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A 43-year-old female asked:

7mm periampullary lesion, 3 liver lesions, total beta hcg is high, anion gap-10, monocytes-1.1, chloride high, erc low, cbd & pancreatic duct dilation?

1 doctor answer1 doctor weighed in
Dr. Ed Friedlander
Pathology 45 years experience
Your question?: I appreciate your sharing this, but no one here will be able to make the call. Unless your HCG is extremely high, it means nothing. The other labs are not helpful. Your periampullary lesion has hopefully been biopsied, as will your liver lesions if the radiologist cannot certify them as benign. Hoping celiac sprue has been ruled in or out, along with whipple's and common lactose intolerance.
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Last updated Dec 28, 2020

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