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What Does This Biopsy Report Indicate?
Question: I am wanting a second opinion for my son. He has been suffering with ulcers in his upper esophagus and after an ultrasound, x-ray, ct scan and upper endoscopy we are not any closer to finding out why than we were when this all started. He has been prescribed nexium but still in severe pain. Here is the report from the Scope:
Esophagus, Biopsy See Notes
- FINAL DIAGNOSIS:
- -----------------
- Deep esophageal ulcers, biopsy:
- - Marked esophagitis with ulceration
- - Immunostains for HSV and CMV are negative.
- - PAS stain for fungus is negative.
- - Negative for intestinal metaplasia/Barrett''s mucosa by Alcian
- blue stain.
- CLINICAL DIAGNOSIS:
- --------------------
- Abdominal pain.
- MICRO DESCRIPTION:
- -------------------
- Microscopic examination performed. See diagnosis.
- GROSS DESCRIPTION:
- -------------------
- Deep esophageal ulcers biopsy rule out CMV and HSV. 4 biopsies. TE A1.
- (sj) 07/08/2016
- Electronically Signed Out By: XXXXXXX XXXX
Esophagus, Biopsy See Notes
- FINAL DIAGNOSIS:
- -----------------
- Deep esophageal ulcers, biopsy:
- - Marked esophagitis with ulceration
- - Immunostains for HSV and CMV are negative.
- - PAS stain for fungus is negative.
- - Negative for intestinal metaplasia/Barrett''s mucosa by Alcian
- blue stain.
- CLINICAL DIAGNOSIS:
- --------------------
- Abdominal pain.
- MICRO DESCRIPTION:
- -------------------
- Microscopic examination performed. See diagnosis.
- GROSS DESCRIPTION:
- -------------------
- Deep esophageal ulcers biopsy rule out CMV and HSV. 4 biopsies. TE A1.
- (sj) 07/08/2016
- Electronically Signed Out By: XXXXXXX XXXX
Brief Answer:
Tuberculous ulcer?
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Your son's doctor has done almost all the relevant tests and nothing is conclusive.
I have seen a few patients with similar ulcers and they turned out to be positive for tuberculosis.
You discuss with his doctor about this possibility and get the biopsy tested for tuberculosis if not done already.
Rwgards,
Dr.R.K
Tuberculous ulcer?
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Your son's doctor has done almost all the relevant tests and nothing is conclusive.
I have seen a few patients with similar ulcers and they turned out to be positive for tuberculosis.
You discuss with his doctor about this possibility and get the biopsy tested for tuberculosis if not done already.
Rwgards,
Dr.R.K
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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