?
  A: The reference ranges can vary from laboratory to laboratory. You need to compare your values with ...
Liver lesion3/28/2008
  Q: Everything on the MRI was normal, except for an incidental finding of a tiny cyst within the liver, ...
  A: A radiologist will able to explain this report better. However, since there is a lesion and you are ...
Thyroid FNB Results3/28/2008
  Q: A fine needle biopsy was done on my left thyroid with the results coming back as..."Abundant ...
  A: Your thyroid FNAC shows changes in the cells of the thyroid consistent with Hashimoto's thyroditis. ...
FNAC3/27/2008
  Q: My mammography report is-Fatty breasts with sparse fibroglandular parenchyma.A small ovoid opacity ...
  A: BIRADS score of 3 indicates that there is a high probability that the lesion is benign (>98%) ...
kidney cancer stage 1, grade 33/27/2008
  Q: I had my right kidney removed, tumor size 5.9 cm; grade 3. my doctor told me no further treatment ...
  A: Stage and Grade of a cancer helps determine the treatment protocol and prognosis. The present ...
Blood work3/24/2008
  Q: My RDW is 15.2 when the range is up to 15 and the neutrophil(not absolute) is 75% when range is up ...
  A: Reference ranges for various parameters are set using samples from a large number of normal ...
Endoscopy Biopsy3/10/2008
  Q: I had an endoscopy and the biopsy report reads the following: Distal esophagus: piece of tan ...
  A: If the biopsy is from the junction of esophagus and stomach and shows glandular epithelium and ...
comments on test report3/6/2008
  Q: my brother suffered hepitics C and after interfirion injections his PCR was clear now few days ...
  A: ALT is an enzyme with the highest concentration in the liver. Bilirubin is a product that results ...
tumors3/6/2008
  Q: 6 years ago, I had a Fibroadipose tumor removed from the muscle above my right knee. It had spread ...
  A: You have just mentioned that you had a fibroadipose tumor....I am trying to guess here what it may ...
Thyroid FNA3/5/2008
  Q: I'm 38yrs old and just had a Thyroid FNA done on a nodule 2.6cm in size. The results as per a ...
  A: No cancer cells seen means just that....the specimen taken out of the nodule did not show cancer ...
fibroadenoma or phyllodes tumor3/2/2008
  Q: I had a left breast core needle biopsy with the following results: The tumor is a fibroepithelial ...
  A: I cannot confidently comment on the report as I have not actually seen it. However a leaf like ...
Testicular Cancer2/28/2008
  Q: My husband went for a testicular ultrasound and a suspected seminoma was seen. He was taken for ...
  A: I am sorry that your husband had to undergo two surgeries instead of one. It is difficult for me to ...
Submandibular gland mass2/19/2008
  Q: I have a mass approx 1cmx9cm in my left submandibular gland.It has been there for 1 year. My FNA ...
  A: It is likely that the mass is benign but highly vascular that is has a lot of blood vessels and that ...
wbc/rbc2/8/2008
  Q: my wbc is 11.2h 3.8-10.8 thous/mcl hemoglobin 12.4L 13.2-17.1 g/dl hematocrit 35.3L 38.5-50.0% what ...
  A: Your hemoglobin is low indicating mild anemia...most likely it can be due to iron deficiency. In ...
multinodular goiter2/4/2008
  Q: I have been diagnosed with a multinodular goiter. The path report from ultrasound said there were ...
  A: I am sorry I did not address the calcification question in my initial response. Microcalcifications ...
nose polyp biopsy2/4/2008
  Q: I have received a pathology of a small nasal mass biopsy and I wondering how much attention it got. ...
  A: A lot of information is gained by observing tissue under the microscope. It is definitely ...
multinodular goiter2/4/2008
  Q: I have been diagnosed with a multinodular goiter. The path report from ultrasound said there were ...
  A: I am sorry to hear about the DCIS. If it is of some consolation...DCIS has a very good prognosis. ...
FNA1/31/2008
  Q: I would like to know in simple terms what my friend's thyroid nodule biopsy mean.. It says " there ...
  A: Thyroid nodules occur in many people and a colloid nodule is the commonest. It has no increased risk ...
Kidney Cancer Scan Results1/29/2008
  Q: Dahiya, You answered a question previously on my husband's pathology report. I am hoping you can ...
  A: I am not an expert in radiology. A Radiologist will give better information. However there is no ...
pathology results1/22/2008
  Q: I recently had a thyroidectomy due to papillary cancer. I just received my lab results. The ...
  A: The thyroglobulin and antithyroglobulin levels should fall gradually post surgery. These do not ...
final pathology on my thyroid1/21/2008
  Q: I recently had a thyroidectomy for papillary cancer. The classification was a T3. The tumor was ...
  A: Your tumor is 1.2 cm this would make it T1 however, the tumor has spread outside the thyroid gland ...
Diabetes and microalbumin with occ hypertension1/20/2008
  Q: sir I am Diabetic patient since 5 years and inspite of metformin treatment 3 times 500 mg my sugar ...
