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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 preparation 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 multi specialty 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) MBA

   

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

Questions Answered By Expert  Neha Dahiya MD 
In Category  Pathology

SubjectDate Asked

My 22 month old baby11/20/2009
  Q: My daughters father and I are separate. We agree that he will take her to her pediatrician. I ...
  A: Overall the results are normal. Elliptocytes are elliptical shaped red blood cells, which are ...
high red cell folate levels11/20/2009
  Q: I just had my blood work done and on the results form my red cell folate level is listed as * 2075. ...
  A: High folate (Vit B6) and Vit B12 levels are not usually clinically monitored. High folate levels are ...
Low White blood cell11/19/2009
  Q: I have had low WBC counts for a while, sometimes they're normal, sometimes they're low. I went to a ...
  A: All the blood parameters for a complete blood count are dynamic. The value change every time it is ...
Anion Gap11/19/2009
  Q: I have a uncle who is visiting from California that had a blood test analysis and was told he had a ...
  A: Anion gap is the measurement of ions, ie charged molecules in blood. An increased anion gap ...
Pathology report to rule out Cutneous Lymphoma11/18/2009
  Q: I have been having an ongoing rash for 6 years.It is extremely itchy not very responsive to teatment ...
  A: The report points to features of skin which are a result of constant itching. There is increase in ...
absolute Lymphocytes11/13/2009
  Q: my blood test after 24 hr fast came back with 820 L absolute lymphocytes and RDW was 15.3... WBC was ...
  A: Leukocyte esterase is a screening test used to detect a substance that suggests there are white ...
Just took an urine test11/12/2009
  Q: I just took an urine test (blood and urine) and all the results were shown as negative except for ...
  A: If all other tests are normal and only few bacteria is seen this would indicate contamination and ...
Papsmear test11/12/2009
  Q: I did a papsmear test, the result came "low grade of squamous intraepithelial lesion", what does it ...
  A: "low grade of squamous intraepithelial lesion" refers to presence of abnormal cells in the surface ...
Scattered Thyroids11/12/2009
  Q: my report says "Three smears examined, pauticelluar smears show a few scattered thyroids" what does ...
  A: The report states that the cells are very few. There has to be something more as few scattered ...
elevated CEA11/11/2009
  Q: I went to my Dr. due to abdominal discomfort and a change in bowel habits. She ran some bloodwork ...
  A: An elevated WBC is usually seen in infection. CEA (carcinoembryoinc antigen)is a screening test to ...
lab results11/11/2009
  Q: what is Lymph abs 3.4 and Lymph 47.9 ANSWER: Hello Ana: Absolute lymphocytes refers to the total ...
  A: The absolute count is just at the upper limit and the percentage is mildly elevated. Any viral ...
pathology report-what does this mean11/10/2009
  Q: left upper thyroid signifigant finding present scanty evidence of papillary lesion. Scheduled for ...
  A: The report says significant finding present but then does not mention what that finding is. It does ...
lab results11/10/2009
  Q: what is Lymph abs 3.4 and Lymph 47.9
  A: Absolute lymphocytes refers to the total number of Lymphocytes (a type of white blood cell) in a ...
Unusual EBV titer combination11/7/2009
  Q: I am a 40 year old man that up until this past year was in excellent health. Never smoke, never ...
  A: I agree this is an unusual report. If both VCAIgG and EBNA were positive it would just indicate that ...
h.pylori and UGI endoscopy11/7/2009
  Q: pylori infection and abdominal pain my doctor give my the medication for H.pylori infection and he ...
  A: The UGI endoscopy is advised in case a biopsy is required to confirm the diagnosis of H.pylori. If ...
Liver biopsy/non-hodgkins in remission/gallbladder removal11/6/2009
  Q: Please help understand findings: benign hepatic parenchyma, macrovesicular steatosis. several portal ...
  A: Let me put you to ease right away. the above stated report does not give any indication of presence ...
Prostatectomy Follow Up PSA Test11/6/2009
  Q: On Sept 17, 2009 I had da Vinci surgery to remove my prostate. My first month PSA test resulted in ...
  A: Ideally all PSA tests including the baseline (the first test) should be done in the same lab using ...
goitre11/5/2009
  Q: my ultrasound shows features s/o multinodular goitre involving rt lobe of thyroid and parts of rt ...
  A: You can have goiter without associated hypothyroidism. Goiter is basically enlargement of gland and ...
unsatisfactory pap smear11/3/2009
  Q: I am 60 years old and have never had a abnormal pap test. I recently went to my Family Dr. for my ...
  A: I do not understand what thickening of cells in your report signify. If the report says that the ...
goitre11/3/2009
  Q: my ultrasound shows features s/o multinodular goitre involving rt lobe of thyroid and parts of rt ...
  A: I am not an expert on treatment. A goiter is an enlargement of thyroid gland and may or may not ...
Fine Needle Lymph Node Biopsy11/3/2009
  Q: I had a fine needle biopsy performed on an enlarged lymph node. The results were clear of malignancy ...
  A: If there was the slightest suspicion of Lymphoma further investigation would be done to confirm the ...
CBC results10/30/2009
  Q: My two year old has had multiple blood work drawn for his kidney issues and he has consistant ...
  A: First of all increased lymphocytes do not indicate cancer in all cases. Second I hope the range ...
CBC results10/30/2009
  Q: My two year old has had multiple blood work drawn for his kidney issues and he has consistant ...
  A: All the above values are part of CBC - complete blood count. These parameters are dynamic and every ...
MPV test low alk -phos H10/29/2009
  Q: I just got my test and My MVP is 6.7 and my Alk Phos is 122 and My Alt is 60. Can you tell me what ...
  A: The Alkaline phosphatase(ALP) measure the level of the enzyme in blood and this is produced by the ...
Elevated CRP10/28/2009
  Q: I'm a 27yo male and since January this year I have been frequently ill. Each time I am sick with ...
  A: In a normal healthy person, based on the the lab and technique used for measurement the CRP levels ...
Elevated CRP10/28/2009
  Q: I'm a 27yo male and since January this year I have been frequently ill. Each time I am sick with ...
  A: The blood work is within normal range. The CRP is elevated. CRP is an acute phase reactant. In other ...
Blood CBCs (mine & my daughter's)10/27/2009
  Q: I'm trying to come to the bottom of a bit of a mystery. My platelets keep coming back quite low and ...
  A: The ideal person to help you with this situation will be a hematologist...a person which deals with ...
WBC10/27/2009
  Q: Over the past 3/4 years my wbc has gradually increased. It started at 11.8 in 2005 and in oct 2009 ...
  A: The WBC counts are dynamic and change every time you have a CBC done. However they should remain ...
HIGH LYPHOCYTES BUT ZERO MONOCYTES AND BASOPHILS10/26/2009
  Q: This is Ajay, I am 23 years old. Today I got my blood report and it indicated Haemoglobin 14.1 ...
  A: Your blood reports are basically normal. The differential count is a relative count based on the ...
13yr old with EBV/CMV chronic swollen lymph nodes in his neck since toddler10/6/2009
  Q: I am very concerned, in May my 13 year old son was diagnosed with both Epstein Barr Mono as well as ...
  A: With the list of symptoms you have described your son definitely requires a detailed exam and a ...
abnormal blood tests10/6/2009
  Q: The dr called me back for repeat tests. I don't have the first one except the platlets were 129. One ...
  A: Methotrexate is the drug used for RA. However this has lot of toxic side effects. One of them is ...
32 year old daughter10/5/2009
  Q: She has a large goiter on throat for some time now dr ordered T3 total, T4 free TSH CBC with diff ...
  A: Your daughter has an enlargement of thyroid gland. This could be because of a nodule/s. This affects ...
Lymphoma vs Sarcoidosis10/5/2009
  Q: After several visits to the ENT, I insisted on a biopsy for a lump on my neck. ENT insisted it was ...
  A: The alternative to an open biopsy is FNA (fine needle aspiration) This could be under ultrasound or ...
Job prospects10/4/2009
  Q: I'm doing science career project for class and I've chosen Pathology. I was wondering if you knew ...
  A: Pathology is a challenging and interesting field of medicine. However before you specialize in ...
colonoscopy results10/3/2009
  Q: I had a colonoscopy with biopsies that indicated increased numbers of lamina propria eosinophils and ...
  A: if you have had a definitive diagnosis of Crohn's this present biopsy would be part of the same ...
confusing results with Thyroid biopsy10/3/2009
  Q: I recently had a hemithyroidectomy due to hyperplastic cells (on the left). I have anxiously been ...
  A: It is difficult to say what the diagnosis is without having a look at the slides. Any diagnosis can ...
Lymphoma vs Sarcoidosis10/2/2009
  Q: After several visits to the ENT, I insisted on a biopsy for a lump on my neck. ENT insisted it was ...
  A: Sarcoidosis is a diagnosis arrived at by exclusion. When all other diagnosis are ruled out one may ...
my sister's cancer10/1/2009
  Q: my sister had a nasal endoscopic operation in her left nasal and the 1st pathology result as ...
  A: To verify the results one has to look at the slides. However, non keratinizing anaplastic carcinoma ...
