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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Malignancy Be Ruled Out?

My mom s bile duct was closed by inflammation and her surgeon suspect either to Pancreas cancer or just simple inflammation due to gallstone scratch. Her surgeon took gallbladder and bile duct out and sent 2 sample for pathology to see malignancy. The answer was negative, but her surgeon said me he couldn t get sample directly from Pancreas which had a type of inflammation. I took my mom to blood marker test and the results show that the CEA is 1.02, CA19-9 is 21.17 and third marker Alpha Fetoprotein is 1.11. Now, I need to know what else I should do to be sure everything is ok! are these blood test can be enough to say he has no malignancy? If not what else I should do for her. She had the surgery just 2 weeks ago. Her physical condition is improving every day and she has no weight loss during last 1 month. She is 51.5 kg.
Fri, 15 Apr 2016
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General & Family Physician,  's  Response
Hi thanks for asking question.
Noted she has acute cholangitis with cholecystitis like condition.
So removed gall bladder and affected Part.
You also have done marker CA 19 -9 that is specific for pancreas carcinoma.

Patient is also recovering well.
So chances of malignancy less.
Follow up done.
If still suspicion CT or MRI like higher investigation need to look for any abnormal area.
If suspicion area comes, from that area of pancreas biopsy can be taken....

Hope your concern solved.
Take care.
Dr.Parth
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How Can Malignancy Be Ruled Out?

Hi thanks for asking question. Noted she has acute cholangitis with cholecystitis like condition. So removed gall bladder and affected Part. You also have done marker CA 19 -9 that is specific for pancreas carcinoma. Patient is also recovering well. So chances of malignancy less. Follow up done. If still suspicion CT or MRI like higher investigation need to look for any abnormal area. If suspicion area comes, from that area of pancreas biopsy can be taken.... Hope your concern solved. Take care. Dr.Parth