  A: The investigations for follow up of diabetes are Fasting and 2 hr postprandial sugar exam which you ...
blood tests1/14/2008
  Q: What does a value of 55 mean on the LYMPH blood test? My LYMPH absolute is 6.2, Mono absolute is .8 ...
  A: Absolute values of white blood cells are total number of cells in a microliter of blood and ...
diabetes/ low thyroid and low white blood cell count?!1/12/2008
  Q: I have very little understanding about medical issues and my mum's doctor is not very helpful. my ...
  A: as long as your mother has no recurrent infections, fever, her low count is not worrisome. However ...
renal cell path report1/11/2008
  Q: Have had two consults. One indicates invasion of the renal sinus fat,Stage T3a, grade 3. The second ...
  A: Stage T1 indicates that the cancer is confined to the kidney. Whereas T3a indicates that it has gone ...
can certain medications cause a raise in blood sugar?1/6/2008
  Q: Dahiya, I asked a question a few days ago and I must not have phrased it right. The problem is that ...
  A: Yes some of the drugs used to treat hypertension and thyroid disorders can affect glucose levels. ...
psa test results1/6/2008
  Q: My dad got his psa test result and it said 2F what does this mean, what does the F stand for, ...
  A: It would be better if you can send the entire report then I can explain it better. 6 out of 10 can ...
raised blood sugar1/5/2008
  Q: My husband's physician sent him for a two hours glucose fating test because his blood sugar was ...
  A: I do not understand what medication your husband is on and why his blood sugar needs to be raised. ...
Dermatologist vs. Pathologist reading1/1/2008
  Q: My question is, do you have to be a pathologist to read biopsies or can any MD? I had a mole ...
  A: All biopsies are read by a pathologist who is a medical doctor and undergoes 5 years training in ...
help me understand what my path. report means.12/22/2007
  Q: clinical data: right upper arm-skin lesion(709.9) gross descrpition: A. recieved in formalin ...
  A: A surgeon would better answer this question. however I think the procedure can be done by locally ...
help me understand what my path. report means.12/21/2007
  Q: clinical data: right upper arm-skin lesion(709.9) gross descrpition: A. recieved in formalin ...
  A: Your report states the diagnosis of the lesion on your arm as Dermatofibrosarcoma protruberans. The ...
possible phyllodes tumor12/4/2007
  Q: I had a core needle biopsy of a breast lump that is 2 cm. The findings suggest that they cannot tell ...
  A: A Phyllodes tumor and a fibroadenoma are difficult to distinguish on imaging studies, fine needle ...
KIDNEY CANCER PATHOLOGY RESULTS12/3/2007
  Q: My husband had a open nephrectomy for kidney cancer back on October 15, 2007. It was discovered ...
  A: I already like the positivity in your approach. Overall there is just one node involved and rest 4 ...
rare histiocytes?12/1/2007
  Q: Lump on my neck that was slowly growing over the past few years and it started to be become very ...
  A: A lump which has been there for many years is not overtly worrisome. The pain could be because of ...
KIDNEY CANCER PATHOLOGY RESULTS11/30/2007
  Q: My husband had a open nephrectomy for kidney cancer back on October 15, 2007. It was discovered ...
  A: I can understand the anxiety and helplessness you and your husband must be facing. I hope the ...
Thyroid Cancer surgery pathology report11/27/2007
  Q: Dahiya, I would like to ask a few questions concerning my pathology report from a recent total ...
  A: Pathologists can confidently comment only on material which they examine. So negative for ...
Thyroid Cancer surgery pathology report11/27/2007
  Q: Dahiya, I would like to ask a few questions concerning my pathology report from a recent total ...
  A: 1) 10% of papillary carcinomas are completely capsulated and remainder are unencapsulated which have ...
pathology11/26/2007
  Q: Can you tell me what pathology tests I'm having? FBC, EUC,CMP,TSH (T4 AND T3 IF TSH ABNORMAL, LFT; ...
  A: You are having a number of routine tests 1) FBC also called CBC - Full/Complete Blood Count which ...
Difference between angiolipoma & hemangioma?11/24/2007
  Q: I had 6 lumps removed that were located on my arm & leg. They varied in size from "pea" size to ...
  A: Hemangioma and angiolipomas can be easily diagnosed by pathologists. Hemangioma is a benign lesion ...
Difference between angiolipoma & hemangioma?11/23/2007
  Q: I had 6 lumps removed that were located on my arm & leg. They varied in size from "pea" size to ...
  A: Angiolipoma is a benign variant of Lipoma...which is a benign tumour of fatty tissue. When this ...
elevated CO2 level11/23/2007
  Q: What follow up test should I have as a result of mildly elevated CO2 levels in my blood test. I am ...
  A: Just isolated mild elevated Co2 does not tell much other than that the hypercapnia is because of ...
Raised esr 73 mm/hr crp 35mg/L11/21/2007
  Q: I have had a raised esr and crp for about 5 years now,plus pain around my body,and feeling tired I ...
  A: ESR and CRP as blood tests are non specific indicators of disease. The most common cause is ...
haemorrhagic pericarditis11/18/2007
  Q: What examination of the pericardial fluid can be done to try to determine what caused haemorrhagic ...