PSA Tests9/23/2009
  Q: I am 56 with a PSA of 5 ng/ml and PSA free .36 (I trust it means 36%, right?). The tests were done ...
  A: PSA levels between 4 and 10 ng/ml are considered borderline. This increases the chances of cancer, ...
about blood borne diseases9/17/2009
  Q: I used a syringe which was used by someone intramuscularly. Will intramuscular injection cause blood ...
  A: One should never share any needles. There is always a risk of infection as the needle is no longer ...
I need detailed explanation9/16/2009
  Q: would you be so kind to interpret my hematology report Normocytic normochromic RBC. Occassional ...
  A: Normocytic normochromic RBC. Occasional normocytic hypochromic cells. Occasional acanthocytes and ...
abnormal blood test results9/15/2009
  Q: Dr. Dahiya, I received a copy of my blood tests results today and would like your help in ...
  A: All the above results are within normal range. The chloride is just at the upper limit. Lymphocytes ...
spindle cell neoplasm/whorls9/15/2009
  Q: I had an excision of lesion right cheek done last week-lump was under skin- not on outside. This is ...
  A: Your lesion has been diagnosed as nodular fasciitis. first of all this is a benign lesion and not ...
colon and liver9/14/2009
  Q: A focal tracer uptake in descending colon led to diagnosis of 1cm pedunclated polyp in descending ...
  A: I am not an expert on MRI images so cannot say what the MRI findings are I can only comment on the ...
URGENT QUERY9/14/2009
  Q: Respected Dr. My aunt encountered a lump on the lower portion of the breasts.When she went for a ...
  A: The report indicates that cells seen are atypical cells. These cells are neither normal not clear ...
Pathology9/12/2009
  Q: You have very beautiful name by the way. I had 4 Dysplastic naevus. The pathology report said " ...
  A: A benign nevus or mole can be located in the epidermis, dermis or at the junction of dermis and ...
colon and liver9/12/2009
  Q: A focal tracer uptake in descending colon led to diagnosis of 1cm pedunclated polyp in descending ...
  A: FNH or focal nodular hyperplasia of liver is a benign lesion and does not transform to liver cancer. ...
liver CT scan9/11/2009
  Q: Dahiya, I like to drink beer. Typically 4-5 per night on the weekends, basically every weekend for ...
  A: A radiologist will be better able to answer your question as to what is the best modality to image ...
Low MPV, High WBC, RBC, & Hgb8/23/2009
  Q: I was looking over a one year-old blood test and I noticed I had several outliers that the doctor ...
  A: I apologize for the delay in answering, due to unforeseen circumstances I was unable to attend to ...
Thyroid Mass8/22/2009
  Q: I have a 6cmX5cmx3cm mass in m sternal notch. I also have 2 hypoechoic noules in my thyroid. I also ...
  A: I apologize for the delay in answering, due to unforeseen circumstances I was unable to attend to ...
psa8/22/2009
  Q: I am just turning 48 this month. I also just had my annual physical. my psa was .08. the last time ...
  A: I apologize for the delay in answering, due to unforeseen circumstances I was unable to attend to ...
Dr.Dahiya I have questions regarding next steps with what tests should be run following this lab work8/21/2009
  Q: I am a 56 year old female I have started 2 weeks ago with some nausea and bloating and with past ...
  A: I apologize for the delay in answering, due to unforeseen circumstances I was unable to attend to ...
Pathology report8/19/2009
  Q: Dr. Dahiya, I have had an ongoing rash for about 5-6 years. It is in the crease of my leg (at panty ...
  A: I apologize for the delay in answering, due to unforeseen circumstances I was unable to attend to ...
Intrepretation Needed8/19/2009
  Q: My spouse has colon cancer. Following are two pathology reports- the first one from the polyps ...
  A: I apologize for the delay in answering, due to unforeseen circumstances I was unable to attend to ...
Intrepretation Needed8/18/2009
  Q: My spouse has colon cancer. Following are two pathology reports- the first one from the polyps ...
  A: This is a regular detailed pathology report and can be intimidating to read and understand. The ...
abnormal bloodwork CBC extremely ill8/18/2009
  Q: I have been ill for the last 9 months with severe swelling in my joints, headache, neck pain, joint ...
  A: I will try and help as much as I can. A rheumatologist is be best to diagnose / rule out all the ...
CBC with diff results8/18/2009
  Q: My 16 yr old son has been dizzy, lightheaded and having headaches. The doc ordered blood work. ...
  A: The platelets are reduced but on their own they are not diagnostic of any specific disease. The ...
CBC interpretation8/14/2009
  Q: I have read with interest your responses to past enquirers and their CBC results. As a result I'm a ...
  A: Yes, the only out of range value in the CBC is the lymphocyte count. however the total white blood ...
Thyroid FNA8/12/2009
  Q: I recently had a biopsy done on a nodule in my right lobe. When the doctor took the biopsy he said ...
  A: As far as I am aware it is a 10% chance based on some studies. The statistics are always for a wide ...
IgM and IgG Antibody Specific to HSV 1 & 28/12/2009
  Q: I am an "expert" on the STD forum and had a question I don't have the resources to investigate, and ...
  A: This is unusual. Once a virus infects the body the IgG persist lifelong...the titer may drop from ...
Thyroid FNA8/11/2009
  Q: I recently had a biopsy done on a nodule in my right lobe. When the doctor took the biopsy he said ...
  A: the fine needle biopsy of thyroid nodule removes cells and they can be assessed for their morphology ...
nasalpharangeal squamous cell cancer8/11/2009
  Q: what is the cause of this type of cancer? I understand it is common in the Asian countries.my ...
  A: EBV is the name of a virus - Epstein Barr Virus and these two causes which I mentioned earlier are ...
MDS?8/11/2009
  Q: In 2004/2005, I had pancytopenia - all my counts were down, and I ended up with 5 transfusions ...
  A: I am not sure that MDS waxes or wanes, but remission is achieved upon treatment and duration of the ...
Non-Caseating Granulomas8/10/2009
  Q: I had armbone pain, night sweats, then shortly following tumor rapidly grew on ulnar bone. Had it ...
  A: Recurrence of lumps and new lumps appearing is something which should be investigated further. Also ...
nasalpharangeal squamous cell cancer8/9/2009
  Q: what is the cause of this type of cancer? I understand it is common in the Asian countries.my ...
  A: Nasopharyngeal cancer is relatively rare in united states and even rest of the world. There is a ...
MDS?8/8/2009
  Q: In 2004/2005, I had pancytopenia - all my counts were down, and I ended up with 5 transfusions ...
  A: It does seem that you have MDS. It would be better decided upon the appearance of the type of cells ...
WBC count8/7/2009
  Q: " weeks ago i was admitted into hospital due to pregnancy complications and bloods were taken. I was ...
  A: In pregnancy there is a mild increase in white blood cell count (WBC) and is called physiological ...
wbc 270008/6/2009
  Q: I wanna start by saying what u do here is awesome. thank you. ok this is my problem I had recently ...
  A: The commonest cause of elevation in the white blood cell count is an infection. Even a mild sore ...
thyroid FNA results8/3/2009
  Q: A few years ago I found a large nodule, almost 4 cm and subsequenlty had an FNA. it came back as an ...
  A: Hurthle cell change is seen in the thyroid cells in some benign conditions. Rarely it is a part of ...
sir plz tells meaning of severe normocytic normochromic anemia blood picture with atypical cells8/3/2009
  Q: sir iam a pharmacist my son age is 11months. blood report is 1.hb--2.7gms% 2.packed cell volume ...
  A: The report indicates that your son is severely anemic with presence of abnormal cells. The next step ...
ADENOMATOUS POLYP8/1/2009
  Q: Our friends's microsocpic diagnosis from his surgical pathology report from his colonoscopy read : ...
  A: An adenoma is type of polyp which is benign. However it has the potential to turn into cancer. The ...
CBC results7/31/2009
  Q: two days ago I had a CBC test and my platelet count was low at 92. My MPV was high at 12.7 and my ...
  A: Leukemia / lymphoma is not diagnosed on the basis of MPV. Monocyte count is mildly elevated and can ...
High and Low Levels on Lab Reports7/30/2009
  Q: In 2 different lab reports take in the last few weeks there is some are of concern for me that these ...
  A: Ideally all lab tests should be done in one lab to maintain the continuity as there may be some ...
thyroid pathology7/30/2009
  Q: i have a very hard nodule in my right thyroid. the radiologist that performed the biopsy said it was ...
  A: Your report indicates that thyroid cells arranged in shape of follicles are seen and they contain ...
Non-Caseating Granulomas7/29/2009
  Q: I had armbone pain, night sweats, then shortly following tumor rapidly grew on ulnar bone. Had it ...
  A: A granuloma is a collection of certain type of cells which normal help in removing microorganisms ...
infection7/25/2009
  Q: I had blood work done and my wbc was 14.5 H and my absolute lymphocytes was 5.0 H but my HGB 11.3 L ...
  A: You just have a mildly elevated white blood cell count. This can be because of anxiety , stress, ...
Pediatric Melanoma pathology results7/21/2009
  Q: My 9 year old son was born with a very small, red, flat lesion above his left ear, on his head. ...
  A: It is very difficult for me to comment on the nature of the lesion without having seen it. It is ...
cbc results7/20/2009
  Q: I have a WBC of 14.4, Hematocrit of 45.5, MCV of 100.2, MCHC of 30.9, RDW of 18.1, my neutrophils ...
  A: The WBC count is mildly elevated and is seen in stress / exercise / infections etc. If you are ...
how read ebv test results7/20/2009
  Q: i have struggled with ebv for a long time with very high titers. just had a test done and have not ...
  A: In EBV serology the titers are high initially and then gradually fall. Each lab may choose a ...
thyroid cancer7/16/2009
  Q: my wife is 35 yrs old & she has been diagnosed with hashimotos thyroiditis with papillary ...
  A: The report basically says that the entire thyroid gland was removed - right and left lobe as well as ...
Swollen Supra-clavicular Lymph Node7/15/2009
  Q: I am a 35 yr old woman. I found a swollen lymph node on my right collarbone over a month ago. It ...
  A: There are many different studies which indicate how often the FNA was false negative or ...
Mantoux TB skin test re-administered7/15/2009
  Q: Dr. Dahiya - Thanks so much for assisting people in this way. I was unable to find a previous ...
  A: There is variation in recommendation for Mantoux testing in various countries for people who have ...
Swollen Supra-clavicular Lymph Node7/14/2009
  Q: I am a 35 yr old woman. I found a swollen lymph node on my right collarbone over a month ago. It ...
  A: It would be pure speculation to say what the lymph node biopsy would show. I wish I could be more ...
What do the numbers mean?7/10/2009
  Q: I have a 22-month old granddaughter with an 8-month history of unexplained fevers; 2 months of hives ...
  A: Please do not panic the CBC results are within normal range. The numbers do not suggest cancer. ...
Spindle Cell Neoplasm7/10/2009
  Q: I recently had a full excision of a growth on my forehead. The most recent pathology report ...
  A: Neurofibroma and neuroma are benign tumors of the peripheral nerves. These are composed of spindle ...
CBC Result7/9/2009
  Q: I was wondering, my CBC was completely normal EXCEPT absolute lymphocytes were very low like 570 ...
  A: All the CBC values have a normal range which is arrived at as an average of a set of values obtained ...
Colonoscopy7/7/2009
  Q: Clinical reports below. My doctor recommends a laparascopic right hemi-colectomy to remove the polyp ...
  A: As far as the pathology reports state, this polyp is benign without any kind of features suggesting ...
Mild lymph nodes enlargement7/1/2009
  Q: I had shingles 3 months ago and as a result my right armpit lymph node was enlarged. One month later ...
  A: Lymph nodes are tiny centers in the body which respond to various stimuli and produce cells which ...
thyroid biopsy7/1/2009
  Q: My question has to deal with the "standards" of an FNA pathology report of a thyroid nodule. I had ...
  A: I cannot comment on the quality of reporting since I have not seen the slides of your FNA. In ...
Blood work6/30/2009
  Q: My husband and I applied for life insurance and I his bloodwork was fine--however, a letter came ...
  A: All these test are for assessing the function of the liver. All of them are elevated indicating some ...
abnormal cbc6/30/2009
  Q: An 80 yr. old woman has a WBC of 130,000...86% bands...a month ago her WBC was 5000. What could be ...
  A: Any form of infection / fever / sore throat etc will lead to elevated values. In addition acute or ...
colonoscopy biopsy6/30/2009
  Q: recently had a normal colonoscopy, with the wording "colonic mucosa shows mild chronic non-specific ...
  A: IBD is irritable bowel syndrome. A diagnosis arrived at by exclusion. All other conditions with ...
blood work6/26/2009
  Q: I have a male relative that is 62. He has recently had a white count test result of over 40,000. A ...
  A: The White cell count is very high this can be seen in severe infection as well as in leukemia. The ...
Interpretation of MPV and component blood test results6/24/2009
  Q: Recent fasting blood test produced following results: MPV 6.9; Platelets 419; Neutrophils 58%/3886 ...
  A: The counts are within normal range and you needn't worry about any specific disease. The only thing ...
low monocytes count6/22/2009
  Q: I received my blood work report from my Dr Friday and my Monocytes(Absolute) count which should be ...
  A: Your blood counts are within normal range as mentioned by you. Only the monocytes are at a low level ...
Wife's blood work6/19/2009
  Q: Dahiya, I am concerned about my wife. I have know her for 10 years and she may have had some short ...
  A: At this point the symptoms and their response to treatment seem to favor a viral infection. If the ...
pet scan and fna6/19/2009
  Q: In Oct. 2009 I had a pet scan to check nodes, (I previously had thyroid cancer) only nodes that were ...
  A: The lymph nodes are where the cancer cells would travel and then from these spread elsewhere. If the ...
Elevated AST(SGOT) & ALT(SGPT) Levels6/18/2009
  Q: I recently had blood work performed which indicated that my AST and ALT levels were high (all other ...
  A: AST and ALT are raised in skeletal muscle trauma. It depends on how much the values are raised. AST ...
Wife's blood work6/17/2009
  Q: Dahiya, I am concerned about my wife. I have know her for 10 years and she may have had some short ...
  A: A low grade fever for 3 weeks is a cause for concern if no specific reason is found. The bloodwork ...
Mole removal6/17/2009
  Q: I recently had several moles on my back removed.When I went back for a check,The doctor said "now I ...
  A: I could help you better understand your mole if you had the exact diagnosis. Otherwise it is just ...
MELANOCYTIC NEVUS6/16/2009
  Q: Unlike Greg who asked about the pathology found:compound melanocytic nevus, I have a history of ...
  A: There is no need to have more lesions excised. However do keep a visual track of them If you notice ...
nasopharyngeal mass6/13/2009
  Q: My son had a CT scan due to having frequent headaches and they found a 1.7 cm lesion in the right ...
  A: I can understand your anxiety about not knowing whats wrong with your son. Nasopharyngeal mass means ...
Thyroid Cytopathology FNA6/13/2009
  Q: Recently received the following results from my thyroid, right complex nodule, FNA: Satisfactory for ...
  A: The report essentially shows normal looking cells which are found in the thyroid. The first two ...
Dermatology Pathology report6/11/2009
  Q: my report says the biopsy shows "midly acanthotic epidermis with associated focal parakeratosis. ...
  A: Yes the two diagnoses are different entities. Keratosis pilaris is very common , benign, genetic ...
Please shed some light on our Pancratic Cancer diagnosis6/11/2009
  Q: My father was just diagnosed with pancreatic adenocarcinoma with lung metastasis, and I am concerned ...
  A: CK7 positive and CK 20 negative cells favor lung cancer. TTF 1 helps differentiate between primary ...
thyroid FNA pathology report6/10/2009
  Q: I have this report and they want to do surgery. I want to make sure that is needed. This report says ...
  A: microflollicular aggregate refers to a collection of cells from thyroid which form the pattern of a ...
thyroid FNA pathology report6/10/2009
  Q: I have this report and they want to do surgery. I want to make sure that is needed. This report says ...
  A: The report describes the appearance of follicular cell which are found in the thyroid. Their ...
Serum Creatinin6/10/2009
  Q: My 3YO son's CBC with Platelet count lab test result has the following: Basophil: 0.03 Atypical ...
  A: Creatinine is a breakdown product of creatine, which is an important part of muscle. Increased ...
dm pathology6/10/2009
  Q: i am in my first year of MD pathology.i want to know about the various dm subjects in pathology and ...
  A: I am not aware what "DM" in pathology is. Once you finish your MD pathology you can do fellowship ...
EBV titer test6/9/2009
  Q: My daughter is 17 years old. This past January, she became ill and stayed really sick for 3+ weeks. ...
  A: Each lab has a cutoff / reference range for the antibody levels. This helps to determine if the ...
sick child6/7/2009
  Q: I was wondering if you could tell me if my daughters blood test results could be the sign of relapse ...
  A: The WBC count is moderately raised and the neutrophils are high. The high neutrophil count goes ...
blood tests results6/5/2009
  Q: I am 49 yr old healthy female. I just had blood tests and am wondering what the results mean. My wbc ...
  A: Sorry for the delay in the reply. Your blood test indicates that you have slightly decreased white ...
elevated hs-crp, monocytes, leukocytes, concurrent with knee pain, instability, and injury6/5/2009
  Q: I have read that elevated hs-crp can be an indicator of cardiac risk, but I had mine drawn for an ...
  A: hs CRP is indeed used as a marker for assessing the risk of cardiac disease. However it has to be ...
Atypical Lymphocytes6/5/2009
  Q: My 3YO son's CBC with Platelet count lab test result has the following: Basophil: 0.03 Atypical ...
  A: Basophil and atypical lymphocytes are type of white blood cells seen in the blood. Both are within ...
High WBC and Liver Function6/4/2009
  Q: for the past 3 years I've Been experincing fatigue night sweats occasional swollen lymp nodes that ...
  A: Your Blood tests are absolutely fine and there is nothing which suggests cancer. The only out of ...
Blood Tests6/4/2009
  Q: How much blood is required to conduct a blood test? Background: My 86 yr old mother was admitted to ...