  A: Hemorrhagic pericarditis is caused by number of factors - Neoplasm (cancer)- look for malignant ...
PSA results.11/17/2007
  Q: I am monitoring my PSA after Brachytherapy seed implant surgery 2 1/2 years ago. The problem is: The ...
  A: There is always interlaboratory variance between test results, that is why its better to follow one ...
Test Results11/17/2007
  Q: I went today to the ER for a possible adverse reaction to my long term use of furosemide. I am ...
  A: Lipitor does have negative effect on liver and in turn leads to elevated liver enzymes. You may have ...
cbc and lymphoma11/14/2007
  Q: , I noticed a bean-shaped, painless, 1-2cm, moveable lump in the left side of my neck a few weeks ...
  A: The drop in counts is no way indicative of cancer, nor is the low level of cholesterol. if you were ...
cbc and lymphoma11/14/2007
  Q: , I noticed a bean-shaped, painless, 1-2cm, moveable lump in the left side of my neck a few weeks ...
  A: Based on the reports and your claim that you haven't been sick for past few months you can rest ...
Lab results11/12/2007
  Q: can you see my lab results and explain in easy to understand words what this means and what could ...
  A: All injuries in the body surgical incision or otherwise heal by fibrosis and deposition of collagen ...
Slightly evaluated SEGS11/11/2007
  Q: I had blood drawn on 11-7-07 and was hoping you could explain what one of the results mean. The ...
  A: The oral surgeon is right in his approach to rule out osteomyelitis. you do have infection in the ...
Alarming path report question11/11/2007
  Q: I just received a letter from my dermatologist that states I need to return for additional testing. ...
  A: Dysplasia refers to architectural and cytological features which are neither normal nor clear cut ...
Pathology & Lab Reports11/9/2007
  Q: My sister recently had a tumor removed and was told there was only a 2-3% chance this my be cancer. ...
  A: Since you have not mentioned from where the tumor was removed, how big it was and since how long ...
pathology report for my neice11/8/2007
  Q: My neice recently had a skin cancer surgery. The pathology report in part states: Got my stitches ...
  A: One thing is clear that the lesion is not malignant melanoma. It is a compound nevus (mole with ...
ABS. Lymph Result11/7/2007
  Q: Dahiya, Can you help me understand what the ABS. Lymph result on a blood test reflects? ...
  A: When a CBC (Complete blood count ) is ordered it shows a total WBC (White blood cell count, a ...
Various High Blood Cell Counts11/6/2007
  Q: For the past year and a half, my WBC, HGB, HCT and CRP have been high. At one point, my WBC was so ...
  A: A detailed physical exam by a physician as well as lab tests may be needed to evaluate your ...
an intro to pathology??11/6/2007
  Q: I am a high school senior looking to perhaps become a pathologist one day and am wondering if you ...
  A: I am glad to know that you are thinking of taking up pathology. It is a challenging specialty in the ...
pathology report for my neice11/4/2007
  Q: My neice recently had a skin cancer surgery. The pathology report in part states: Got my stitches ...
  A: Just interpreting one line from a report will be a diagnosis out of context to the overall picture. ...
White blood cells11/1/2007
  Q: My WBC count is 10800.I dont have a fever or cold.. what could be the reason for this. if i need to ...
  A: WBC may be increasing due to onset of cold. Your TSH is high which is an indication that the ...
White blood cells10/31/2007
  Q: My WBC count is 10800.I dont have a fever or cold.. what could be the reason for this. if i need to ...
  A: Based on the lab where the test is done the upper limit for WBC count varies from 10,000 to 11,000 ...
alkaline phosphatase and bone loss10/30/2007
  Q: Would bone loss cause a rise in alkaline phosphatase? Would bone lose raise or lower calcium in the ...
  A: Many bone diseases cause raised alkaline phosphatase levels. Some of the conditions are: ...
help understand my diagnosis10/26/2007
  Q: In 2001 I had a Hysterectomy (cervix removed) with my right ovary and fallopian tube removed as ...
  A: Your Hysterectomy report does not reveal anything to worry about. It must have been performed ...
Lymphadenitis10/23/2007
  Q: A friend asked for assistance with understanding part of her pathology report. She was diagnosed ...
  A: Lymph nodes are routinely removed from the vicinity of cancer tissue. This is to check if they have ...
Dysplasia10/18/2007
  Q: My mom had a mole cut off and it was sent to the lab. The results came back that it was moderate ...
  A: Dysplasis means that the cells are not like normal cells and are also not cancerous cells. They have ...
Mechanism of action of B12 on muscle10/18/2007
  Q: this questions is not a homework question , but I went to know the (Mechanism of action of B12 on ...
  A: Shawash: Vitamin B12 deficiency has no impact on muscles. It however does affect the peripheral ...
pathology and lab report10/17/2007
  Q: I have a blood count of 297 on the immunology report for ANTI-SS DNA what does this mean. ANSWER: ...
  A: The anti SS DNA has a cut off of 20U/ml More than that indicates positive test. This test is done ...