  A: At a given time 3 to 6 ml of blood may be drawn to do most of the routine blood tests. If some more ...
Intermittent fever for 5 months6/3/2009
  Q: My daughter in 4 and half years old. She was born in the USA and we can back to India in Oct 2007. ...
  A: the nodes are very small and hence clinically insignificant. I guess since the ultraosund was done ...
prostascint6/3/2009
  Q: I am new to this format and recently submitted a query that was misunderstood as a "homework ...
  A: Rising PSA levels after prostatectomy an d treatment indicate recurrence of cancer. However this is ...
high wbc6/3/2009
  Q: My daughter was sick a month ago and the doctor did blood work. her counts were off they wanted do ...
  A: As the doctor says she may just have this as her normal level. The ranges for these tests are an ...
desperate: infection? dental?6/2/2009
  Q: Awhile ago I developed severe right face pain. The dentist saw no infection. For many months I ...
  A: There is definitely chronic pathology involving the gums / bone in the oral cavity (mouth) Ideally ...
PSA test results5/29/2009
  Q: This is a question about the method used to report results from a Bayer Chemiluminescent test. ...
  A: I would rather not comment on the reliabilty of equipment in specific labs. under ideal conditions ...
Thyroid FNA report5/28/2009
  Q: I was recently diagnosed with one complex thyroid nodule. My endocrinologist did FAN and recommended ...
  A: Based on the report your diagnosis is nodular hyperplasia as of now. There isnt sufficient ...
PSA test results5/28/2009
  Q: This is a question about the method used to report results from a Bayer Chemiluminescent test. ...
  A: PSA is a screening test to assess the prostrate. PSA levels below 4.0ng/ml are considered normal. ...
Thyroid FNA report5/26/2009
  Q: I was recently diagnosed with one complex thyroid nodule. My endocrinologist did FAN and recommended ...
  A: The FNA report is essentially favoring nodular hyperplasia. The only negative is a single fragment ...
Intermittent fever for 5 months5/23/2009
  Q: My daughter in 4 and half years old. She was born in the USA and we can back to India in Oct 2007. ...
  A: Please have your daughter seen by a pediatrician who can do a complete physical examination and ...
time required to cure cmv igg and cmv igm5/23/2009
  Q: one of my relative sufferred from acute lymphoblastic luekemia ( type of blood cancer) since last ...
  A: CMV infection is more common in childhood. By young adults most peopel have been exposed to the ...
low monocytes5/21/2009
  Q: labs cbc & cmp everything was with in normal limits except my monocyte count which was 4.3L normal ...
  A: Please do not be unduly worried about a single low value of monocytes. All the normal ranges of ...
Lymphocrates in spinal fluid5/20/2009
  Q: I just had a spinal tap done. Doctor is looking for Ms other diseases. Not all the tests are back ...
  A: The fluid drawn in a spinal tap is cerebro spinal fluid. It should be clear and not contain any ...
VERY low lympho %4/22/2009
  Q: I had blood work a few months ago because I suffer from severe panic attacks and agoraphobia and ...
  A: The percentage of lymphocyte count and absolute (#) lymphocyte count are reduced. The absolute count ...
PSA test variances4/22/2009
  Q: I read with interest your answer to another individual which was most helpful, but I guess a little ...
  A: The PSA is definitely raised with either of the equipment used and needs to be evaluated. In ...
Blood Lab results4/22/2009
  Q: I would like to know what these abbreviations stand for and what this means about my health: HGB low ...
  A: A number of tests have been done and I will focus on those which point towards a specific condition. ...
low white blood count4/21/2009
  Q: Can you help me understand the following lab: WBC 3.3 (with a reference range of 1.1-4.3), Platelet ...
  A: All the blood parameters tested have a range. This range is arrived at by taking the average of ...
CBC Report4/21/2009
  Q: I recently had some lab work done at my doctors office. It shows: WBC 12.3 flagged as high Lymph ...
  A: All the blood parameters tested have a range. This range is arrived at by taking the average of ...
Microcalcification4/21/2009
  Q: My mom (age 46) just got her mammogram result and it said "Cluster of Microcalcification in the ...
  A: I am not familiar with use of infra red for evaluating breast tissue. Microcalcification is minute ...
can you explain report4/20/2009
  Q: This is the post diagnosis; Metastic papillary thyroid carcinoma. This involved the right neck,the ...
  A: The thyroid has been found to have papillary carcinoma. This is the commonest form of the cancer in ...
Haematology report4/19/2009
  Q: the result of my test is (I will mention only the ones out of range : - White Blood Cell Count ...
  A: There is a mild increase in white blood cells and this is because of increase in neutrophils. These ...
lymph nodes4/19/2009
  Q: I had 2 ultrasounds...one in March,2008 and one last week.The report showed a normal pancreas but ...
  A: Lymphadenopathy means that the lymph nodes are enlarged. This enlargement can be as a reaction to ...
Sarcoidosis vs Lymphoma4/17/2009
  Q: Dr D.-please help me to understand pathology processing for sarcoidosis. I just had mediastinal ...
  A: I understand how this is confusing for you. I will try and explain this in abetter manner. ...
CLL or what else could it be4/16/2009
  Q: Routine visit to my Dr., labs indicated maybe CLL. RBC low iron low, WBC, Platlets, Lympocytes High, ...
  A: It does appear from your findings that you have anemia and most likely iron deficiency. Lymphocytes ...
Lab Results4/16/2009
  Q: I recently had labs done for firefighter pre hire. I was consuming alcohol almost everyday. Are ...
  A: I would not worry about the test result from serum Iron and below. However the first four are more ...
Sarcoidosis vs Lymphoma4/15/2009
  Q: Dr D.-please help me to understand pathology processing for sarcoidosis. I just had mediastinal ...
  A: Sarcoidosis is considered an auto immune disease. the characteristic feature is collection of groups ...
Thyroid Nodule - FNA Results4/14/2009
  Q: I was recently diagnosed with a thyroid nodule (cold). The nodule is 3.5 cms in diameter. I am ...
  A: Based on the cold nodule, thyroglobulin results and lack of suspicious or cancer cells one can ...
Leukemia?4/13/2009
  Q: Does hematology indicating high WBC, High Lymphocytes and low Neutrophils really mean Leukemia?
  A: Leukemia is diagnosed based on total WBC count which may be high or low, lymphocytes may be elevated ...
Papillary Carcinoma of Thyroid Patholigy4/13/2009
  Q: My husband was recently diagnosed with papillary carcinoma of the thyroid. We are currently ...
  A: The FNA report does describe features associated with papillary carcinoma as seen on fine needle ...
CEA level of 3.4 ng/mL4/12/2009
  Q: I am 50 with a 2 year old I am still nursing. I've had normal breast mammagrams. a normal breast ...
  A: CEA is a non specific marker for cancer. It is neither organ nor tumor specific as it is raised in ...
Mastectomy - Biopsy result4/12/2009
  Q: My mother (60 years) was diagnoside with breast cancer and she opted for Mastectomy. The small lump ...
  A: Your mother has breast cancer with stage 2 and grade 2 classification. This is based on size of ...
Abnormal Infant CBC4/10/2009
  Q: My 9 month old daughter recently had a CBC done. The doctor informed us that she had the presence of ...
  A: Acanthocytes, elliptocytes, microcytes and macrocytes ...all these terms refer to various shapes and ...
CBC w/differential for my 2 year old daughter4/7/2009
  Q: Our daughter's eating is not very consistent & weight has been on the low side but she is otherwise ...
  A: By the reference range (if this is age adjusted) There is a mild increase in lymphocytes. This could ...
Out of Range labs4/7/2009
  Q: I was hoping you could help me interpret my lab report. After 2 years of pain and many symptoms, I ...
  A: Low blood levels of creatinine are not common and are not usually a cause for concern. They can be ...
WBC3/27/2009
  Q: My daughter is 7 years old. She has strep throat right now, but the doctor ordered so lab testing to ...
  A: I hope your daughter is feeling better now. For a 7 year old the WBC are moderately elevated. In ...
bone marrow biopsy3/27/2009
  Q: I had asked a question earlier this month regarding my low white count:I had a low WBC (3.6), RBC ...
  A: The suspicion raised by your blood counts - low WBC count (leukopenia) was Myelodysplastic syndrome ...
question3/25/2009
  Q: I have just been diagnosed with Ducta Epithelial Hyperplasia could you please tell me what it is and ...
  A: Ductal epithelial hyperplasia may be simply defined as proliferation of the lining cells of ducts ...
Borderline enlarged lymph nodes3/18/2009
  Q: I have recently been in hospital for investigations into 7 months feeling ill. A CT scan showed ...
  A: Lymph nodes are small bean shaped structures scattered all over the body. They produce lymphocytes ...
Non-HAMA interference PSA assay3/18/2009
  Q: My prostate cancer was treated on 2/5/07 with I-125 seed implantation. However, the lowest PSA ...
  A: Murine monoclonal antibody can induce (HAMA)- Human antimouse heterophile antibodies (HAMA) and ...
confusing blood test/ Leukemia with low lymphocytes3/17/2009
  Q: I just had a blood test done my wbc is 39.6 high platlets are 134 low neutrophils are 21 low ...