Pap Smear Report after delivery10/10/2007
  Q: I had my Pap Smear Report early pregnancy and the report show normal - Class I during Sept 2006. I ...
  A: your report essentially says that the cells are not "Normal" but that they are not clearly malignant ...
suture granuloma10/10/2007
  Q: I never had any problems with the surgery or ever had any kind of lump or protrusion from my body ...
  A: A granuloma forms as a reaction to any foreign body .... it could be a piece of lint stuck in a ...
biopsy of lesion removed10/7/2007
  Q: I have a high cancer rate in my family and would rest my mind to know if standards for everyone are ...
  A: In most cases whenever tissue is removed from the body it is sent to pathology. How much needs to ...
suture granuloma10/7/2007
  Q: I never had any problems with the surgery or ever had any kind of lump or protrusion from my body ...
  A: I understand from your explanation that you had a surgery for Hernia 8+ years ago. Hernia occurs in ...
Testicular Cancer10/4/2007
  Q: My husband had his left testicular removed due to an abnormal growth and abdominal/back pain. After ...
  A: Any tissue...normal or tumour will die when its blood supply is cut off. However there is still ...
Testicular Cancer10/3/2007
  Q: My husband had his left testicular removed due to an abnormal growth and abdominal/back pain. After ...
  A: I do not understand what it means when your doctor said "The tumour died" Once a portion of tissue ...
severe dysplastic nevus9/23/2007
  Q: My daughter just had her 4th mole removed. The three previous have all been mild dysplasia (2 of ...
  A: Your concern for your daughter is understandable. But if it is of some help then please understand ...
Protein Electrophoresis9/21/2007
  Q: I recently had Urine and SErum Electrophoresis done to test for multiple myeloma. The results are ...
  A: The urine and serum electrophoresis shows values within the normal range. Even though the gamma ...
Abnormal Test Results9/21/2007
  Q: I had a small mole removed from my chest last week. The doctor said that it looked fine, but because ...
  A: The least abnormality which can occur is that the mole is atypical...which means it is neither a ...
Cervical cancer9/12/2007
  Q: My mother in law was diagnosed with stage 3 b cervical cancer about 7 months ago. She underwent ...
  A: I am not an expert on treatment part. I deal with the biopsies. In case the biopsy is positive for ...
Cervical cancer9/12/2007
  Q: My mother in law was diagnosed with stage 3 b cervical cancer about 7 months ago. She underwent ...
  A: I am sorry to hear about your mother - in - law's condition. I wish it was otherwise but the first ...
LAB TESTS9/11/2007
  Q: I Recieved my lab results and would like to know what they mean. My Neutrophil level was 28, my ...
  A: Lab results need to be interpreted in context of your signs and symptoms. What was the reason in the ...
follicular mucinosis9/7/2007
  Q: my dermatologist thinks i may have follicular mucinosis, the biopsy received reported there is not ...
  A: Follicular mucinosis is an uncommon disorder where the hair follicles start degenerating and there ...
Abnormal Lab9/5/2007
  Q: My lab results for EBV Ab VCA, IgG were 1963 and the EBV Nuclear Antigen Ab, IgG was 857. But, I ...
  A: EBV VCA IgG and EBV nuclear antigen Ab IgG when positive indicate a previous infection in ...
different assay methods for psa test9/4/2007
  Q: Dahiya, below my husband's psa test, it said, This allay was performed using the Bayer ...
  A: There are different methods / kits used by labs to do the assay. However PSA results are reported as ...
3 generations9/4/2007
  Q: I am woman, 68 years young. Cancer in neck '86; Breast '94; face '97; and bowel 2005. I feel very ...
  A: I am sorry to hear about so much cancer in one family. I am glad though that you all are doing fine ...
Lack of Hilum in lymph node found on thyroid ultrasound9/1/2007
  Q: I'm not sure if I am in the right area of expertise, but I recently had an ultrasound done on my ...
  A: You would need a radiologist or a sonologist to explain regarding the report on the thyroid and ...
I need your help8/31/2007
  Q: Dr. Dahiya, I phoned my husband's primary care doctor today and spoke with his nurse about his TSH ...
  A: Please trust the doctor and follow his advice. Lab investigations are only numbers by themselves. ...
Absolute Lymphocytes8/31/2007
  Q: Dahiya, I wrote you awhile back about my husband's blood tests and him just going through radiation ...
  A: Yes you are correctly informed that Hyperthyroidism and osteoporosis both can also raise ALP levels. ...
hyperthyroid8/24/2007
  Q: Dr. Dahiya, I just wanted to ask a few questions and I would appreciate just yes or no answers. Is ...
  A: There is no one single reference range for thyroid hormones. The range varies with the laboratory ...
white blood cell count8/19/2007
  Q: My husband had some blood tests done and his white blood cell count is 3.0 which is out of range and ...
  A: The test rsults are related to prostate cancer and its treatment. The radiation or chemotherapy can ...
mole removal question8/17/2007
  Q: I asked you about a biopsy report a couple of weeks ago and you were very helpful. I know you're not ...
  A: It is possible that the hole is in the location of the previous scab. The dermatologist would have ...
mole removal question8/16/2007
  Q: I asked you about a biopsy report a couple of weeks ago and you were very helpful. I know you're not ...
  A: Let me reassure you, that if there was an underlying cancer you would not have a negative biopsy ...
biopsy not done correctly??8/4/2007
  Q: I went to my dermatologist on Aug 1st, because I had a raised mole on my back that was irritated by ...
  A: I am not in a surgical specialty so am not an expert on scarring and sutures. However any kind of ...
RE: Adrenal tumor tissue7/31/2007
  Q: I'm a recovering Cushings syndrome adrenal patient. I'd like help understanding what my pathology ...
  A: One of the causes of Cushings Syndrome is a functional adrenal tumor which produces excess of ...
Skin Lesion7/31/2007
  Q: I wear a hat regularly and I have developed a skin lesion on my forehead where my hat contacts the ...
  A: You need to consult a dermatologist. Only after a physical examination and sometimes a biopsy you ...
penile lesion biopsy7/31/2007
  Q: Dr. Dahiya I have a question regarding a recent biopsy that I had done for a lesion on the foreskin ...
  A: Benign Squamous Papilloma is indeed caused by HPV which is transmitted by sexual intercourse. In ...
skin cancer/biopsy report worries7/28/2007
  Q: I'm a 36-year old white male. About a week ago I noticed that a flat, brown mole on my thigh (area ...
  A: Well, a pathologist will never ever infer a diagnosis without actually seeing the features which ...
skin cancer/biopsy report worries7/28/2007
  Q: I'm a 36-year old white male. About a week ago I noticed that a flat, brown mole on my thigh (area ...
  A: I am glad that you are feeling somewhat at ease. If you as a non medical person put in effort to ...
skin cancer/biopsy report worries7/27/2007
  Q: I'm a 36-year old white male. About a week ago I noticed that a flat, brown mole on my thigh (area ...
  A: I can understand that the whole experience has been traumatic and stressful. So let me assure you ...
seborrheic dermatitis?7/26/2007
  Q: i got a biospy done to confirm my diagnosis of seborrheic dermatitis, but the biopsy said that ...
  A: I apologize I should have used the correct terminology. Dermal mucin (secreted by fibroblasts, a ...
seborrheic dermatitis?7/25/2007
  Q: i got a biospy done to confirm my diagnosis of seborrheic dermatitis, but the biopsy said that ...
  A: The skin biopsy in seborrheic dermatitis has non specific findings and the biopsy result in ...
Pathology Career7/24/2007
  Q: I am a medical student currently considering a career in pathology, and am very interested in ...
  A: I am glad that you are actively looking at Pathology as a career. It is a very challenging area of ...
FNAC report for Breast7/18/2007
  Q: Madam, Recently my wife underwent for FNAC of right breast as she is having a right lower inner ...
  A: I am not an expert at analyzing radiology reports or advising on treatment. However the reports do ...
laboratory techniques7/17/2007
  Q: I would please like to ask you what the difference is between ex vivo and in vitro assays please? ...
  A: Sorry about that Andy. My mistake for not reading carefully. Yes, ex vivo and in vitro are the same ...
cmv7/16/2007
  Q: I’m so sorry for annoy , I’m not receive any response from you about four questions which I asked ...
  A: I already replied to these questions. Here is what I had said earlier If a person is symptomatic ...
(CMV) IgM7/15/2007
  Q: Cytomegalovirus (CMV) IgG Enzyme indicate (recurrent or reactivated infection) previous infection ...
  A: If a person is symptomatic and has only IgM antibodies it indicates recent active infection. If ...
FNAC report for Breast7/10/2007
  Q: Madam, Recently my wife underwent for FNAC of right breast as she is having a right lower inner ...
  A: Rest assured that this lump is benign. A breast abscess is collection of pus....caused by infection. ...
procedure for beast mastectomy7/8/2007
  Q: one of my dear relatives had a mastectomy the other day and before the surgery, she was taken into a ...
  A: I hope your relative is doing fine after the surgery and is on the road to recovery. From your ...
question?6/24/2007
  Q: and it had positive Nitrites and Leukocytes(spell?) but I had no symptoms at all it was sent for ...
  A: Dark brown urine color signifies any one of the following: 1.Infection 2.Bleeding and later ...
Prosector6/22/2007
  Q: Neha,I would be grateful if you could explain the difference between a Prosector and a Pathologist. ...
  A: A pathologist is a qualified medical doctor who has specialized in the field of pathology. A ...
TB Skin Test6/21/2007
  Q: Dahiya, I had a TB Skin Test done on Tuesday, and I am having it read tomorrow. However, I ...
  A: Mantoux Test or TB skin test is interpreted 48-72 hours after the PPD injection is given. After this ...
abnormal labs6/15/2007
  Q: I had some lab work done and had a few things come back abnormal. First my WBC at 4.0; Hgb at 11.2; ...
  A: By these lab results it indicates you have infectious mononucleosis caused by Epstein - Barr Virus ...
abnormal labs6/12/2007
  Q: I had some lab work done and had a few things come back abnormal. First my WBC at 4.0; Hgb at 11.2; ...