  A: Non Hodgkin's Lymphoma is a type of malignancy which involves the lymph nodes. These are small round ...
confusing blood test/ Leukemia with low lymphocytes3/17/2009
  Q: I just had a blood test done my wbc is 39.6 high platlets are 134 low neutrophils are 21 low ...
  A: The WBC done after intervals are not additive. These are dynamic values and change everytime they ...
Blood Test Results3/16/2009
  Q: What means, if you hav a Low result in Eos Auto %, I had a 0.8 and in the results say that normal is ...
  A: For most blood tests, normal range is set after taking an average of values from a given normal set ...
colonic biopsy report3/15/2009
  Q: I recently saw the pathology report from my colonic biopsy. It said "mild non-specific chronic ...
  A: You can rest assured that the biopsy is normal. The colon generally shows some inflammatory cells ...
CBC3/13/2009
  Q: your assistance is invaluable. I am preparing for an IVF (in vitro fertilization) cycle using frozen ...
  A: The neutrophils are on the higher side and also for this reason there is a relative decrease in the ...
surgical pathology report3/13/2009
  Q: Diagnosis right nipple excision - 2 to 3 MM Papilloma. Fibrocystic change with patchy sclerosing ...
  A: A papilloma is not cancer. This is a wart like growth which can sometimes puncture a duct and then ...
AST and ALT decreased3/13/2009
  Q: Could You help me anderstand my blood work?Iam 36 years old and my Phemistry Panel is Normal except ...
  A: The results are mildly below normal range. These may be the normal levels for you as all ranges are ...
FNA of Thyroid indicates very cellular sample with mildly atypical follicular cells3/11/2009
  Q: My children have a history of benign nodular goiter. I just had an ultrasound of my thyroid and it ...
  A: FNA is a procedure where a needle helps pull out cells from a lesion and these are examined to ...
Lab results3/11/2009
  Q: I was diagnosed with breast cancer in July 2008. I have had a lumpectomy (no lymph nodes ...
  A: The Blood tests done for you are dynamic parameters their values change everytime you are tested. ...
EBV Panel3/5/2009
  Q: I recently had an Epstein Barr Panel while trying to diagnose some swollen lymph nodes. After ...
  A: Antibodies are proteins produced by the body in response to foreign elements in the body. This ...
EBV Panel3/5/2009
  Q: I recently had an Epstein Barr Panel while trying to diagnose some swollen lymph nodes. After ...
  A: Following your antibody results I think it indicates a past infection or reinfection with EBV. ...
Lab results3/5/2009
  Q: My dad has history of pancreatitis, and pseudocyst. Recent - Obstructive jaundice, double duct ...
  A: All the tests performed and their values are indicative of chronic infection and your father does ...
Hodgkins survivor with neck lump and night sweats3/4/2009
  Q: I had Hodgkin's Disease in 1990 and have been in remission ever since. In late January I had two ...
  A: Given your history you are right to worry about recurrence of lymphoma. I agree that the lymph node ...
Lab work3/3/2009
  Q: All is normal limits excluding the following: WBC 12.6 UIBC 363 Albumin 4.5 Cholesterol 261 ...
  A: I am not an expert on decision regarding treatment protocols however this is what I suggest. Hip ...
Bladder cancer (pathology report)3/2/2009
  Q: My husband has been doing the BCG treatments since 8/08, had one biopsy in DEC, followed by 3 more ...
  A: Lymphovascular invasion implies that the tumor cells are seen in the lymphoid and vascular channels. ...
EBV positive, low lymphocyte for 6 yr old son3/2/2009
  Q: My 6 yr old son has had fevers and lethargy for 2 months now. Lab results show positive for Epstein ...
  A: Low absolute lymphocytes are a cause of concern if they continue to drop. If the next Blood counts ...
low white count3/2/2009
  Q: I had a low WBC (3.6), RBC (4.05), HGB (11.9), HCT (36.2), MCHC (32.9), and NE% (40.1) and a high ...
  A: ANC refers to absolute neutrophil count. Neutrophil is a type of white blood cell. The normal count ...
EBV positive, low lymphocyte for 6 yr old son3/1/2009
  Q: My 6 yr old son has had fevers and lethargy for 2 months now. Lab results show positive for Epstein ...
  A: In EBV infection if all three antibodies are present it generally indicates a past infection. The ...
High white-blood cells and atypical lymphocytes2/27/2009
  Q: I went for tests a year ago and they showed I had atypical lymphocytes. I recently went for a full ...
  A: I think the first thing you need to worry about is being pre diabetic with high cholesterol. ...
Thyroidectomy Pathology2/27/2009
  Q: I have been on varied thyroid meds since 1978 and had been complaining of lump in right side of neck ...
  A: Your thyroid revealed two types of lesions One is benign - Hashimoto's thyroiditis. It is autoimmune ...
blood tests2/27/2009
  Q: I have had a range of tests done and it has come back CK 145 and oesinophils just slightly high ...
  A: The eosinophils are minimally elevated and have no clinical significance. CK (Creatine Kinase)is a ...
son's labwork2/27/2009
  Q: My 12 year old son has atypical lymphocytes(24) an increased sed rate(16)an ASO Ab titer (800) with ...
  A: Since he is negative for EBV, CMV etc other causes have to be looked into. The ASO titre of 800 is ...
low white count2/26/2009
  Q: I had a low WBC (3.6), RBC (4.05), HGB (11.9), HCT (36.2), MCHC (32.9), and NE% (40.1) and a high ...
  A: A CBC (complete blood count) is a routine, screening blood test, wherein values out of normal range ...
FNAC2/24/2009
  Q: I am a design Engineer and have desk job. for the Past 10 days I have small lump at the right side ...
  A: Please do not worry too much. The FNAC involves using a needle and taking out some material from the ...
EBV Blood Tests2/23/2009
  Q: I am a 74 year old female, and about 11 months ago I became so tired to the point that simply the ...
  A: after almost a year your Early Ab's should have become undetectable and the rest - VCA IgG and EBNA ...
pathology report of FNA thyroid2/22/2009
  Q: Diagnosis: Left lobe thyroid fna...scantly cellular specimen with macrophages and colloid: however ...
  A: The report basically says that the material presented for assessment is insufficient to come to a ...
PSA2/22/2009
  Q: I was diagnosed with Gleason 9 prostate cancer. I had a LRP in Nov of 2007. All my PSA's have been ...
  A: Please relax and do not get anxious over this result. There is always a mild variation between ...
Cluster of Microcalcification2/21/2009
  Q: My mom (age 46) just got her mammogram result and it said "Cluster of Microcalcification in the ...
  A: Microcalcifications in breast...is very small deposition of calcium in breast. This is highly ...
My test results2/20/2009
  Q: , I suffered from graves deasease for 10 years and was taken neomercazole, After 10 years the ...
  A: In general serum B12 is measured and its measurement at times does not correlate with the symptoms. ...
path report2/20/2009
  Q: I had a dermafibroma removed from my upper back and the path report called it a neoplasm with ...
  A: Dermtoafibroma is a benign skin neoplasm...one of the more common ones and seen more frequently in ...
Labs2/20/2009
  Q: My lab worked showed that my hormones were very low thyroid low, trygcerides 549, cholesterol 309 ...
  A: Alkaline phosphatase is a screening test to assess the functioning of liver. A high level indicates ...
Pathology procedure2/20/2009
  Q: My mom (46 years) did her annual check up at a hospital in Singapore last week. And she said that ...
  A: If a mammogram shows anything abnormal then the nest step is an FNAC -fine needle aspiration ...
My test results2/20/2009
  Q: , I suffered from graves deasease for 10 years and was taken neomercazole, After 10 years the ...
  A: Most common cause for B12 deficiency is dietary. Especially if you are on vegetarian diet. Another ...
CBC results2/17/2009
  Q: The results of a recent blood test revealed Hgb was 13.6. Hct was 40.5. RDW was 14.4 Lymp Abs were ...
  A: Your CBC results are almost normal. There is a mild decrease in Hgb The physician based on his ...
Pathology Results on 2 Bone Tumors2/13/2009
  Q: Over the course of 3 mos I developed left ulnar bone pain, then hard lump appeared doubling in size ...
  A: According to the report this lump shows no evidence of infection either by fungus or bacteria ...
CEA results2/12/2009
  Q: What can cause a faulty high CEA leavel. ANSWER: Hi Carol: CEA or carcinoembryonic antigen is a ...
  A: One possibility is that your levels may be normal for you. since most levels are arrived at as an ...
FNA Results2/11/2009
  Q: My FNA came back as follicle cells of moderate cellularity and scant colloid. Can you tell me ...
  A: This essentially means that the FNA slides show normal follicle cells found in the thyroid. In ...
thyroid biopsy results2/11/2009
  Q: I got results from my FNA biopsy which the dr. explained in dr terms. He said that my left lower ...
  A: I am glad my answer helped you understand your report better. I am sorry about the typo in the last ...
path report2/11/2009
  Q: I recently had a bx done to my thyroid and the report stated abnormal cells cannot not rule out ...
  A: The two reports mentioned are entirely different. If no abnormal cells or atypical cells were seen ...