  A: If your doctor feels that there is no reason for blasts to be there in your blood, then it makes ...
dim T-cell fluorescence--significance?6/6/2007
  Q: I recently had an HLA-B27 antigen test to evaluate the possibility of ankylosing spondylitis. I ...
  A: If it allies your fears regarding other diseases you can have a number of tests done...like blood ...
dim T-cell fluorescence--significance?6/6/2007
  Q: I recently had an HLA-B27 antigen test to evaluate the possibility of ankylosing spondylitis. I ...
  A: Majority of the HLA B27 assays (genetic testing by PCR / fluorescence monitoring, flow cytometry) ...
metabolic syndrome6/4/2007
  Q: You responded to my questions under the title of Metabolic Syndrome on 23/5/07 I think.I have my ...
  A: These tests also are within normal range. The bulky uterus does not have anything to do with your ...
oral disease6/2/2007
  Q: I develop strange pattern in my mouth sometimes under the tongue, sometimes inner skin of my mouth. ...
  A: The clinical description seems to be for Lichen planus. However, unless one sees the patches, its ...
metabolic syndrome5/23/2007
  Q: My endocrinologist sent me for some blood/urine tests due to some very unusual symptoms I have ...
  A: The panel of tests done for you - all are within the normal range. As far as the fertility hormones ...
metabolic syndrome5/22/2007
  Q: My endocrinologist sent me for some blood/urine tests due to some very unusual symptoms I have ...
  A: Diagnosis of Metabolic syndrome is based on certain criteria set up by American Heart Institute and ...
CT Scan result5/19/2007
  Q: I was recently referred to a neurologist, as I have completely lost my sense of smell. He diagnosed ...
  A: Osler - Weber-Rendu syndrome is a hereditary disease in which the major symtom is epistaxis - ...
carrier of NFB5/13/2007
  Q: I am a bartender. Everyday I have one customer who comes to the bar. He has suffered complications ...
  A: I am not sure what you mean by NFB Is it AFB you are worried about...Acid fast Bacilli which causes ...
Nasopharyngeal Carcinoma5/4/2007
  Q: I recently had a MRI which discovered a 14 mm mass in my nasopharyngeal region, 2 ENT's looked at it ...
  A: Sorry for not replying earlier than this. Lymphadenopathy is the medical term for swollen lymph ...
Nasopharyngeal Carcinoma5/3/2007
  Q: I recently had a MRI which discovered a 14 mm mass in my nasopharyngeal region, 2 ENT's looked at it ...
  A: The present CT and MRI report does complicate the issue. 15 enlarged lymph nodes are a matter of ...
Pathology - Undergrad5/2/2007
  Q: I am an undergraduate student at Michigan State University and I am in between two majors. I plan ...
  A: I am glad to hear that you are interested in pathology. It is a very challenging field. You will ...
Thyroid nodule FNA results5/1/2007
  Q: Can you explain these results in a way that I can understand them? Aggregate of follicle cells ...
  A: No, I am not tired of your questions. A cyst is a fluid filled cavity A nodule is a circumscribed ...
lab tests for dehydration4/30/2007
  Q: I was sent to the emergency room by my neurologist for iv hydration. I have gastroparesis and, as a ...
  A: In case of dehydration the urine is concentrated so specfic gravity is high. In addition the ...
Nasopharyngeal Carcinoma4/22/2007
  Q: I recently had a MRI which discovered a 14 mm mass in my nasopharyngeal region, 2 ENT's looked at it ...
  A: The probability that it is just an inflamed mass of adenoidal tissue (benign) is very high. I am ...
Thyroid nodule FNA results4/19/2007
  Q: Can you explain these results in a way that I can understand them? Aggregate of follicle cells ...
  A: The diagnosis here is follicular neoplasia. Which basically means that it is new growth of follicle ...
Thyroid nodule FNA results4/17/2007
  Q: Can you explain these results in a way that I can understand them? Aggregate of follicle cells ...
  A: The FNA has been done from the thyroid gland present in the front of neck. The report indicates that ...
cervical lymphadenpathy4/14/2007
  Q: i am a 2nd yr medical student at maharashtra c/c cervical lyphadenopathy x 60 days lt ...
  A: Just a DC does not help in any diagnosis. A lymphocytosis can be because of other cause: Viral ...
Re: PAP Smear report4/10/2007
  Q: I recently went for a PAP smear, the first time I have ever done this test. I am sexually active. ...
  A: Inflammation in any part of the body is a response to stimulus like microorganisms, injury, ...
thyroid test4/9/2007
  Q: my husband's last TSH was 0.13 which is circled on laboratory test. Can you tell me what a TSH of ...
  A: In adults TSH (thyroid stimulating hormone) estimation is done to confirm or rule out a thyroid ...
plasma color variation4/6/2007
  Q: I donated plasma yesterday and it came out a green color. what would make it that way? I've donated ...
  A: Plasma is a clear straw coloured fluid in a healthy person. In certain conditions the change in ...
prostate ca3/30/2007
  Q: My husband had a prostate biopsy done 2/07. The cells were termed 'precancerous" by his doctor. Is ...