CEA results2/11/2009
  Q: What can cause a faulty high CEA leavel.
  A: CEA or carcinoembryonic antigen is a glycoprotein found in many cells in the body. Most normal ...
path report2/8/2009
  Q: I recently had a bx done to my thyroid and the report stated abnormal cells cannot not rule out ...
  A: Abnormal cells mean that they are of course not entirely normal but are also not clear cut cancer ...
thyroid biopsy results2/8/2009
  Q: I got results from my FNA biopsy which the dr. explained in dr terms. He said that my left lower ...
  A: From your description I gather that the diagnosis made has been Hashimoto's thyroiditis. It is a ...
Absolute Lymphocytes2/7/2009
  Q: My mother had bloodwork done and her Absolute Lymphocytes came back as higher than 8000. Her white ...
  A: High WBC count along with increased lymphocytes indicates infection especially by viruses, chronic ...
abnormal bloodwork lymphocytes2/5/2009
  Q: I had bloodwork done several months ago with elevated lymphocytes. The doctor said that it was ...
  A: I think that since you mention elevated lymphocytes the Lymphocyte% written above is 70 and not 7.0 ...
Hodgkin's Lymphoma2/5/2009
  Q: I had fna biposy that showed Atypical Large Lymphocytes. jaw angle node shows numerous binucleated ...
  A: Absence of a positive mono test and infection have no relation with Hodgkins disease. Reed ...
elevated liver enzymes and high cholesterol2/5/2009
  Q: I just had bloodwork repeated because when I had routine bloodwork done in September 08, my liver ...
  A: A laboratory report of mildly elevated liver enzymes is common and does not indicate a specific ...
pathology test2/4/2009
  Q: I AM 44(MALE) AND HAVE RECENTLY UNDERGONE A BLOOD TEST AND THE TEST REPORTS SHOWS AS: ...
  A: ESR is a screening test. It indicates that there is some form of chronic infection / inflammation / ...
total thyroidectomy medication & labs2/4/2009
  Q: I had complete thyroidectomy Dec 2008. Was sent home on 125 synthroid. (no cancer, just very large ...
  A: I am not an expert at this but I understand that your dose of synthroid may be too much for you and ...
thyroidectomy pathology2/3/2009
  Q: What should be on the report from the pathologist after a thyroidectomy. Will there be seperate ...
  A: The pathology report will give information about the nodule...what type of lesion it is...benign, ...
atypical cells2/2/2009
  Q: If after having a biopsy it was determined there were atypical cells in the breast, is a surgery ...
  A: Atypical cells are cells which have features in between those of normal and cancer cells. Since they ...
thyroid nodule/biopsy2/2/2009
  Q: i just recently had a fine needle biospy of a right/left nodules. right side w/ many nodules 1 was ...
  A: The right side nodule does not show any evidence of cancer. Since the left nodule is calcified a ...
Thyroid Biopsy1/27/2009
  Q: My current endocrinologist requested I obtain a copy of a biopsy I had elsewhere in 2004. I ...
  A: Please do not be worried about this report. First of all this was in 2004. Since then you have been ...
Pap Smear test result1/27/2009
  Q: I hope you can help me on interpretation of my pap smear test. it is two and half months that my ...
  A: The report's first two pints are consistent with post partum findings...that is this what you would ...
blood test results1/26/2009
  Q: i went to the emercency room recently and had some blood tests done i am concerned that the ...
  A: The blood test reports are not clinically significant. The WBC count is mildly elevated at 11.7 this ...
Pathology report1/26/2009
  Q: I am a 33 year old male, I recently had a shave biopsy done on a spot on my back and could really ...
  A: A melanocytic nevus is basically a birthmark and represents pigmented black or brown spot In ...
low potassium, abnormal ekg at e.r.1/24/2009
  Q: 60 year old female went to e.r. with vision/nausia issue. My e.r. lab results: "Potassium level 3.4 ...
  A: The tests done in the ER and not worrisome and are not clinically significant. GTT would help ...
high white blood cell count1/22/2009
  Q: I recently discovered that my white blood cell count is 27,000 and I was wondering what could be the ...
  A: Generally this high blood count is seen in active infection and you would have accompanying fever ...
Low neutrophils, high lymphocytes1/20/2009
  Q: Over the last 1 1/2 yrs. my NE has gone from 47.5 to 42.2--LY from 41 to 47.4--WBC from 4.3 to 4.2. ...
  A: All the blood parameters tested are dynamic values and their levels vary every time you are tested. ...
diabetes1/20/2009
  Q: my 2 yrs. old baby is diabetic. i had bought accu check active glucometer for him. when i compare ...
  A: Glucose home monitoring devices like the glucometer analyze whole blood specimen from the ...
Ferritin level Question!1/20/2009
  Q: Is it possible to have a Low Ferritin level,with a normal to high hemoglobin for several years, ...
  A: Ferritin levels are measured to asses the storage iron in the body. When iron stores are reduced ...
CBC LYMPH RESULTS1/19/2009
  Q: Dr. Dahiya- Male, age 84, health very good, but slightly overweight. Lymph 16.9%, Mono 12.9%, Lymph ...
  A: The blood count normal range are arrived at as an average of values of a given set of normal ...
Urine Test Abnormalities1/18/2009
  Q: Can you please explain what this means? Crystals Present Crystal Type - Uric Acid Mucus Thread - ...
  A: Uric acid crystals can form in acidic urine when it is allowed to stand for a while and generally ...
High Neutrophil - Low Lymph1/18/2009
  Q: My husband had blood work done while in the hospital and we have questions about the results. The ...
  A: The blood counts are minimally out of range. High neutrophil is seen in infections and as the ...
thyroid FNB results1/17/2009
  Q: My results read several fragments of follicular epithellum several of which show metaplastic Hurthle ...
  A: Hurthle cell change is seen in many benign conditions of thyroid and not necessarily cancer of ...
liver bx1/16/2009
  Q: what dose all this mean? please help understand results this liver bx is adequate, with 6-8 portal ...
  A: The report is describing the normal cell architecture of liver. Overall this indicates that there ...
abnormal absolute lymph counts1/16/2009
  Q: My dad who is 72 years old recently had some blood work done and it came back with a 5.9 count of ...
  A: A number of conditions can cause raised lymphocyte count ranging from viral infection to cancer. ...
Blood test results1/13/2009
  Q: My daughter has had thre blood tests the first showing low red and whiteb cells the second showing ...
  A: The blood tests values are based on age...adults and children have different ranges The values of ...
patholgy report1/12/2009
  Q: Results of Patholgy results, help understanding
  A: Your report states that the lymph node biopsy shows non specific lymphadenitis and no lymphoma is ...
Low white blood cells1/12/2009
  Q: My husband's white blood cells count has been low (2.0)for almost 20 years. The neutrophils count is ...
  A: A low WBC count for past 20 years with no significant health issues does not indicate any disease ...
liver and lymphocytes1/10/2009
  Q: About 2 weeks ago i had severe inflammation around both eyes. I was told i had a sinus infection and ...
  A: This is a case of drug reaction. The antibiotics did not suit you and reacted causing rash and some ...
Malignant Path Report ?1/9/2009
  Q: Can you tell me what this path report means. My doctor's nurse called me and told me I have cancer. ...
  A: Your path report mentions a diagnosis of Dermal cylindroma. I believe this is what was removed from ...
Thyroid FNA pathology report terms1/8/2009
  Q: I received this pathology report and am considering a repeat FNA to see if a second biopsy will ...
  A: Giant cells are cells significantly larger than most types of normal cells found in a specific ...
complex thyroid cyst1/7/2009
  Q: I have a rapidly rising cyst, accompanied by pain and moderately enlarged right lobe. Ultrasound ...
  A: It would be pure speculation to comment on the nature of the lesion without actually looking at a ...
CBC test results1/7/2009
  Q: Dahiya, I have some CBC levels that are concerning to me. My Eosiniphils are 18 and the EOS ...
  A: The eosinophils are raised and relatively the neutrophils are reduced. The eosinophils are raised ...
Thyroid FNA pathology report terms1/6/2009
  Q: I received this pathology report and am considering a repeat FNA to see if a second biopsy will ...
  A: The findings detailed in your FNA report (irregular, grooved nuclei, and intranuclear ...
Low lymphocyte count?1/6/2009
  Q: I have been suffering a great deal of stress and anxiety over the last year and have attributed lots ...
  A: Low counts can be physiological which means that your normal range is at a relatively lower level ...
severely dysplastic nevi- multiple1/6/2009
  Q: I have recently had four moles removed for analysis. Two came back with severe cytologic atypia. The ...
  A: An atypical nevus has features in between a benign nevus and melanoma. If the margins of the biopsy ...
Bayer Chemiluminescent Method1/6/2009
  Q: : Last year: PSA, Total 7.8H ng/ml < OR = 4.0 XO This year: " " 3.1 " " ...
  A: The PSA should be less than 4 ng/ml If this increases beyond this value it is indicative of a ...
Low lymphocyte count?1/6/2009
  Q: I have been suffering a great deal of stress and anxiety over the last year and have attributed lots ...