  A: Pre cancerous means just what it says....occuring before cancer. However; this does not mean that ...
asking about refrences3/25/2007
  Q: im very interested in Pathology,im seeking an attractive textbook, can you help me please?!
  A: There are many textbooks for pathology. A very basic one for both general and surgical pathology is ...
pylori infection3/22/2007
  Q: My husband, 35 years old, has been suffering from chronic belching/ burping (only gas, no acid) for ...
  A: Belching / burping per se is not diagnostic of H. pylori. What test was done to confirm the presence ...
FNA cythopathology report3/21/2007
  Q: I am status post total thyroidectomy for papillary carcinoma in 1989. I recently had a FNA on just ...
  A: There are two issues in this report. One which gives a diagnosis and the second is where it pulls ...
Bloodwork results3/21/2007
  Q: My gallbladder was removed on Feb 20,2007. This week,one month after my surgery, I had bloodwork ...
  A: What was the reason for removal of your gall bladder. Did you have gall stones with blocked bile ...
Hello Sir...3/13/2007
  Q: ..I know that you're probably getting sick of me -LoL- but I have two more questions to ask relative ...
  A: Hepatitis B virus infection ultimately leads to development of antibodies which provide immunity ...
some questions for you3/7/2007
  Q: I was wondering, if a person who has the inactive carrier form of Hepatitis B can that person ...
  A: Theoretically infection by any bacteria or virus first time leads to formation of antibodies against ...
melanoma excesion?3/6/2007
  Q: I've heard that melanoma can be hard to diagnois. How does the pathologist tell the difference ...
  A: If it is a clear cut malignant melanoma there is no problem in diagnosisng it. Dysplastic nevus is ...
melanoma excesion?3/5/2007
  Q: I had 2 moles taken off. They came back as a very thin melanoma. One was 0.35 mm and the other 0.5 ...
  A: I am sorry to hear about your diagnosis of Melanoma. However if it is of some consolation...melanoma ...
PATH AS CAREER3/4/2007
  Q: thanx so much mam for ur timely response which has brought a great relief for me at this hour of ...
  A: Pathology is a good choice and those who are surprised by this are not aware how the field has ...
PATH AS CAREER3/2/2007
  Q: GUD EVENING MAM . I AM A VERY CONFUSED MEDICAL STUDENT. I HAV GOT SELECTED FOR ADMISSION IN M.D. ...
  A: I being a pathologist and having chosen it because it was my choice, I will advice that you join ...
Lyme Disease3/2/2007
  Q: Dahiya: I do not know if my question falls in the realm of your expterise but I would appreciate ...
  A: Serology tests for Lyme Disease detect antibodies in the blood generally two months after the ...
regard prev question2/23/2007
  Q: The Thing About This Is My Wbc Has Been Elevated For A Year At Least. In May It Was 17.0 I Believe. ...
  A: Lymphoma diagnosis is made on a biopsy or fine needle cytology of a lymph node. Peripheral blood may ...
bloodwork2/23/2007
  Q: Can U Help Me In Figuring Out My Blood Work And What It Means I Will Post All Results. WBC Hig 14.6, ...
  A: Your blood work is essentially normal. You just have a slightly elevated white blood cell count ...
Increased Vascularity in Right Cevical Lymph Node2/15/2007
  Q: 2 weeks ago a lump appeared on the right side of my neck, which was very painful to touch. I have ...
  A: The short history of two weeks suggests that most likely the lump is of infectious origin. You ...
oat cell carcinoma2/14/2007
  Q: Is a bronchogenic oat cell carcinoma considered an adenocarcinoma of the lung? Just a dispute at ...
  A: Lung Cancers are classified (WHO 1999 classification)into following types 1)Squamous cell carcinoma ...
cbc results2/5/2007
  Q: what does it mean if you have a high mch and mchc?
  A: MCH is mean corpuscular haemoglobin In other words it tells the amount of heamoglobin in one red ...
A few questions2/2/2007
  Q: ..I have another question; just because HBV is found in tears doesn't necessarely mean that one can ...
  A: For any kind of microbial transmission from person to person there has to be some form of contact ...
Immunity1/31/2007
  Q: I have a study question and am a little confused the question ask to compare active natural immunity ...
  A: there are four ways to acquire specific resistance. Active natural Active artificial Passive natural ...
A few questions1/31/2007
  Q: I have a few questions that I hope u can help me with... Can a liver-function test alone detect ...
  A: Liver function tests do just that. asses the function of liver. A liver biopsy is required to studt ...
Pathology1/24/2007
  Q: i am working on the histochemical study of the pituitary gland of rat.Can you help me which staining ...
  A: The routine stain used for tissues is Haematoxylin and Eosin. Masson Trichrome stain will help ...
appendectomy1/20/2007
  Q: what are the causes of appendicitis?
  A: Appendix is a tubular structure 3 and 1/2 inches long attached to the large intestine. At this point ...
biology1/16/2007
  Q: Regarding staining, why aren't both acidic and basic dyes taken up by proteins?