  A: I understand your concerns and anxiety you feel especially since your dad had Lymphoma. Let me ...
pathology1/4/2009
  Q: My WBC is 8640,and lymphocyte count is 2272,ESR is 2mm, In 2004, i was been hospitalized for fever, ...
  A: Please rest assured going by the WBC count there is no indication of HIV infection. Blood counts ...
FNA result12/21/2008
  Q: Dahiya, I just received a copy of my FNA after a chat with my surgeon on the phone. He states that ...
  A: Hurthle cells are cells which originate from thyroid cells. A hyperplastic nodule is a nodule formed ...
shoulder cyst12/20/2008
  Q: I had a excision of tissue taken from the top of my right shoulder. The microscopic diagnosis was ...
  A: The report is essentially of benign tissue. It is likely there was some trauma / injury in this ...
Thyroid FNA Biopsy12/20/2008
  Q: I have a dominant nodule in my left thyroid lobe measuring up to 2.4 cm which was biopsied by Fine ...
  A: The report is inconclusive since the material submitted for interpretation is inadequate. Most of ...
High Lymphocyte Count and Lumps in nec12/19/2008
  Q: Good day! I would like to seek your advise regarding what's been going on with my body lately. I am ...
  A: HIV is not diagnosed based on lymphocyte count. The CBC being normal except for mild elevation in ...
High Lymphocyte Count and Lumps in nec12/18/2008
  Q: Good day! I would like to seek your advise regarding what's been going on with my body lately. I am ...
  A: The lymphocytes are mildly elevated and could be due to the allergic manifestations you ...
lab results for my husband12/17/2008
  Q: My husband recently found out he has a mass in his upper right lung. They did a biopsy but only ...
  A: Leukocytes are not normally seen in urine and if present indicate urinary tract infection. Alkaline ...
skin cancer12/16/2008
  Q: Mother has a lesion on her skin that has been byopsied. Pathology report states: spindle cell ...
  A: The report states that the tumor is made up of spindle shaped cells. Such cells are seen in tumors ...
lumps in neck12/16/2008
  Q: dr. thanks for responding to my follow up re lumps in neck. yesterday i noticed another lump on the ...
  A: Without examining the lumps and doing a biopsy / scan etc it is not possible to arrive at a ...
Interpretation of Blood test12/15/2008
  Q: My son had a sore throat back in Sept. 2008 followed by fatigue which did not go away. (At 4 years ...
  A: You did not mention that your son is now 18 years old in the first mail. For me the age association ...
PSA ECLIA method12/15/2008
  Q: I'm 66 years old and had prostate cancer 10 years ago. I had my prostate removed and then radiation ...
  A: Your urologist is on the right track. First of all the tests using different methods / equipment is ...
Interpretation of Blood test12/13/2008
  Q: My son had a sore throat back in Sept. 2008 followed by fatigue which did not go away. (At 4 years ...
  A: The EBV serology shows that all four types of antibodies are present. This indicates a convalescent ...
re small lump in neck12/13/2008
  Q: i noticed about 1 1/2 weeks ago i had a small pea sized lump in my neck just above my adams ...
  A: The nodes could be a result of enlarged tonsil. This may indicate infection and the nodes / lump is ...
Health Care12/13/2008
  Q: I am 46 yrs. old woman. My recent blood test shows my absolute monocytes 198L.(range 200-950) How ...
  A: Monocytes are a type of white blood cell present in your body. These help fight against infection. ...
re small lump in neck12/12/2008
  Q: i noticed about 1 1/2 weeks ago i had a small pea sized lump in my neck just above my adams ...
  A: One way to resolve what this tiny lump is and reduce your anxiety by having an FNA where material is ...
cores not of the correct tissue type12/5/2008
  Q: See the attached histology diagnostic report of prostate biopsy. Dr. will not call and explain. I ...
  A: I am unable to see the report as the mail does not forward attachments. In general to make a ...
Breast Pathology12/5/2008
  Q: I am 25 and underwent a lumpectomy 3 weeks ago, I have had a palpable lump in my brest for 10 years ...
  A: Having breast surgery at any age is physically and emotionally challenging. If it is some ...
Generaised lymph node swelling and FNA12/5/2008
  Q: Can you help me please? I have had swollen glands for over a year, several cervical glands, glands ...
  A: Beta 2 microglobulin helps to assess renal function especially in kidney transplant patients. In ...
re strep throat infection/mvp12/5/2008
  Q: dr doctor, can you pls answer me the following query: 1 week ago my son was ill with fever , sore ...
  A: I do not recommend taking any medication on your own. All antibiotics have side effects and ...
PSA methodology conflict12/4/2008
  Q: Doctor: On 5/30/08 I had the Beckman ICMA PSA result of 1.8 which is in line with prior years. On ...
  A: The Beckman and Roche analyzers have basically the same underlying mechanism for estimating PSA ...
transitional cell carninoma stage "0"11/30/2008
  Q: How can a cancer be a stage"0" my son was diagnosed with transitional cell carcinoma 2 years ago ...
  A: Stage refers to location of the tumor and its absence or presence in areas other than the original ...
Skin cancer dianosis11/27/2008
  Q: After the initial diagnosis of squamous cell carcinoma there was a second biopsy done with the ...
  A: This indicates that the second biopsy does have cancer next to the area where the original biopsy ...
borderline enlarged spleen11/26/2008
  Q: my 36 year old son has had a borderline enlarged spleen for three years. He had ultrasound and blood ...
  A: All the repeat bloodwork and CT scan are normal, that is good news. As the blood smear was already ...
axillary pea sized lump11/25/2008
  Q: I seem to have recurrent (short lived) inflamed lymph nodes. It has happened on at least 5 ...
  A: Lymphnodes are small structures which produce lymphocytes. These are a type of cell which fight ...
Atypical Lymphocytes11/25/2008
  Q: I recently for my 4 yr old tested as I thought he may be iron deficient due to over the past 2 yrs ...
  A: The WBC counts absolute and percentage values are a dynamic parameter. Each time a test is run even ...
atypical lymphocytes and atypical monocytes11/25/2008
  Q: my 14 year old daughter has been sick the last few months. In May she had a lung infection, ...
  A: The lung nodule can be a focus of infection - bacterial / fungal or something else. If your daughter ...
Generaised lymph node swelling and FNA11/24/2008
  Q: Can you help me please? I have had swollen glands for over a year, several cervical glands, glands ...
  A: FNA is a technique in which a needle is used to pull out some cellular material from a lump in the ...
atypical lymphocytic infiltrate of the skin11/23/2008
  Q: i had a biopsy done 3 months ago and the pathology report ruled out that there's a mild lymphoid ...
  A: If the pathology report "ruled out" presence of lymphoid cells at the dermo epidermal junction, then ...
atypical lymphocytes and atypical monocytes11/23/2008
  Q: my 14 year old daughter has been sick the last few months. In May she had a lung infection, ...
  A: I agree that the blood counts are in favor of infectious mononucleosis. Atypical lymphocytes are ...
Blood test results11/20/2008
  Q: My blood test results came back abnormal WBC is 13.2 Normal 4.0-10.5 Nuetrophils (Absolute) ...
  A: This was a month ago so any injury / fever / trauma / infection / inflammation to the body at that ...
Anemia and Bone Pain11/19/2008
  Q: I am a 59 year old woman. I have been suffering with severe lower leg pain, not including the ...
  A: The blood results mentioned by you and your symptoms indicate that you have anemia...which in simple ...
Blood report11/18/2008
  Q: Recently I had donated blood with Rotary Blood Bank, New Delhi. I had now received Hematology report ...
  A: Any blood parameter by itself has no clinical relevance. It has to be assessed in association with ...
Atypical Lymphocytes11/18/2008
  Q: I recently for my 4 yr old tested as I thought he may be iron deficient due to over the past 2 yrs ...
  A: Atypical lymphocytes are reactive lymphocytes. Lymphocytes are white blood cells which help fight ...
Clark's Nevus, Junctional Type11/18/2008
  Q: I recently had a mole removed from my right knee. The pathology results state,"There is an ...
  A: A Clarks' nevus is an atypical nevus. which means it has some features clos to melanoma (skin ...
pathology11/12/2008
  Q: After a recent pap smear, the pathologist identified Leptothrix. My physician tells me she has read ...
  A: Leptothrix is a type of filamentous bacteria seen in the PAP smears from vagina and cervix. It is ...
RCC post op path report11/11/2008
  Q: My mom had a partial nephrectomy due to RCC. Specimens submitted were 1. kidney partial nephrectomy ...
  A: A surgical margin is the portion of tissue which appears normal with the naked eye. In every tumor a ...
My creatine kinise level is elevated to 74811/11/2008
  Q: "I really have no idea what type of DR would handle this I'm now going to a neurologist My creatine ...
  A: The CK levels are definitely elevated. CK is an type of protein present in the muscle cells. ...
High number of eosophil's in blood11/11/2008
  Q: After routine blood work 5 months ago I was told I have a low platelet count of 100,000. I just did ...
  A: Raised eosinophils point towards a parasitic infection. You have a mild eosinophilia (counts between ...
Low Lymphocytes11/10/2008
  Q: My absolute lymphocytes are declining. 1/08 total lymph 915 ( normal range 850-3900) % 12.2 ( ...
  A: Most hematological diseases present with symptoms. However, as you have yourself mentioned, at the ...
adenosarcoma11/10/2008
  Q: Designated cervical mass. The specimen comprises an irregular lobulated portion of haemorrhagic ...
  A: I understand how all this would sound to you and make you question the surgery. The report ...
Low Lymphocytes11/10/2008
  Q: My absolute lymphocytes are declining. 1/08 total lymph 915 ( normal range 850-3900) % 12.2 ( ...
  A: I agree that you have had persistent lymphopenia, though you are otherwise asymptomatic. The values ...
atypical lymphocytes11/9/2008
  Q: my 20 month old daughter just had blood work done for a fever lasting 6 days with cold like ...
  A: An atypical lymphocyte is a non cancerous white blood cell and is a reactive lymphocyte. It is ...
Shave Biopsies11/9/2008
  Q: In your opinion is there ever a reason for a family practitioner to say he did a shave biopsy on a ...
  A: The idea of doing a biopsy is to have it examined and understand what information this provides. If ...
ABSOLUTE LYMPHOCYTES11/8/2008
  Q: WITH ACTIVITY, I AM WINDED ALL THE TIME. MY ABSOULTE LYMPHOCYTES IS 25151. IS THIS MY PROBLEM? ...
  A: In addition to the number of lymphocytes it is the morphology which aids in pointing to a certain ...
Help understanding Blood Labs11/8/2008
  Q: What could cause a low RBG,HCT,HBG and low Lymphocytes(9)both % and abs, along with high ...
  A: Low RBC, HCT, HBG all point towards anemia. Further evaluation using peripheral blood smear (PS) and ...
Pathology report of Punch Biopsy11/6/2008
  Q: I recently had a punch biopsy of a mole on my abdomen. My family doctor advised that I see a ...
  A: without actually seeing the slides I cannot comment on the diagnosis or rule out a malignancy. ...
atypical cells found11/6/2008
  Q: After having a mole removed atypical cells were found around the area, so have had another 5 mm ...
  A: Ideally there should not be any more atypical cells seen in the biopsy. Atypical cells have ...
pls help11/5/2008
  Q: this is my sister report,my sister is married and having two baby.my siter age is 33.pls go through ...
  A: The report shows cells with some degree of atypia. Atypia refers to cells having feature in between ...
Liver biopsy report10/31/2008
  Q: Biopsie contains liver tissue which includes nest of neoplastic cells with oval nuclei occasional ...
  A: I am not sure what question you wanted to ask in regard for this biopsy. I assume you want to know ...
thyroid nodules10/31/2008
  Q: I had a thyroidectomy for papillary cancer in Jan of this year. I recently had an ultrasound done. ...
  A: It would be pure speculation to comment on the nature of the nodule without actually seeing the ...
atypical mole10/30/2008
  Q: I had a punch biopsy done on a suspicious looking mole. They said it came back moderate atypical ...
  A: Moderate atypical mole indicates that it has some cells with features of abnormal cells although ...
antithyroglobulin antibodies10/28/2008
  Q: I had a thyroidectomy for Papillary cancer in Jan of 08'. My thyroglobulin antibody level is now at ...
  A: It takes some time before thyroglobulin levels are undetectable. In general it is recommended that ...
Elevated CRP10/27/2008
  Q: Hallo Doc, Is it possible that my elevated CRP levels could be a result of extreme exercise. (I'm ...
  A: Short term intense physical activity / exercise does lead to inflammation of muscles and a rise in ...
Count of WBC up to 2600010/21/2008
  Q: My mother is 70 and she is having Urinary Infection(Pus cells indicated Plenty and Trace of ...
  A: Given her history of urinary tract infection (UTI) this is more likely a response to this infection. ...
Blood test question10/17/2008
  Q: I recently had some lab work done and noticed that my folate serum level is listed as >24.0. The ...
  A: Elevated levels of folate are generally not monitored. Higher levels are seen in people on ...
colonscopy pathology report10/15/2008
  Q: I had a colonscopy three years ago and the doctor removed a large polop.He said repeat in three ...
  A: The biopsy report indicates that the polyp shows moderate dysplasia. This means that the cells of ...
tumor report10/15/2008
  Q: Is nercrosis on a bioposy report a definate confirmation of a malignant brain tumor? Seven sections ...
  A: Glioblastoma multiforme (GBM) is a very aggressive form of cancer. It does have large areas of ...
Prostate cancer?10/14/2008
  Q: My father had done a blood test and his PSA result is 532.1 ug/L. The reference range is 0.0 - 3.8. ...
  A: I am sorry to confirm bad news. Yes the report indicates that there is metastatic cancer in the bone ...
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 ...
pathologist function in trauma assessment11/6/2006
  Q: My husband was admitted to a trauma center with severe BTI. I was told, later, that "the pathologist ...
  A: I am sorry to hear about your husband. The question is not very clear. I understand a CAT scan has ...
CBC with DIFF Question11/4/2006
  Q: I am a little nervous, and perhaps you could help me. I just had a cbc with diff, with pretty ...
  A: First of all let me assure you. your report is Normal and does not indicate anything serious like ...
pathology10/4/2006
  Q: i had a mole and a cyst removed both sent for pathology. i was wondering if you could give me an ...
  A: Atypical nevus (mole)is benign but may share some clinical and microscopic features with melanoma, ...
Obtaining autopsy results from Thailand8/22/2006
  Q: How could I obtain a copy or view the autopsy results of this person? ...
  A: An autopsy report is generally released to the next of kin and the law enforcement authorities. ...
colonoscopy/endoscopy8/6/2006
  Q: I had these test and the endoscopic impression was ileitis, or crohns (my mother has crohns) the ...
  A: Your report states that the diagnosis is of Crohns disease. This is an auto immune disorder where ...
colonoscopy8/4/2006
  Q: I went to the hospital and got my results. I was diognosed with severe colonic inertia. Is this ...
  A: You have your report which says - severe colonic inertia. First of all let me assure you that you ...
colonoscopy8/1/2006
  Q: I had a colonoscopy last Friday with a possible biopsy, the doctor didn't tell me if he did a biopsy ...
  A: I am sorry about the delay in your answer. I was under the impression that I had already answered ...
How Do you know?7/23/2006
  Q: "Hi Doc: I'm also an expert on this site in the legal advice category. I have heard about many ...
  A: I can understand your concern in this regard and I hope I can help alleviate your doubts. Ther is ...
Stillborn Child Prelim Pathology Report7/19/2006
  Q: I just received the preliminary autopsy report for my stillborn child. the Final Diagnosis reads, ...
  A: I am sorry to hear about your stillborn child. The report basically means there is no obvious ...
Cyst Pathology Question7/6/2006
  Q: Recent removal of one ovary due to large cyst of unknown origin. Final patholgy was benign simple ...
  A: Simple serous cyst is a benign cyst and you have nothing to worry with regard to that. They just ...
FNA cytology report6/26/2006
  Q: I guess i was focused in particular on the word "inflammatory" and wondered what that actually ...
  A: I am glad the information helped you clear some of your doubts. Inflammatory means of or related to ...
FNA cytology report6/25/2006
  Q: I recently had a FNA biopsy on 2 enlarged lymph nodes (one axillary, one submandibular). The worry, ...
  A: FNA is not conclusive as it is based on type of cells aspirated from the body. If the needle misses ...
Autopsies6/18/2006
  Q: Since receiving your answer, I've read a few things about restricted/unrestricted autopsies. If a ...
  A: Ideally an unrestricted autopsy is the best way to find any kind of plausable explanation, if there ...
Autopsies6/13/2006
  Q: Do all autopsies include a cranial autopsy? If not, why would a cranial autopsy not be performed? ...
  A: Sorrry for the delay in answering. Autopsies per se require permission from the family. It depends ...
autopsy report6/13/2006
  Q: i need an explanation to my premature baby's death. is mild edema and webbing of the neck normal. ...
  A: Sorry for the delay in answering. Webbing of the nexk is seen in some conditions. The one which ...
biopsy of mystery material5/15/2006
  Q: When someone looks at material under a microscope, shouldn't they be able to tell from its molecular ...
  A: From what I have understood from your question, some material was aspirated from a lump near the ...
choose the appropriate answers5/11/2006
  Q: 1-carcinoma in situ in epithelium characterized by: a:increase the mytotic activity b:loss of ...
  A: Carcinoma in situ is characterized by : loss of polarity Carcinoma in situ has features of carcinoma ...
Deinococcus radiodurans4/26/2006
  Q: I dont know if you will know this but I need describe the ecological niche for Deinococcus ...
  A: I think this falls more under the domain of microbiology. I am not very sure about this ...
Colonsocopy results4/25/2006
  Q: Dahiya, How are you? I hope I am able to convey my question as clear as possible over e-mail. I just ...
  A: A young adult with change in bowel habits and abdominal pain with a normal colon is suggestive of a ...
biopsy4/7/2006
  Q: i'm also an expert on this site in the criminal law area, i'm an attorney... Anyway, my wife, back ...
  A: I appreciate your asking me regarding your wifes biopsy report. Your concern is very genuine. A rash ...

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