  A: The basic principle of staining in tissues is that the acidic dyes combine with basic substances and ...
malnourhed children1/14/2007
  Q: I apologies with core of my heart that i did not read your answer.My questin was that why ...
  A: Here is the answer to the question which I had replied earlier Malnourished children may have ...
polyclonal1/12/2007
  Q: hi can you explain what polyclonal is and what it means in blood test
  A: The term polyclonal is derived from the Greek word "Polys" which means multiple or many and "Klon" ...
DNA Testing1/10/2007
  Q: I am writing a murder mystery and have a question about DNA testing. Can DNA be taken off of a suit ...
  A: I would love to read your book when its ready. Best of luck DNA is deoxy ribonucleic acid. These ...
gleason score1/7/2007
  Q: On my husband's prostate biopsy, there were samples sent in from 12 different sections of his ...
  A: Gleasons score tells how aggressive the cancer can be Lesions score of 5 and 7 are the commonest. ...
flow cytometry1/5/2007
  Q: sir i would like to know application of flow cytomtry .
  A: Flow cytometry is a technique which measures the characteristics of a single cell as it flows ...
cancer?1/4/2007
  Q: If you can give me any insight about the following situation, it would me MUCH appreciated. thank ...
  A: The only abnormality in blood tests is elevated Liver enzymes and elevated CA-19 levels (mild) Both ...
husband's tests12/23/2006
  Q: Dahiya, I am the lady who just emailed you twice about my husband's prostate biopsy coming back ...
  A: First of all I apologize for answering this so late. I thought I had put questions on bar for the ...
the grade or stage of the prostate cancer12/16/2006
  Q: The urologist phoned my husband two days ago and told him that the prostate biopsy he had came back ...
  A: It is good to hear that the cancer is slow growing, so most likely it should not have spread outside ...
prostate biopsy positive for cancer12/16/2006
  Q: My husband had a prostate biopsy and it came back positive for cancer. I read that we should ask for ...
  A: I am sorry to hear about your husbands diagnosis. You have not mentioned what grade and stage it is. ...
test and possibility12/11/2006
  Q: sir, my freind has sex only for once and few minutes with simple condom available with ...
  A: Condom provides protection against sexually transmitted diseases. If there is a tear in the condom ...
malnourhed children12/10/2006
  Q: why do malnourished children usually have large abdomens?
  A: Malnourished children may have protein energy malnutrition...one of the forms of this is called ...
Enquiry on PAP SMEAR report12/7/2006
  Q: I hope you are able to assist me. I am 26 years old and single. Last month I went to the hospital to ...
  A: Let me assure you at the outset that your PAP smear is absolutely normal and there is nothing to ...
Pathology12/6/2006
  Q: How do I ensure that I am collecting a plasma sample not a serum sample?
  A: When you draw blood sample from a blood vessel you are essentially drawing whole blood. Serum and ...
Lymph nodes12/5/2006
  Q: I have recently developed a goiter a few months after i discovered i had chronic lymphocytic ...
  A: The enlarged lymph nodes maybe because of any number of reasons. I gather you have had an imaging ...
atypical cells12/5/2006
  Q: I had a needle biopsy done and the results were atypical cells. Now the surgeon wants to put me to ...
  A: Sorry for the delay in answering your question. Atypical cells mean that the cells are not ...
CBC report12/5/2006
  Q: , In my most of the CBC tests the HGB shows 17.2, HCT 50.4%, NEUT 53.9%, WBC 9.5, RBC 5.86 and PLT ...
  A: Your CBC results are all within normal range. However your HGB is on the higher side (Normal range ...
ACIDITY IN THE BODY12/3/2006
  Q: WHAT IS THE INFLUENCE OF THE ACIDITY OF THE BODY(EATING ACID/ ALKALINE BALANCE) ON THE URIC ACID OF ...
  A: The type of food you eat can influence the uric acid levels especially if you already have raised ...
ACIDITY IN THE BODY12/2/2006
  Q: what is the relation of the acidity in the body(ACID/ALKALINE BALANCE) and the uric acid in the ...
  A: Human blood is slighlty alkaline and the pH is maintained in a very narrow range of 7.35 - 7.45 ...
Pancreatic Head Mass11/20/2006
  Q: Your response really clarifies things for me. I do have a follow-up. We have been waiting three ...
  A: Well the turnaround time does vary with every pathology department, dependant on how much sample ...
FNA lymph node cytology report11/15/2006
  Q: I noticed an enlarged lymph node on the right side of my neck that enlarged quickly over a couple of ...
  A: A granulomatous reaction can be beacuse of a number of causes. Some you have already been tested ...
Pylori IgA11/15/2006
  Q: My blood test of H. PYLORI IGG read 58.4 U/ML. The reference range is <10. What should I do with ...
  A: Yes your IGG for H pylori is well above the reference range. This indicates you have the bacteria H ...
Forgot ESR question11/6/2006
  Q: I forgot to mention, the ESR rate was also a little elevated at 37. Is this something to be ...
  A: ESR is raised whenever there is a long standing pathology. It can be related to joint pains / back ...