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Sedalia, MO
A 39-year-old female asked:

sed rate 30. cbc ok. urine ok. metabolic ok. ana+ speckled 1:640. serum protein ok. up back pain one year w/ right flank pain. could it be cancer? lupus panel neg. rheum drs dismissed me.

4 doctor answers7 doctors weighed in
Dr. Martin Raff
Infectious Disease 56 years experience
Multifactorial: You have numerous complaints without a major focus beyond back and right flank pain. The obvious question is how much of this is organic, in the sense that you have some primary medical illness, and how much is due to underlying psychological problems with somaticization. Suggest finding an excellent general internist and a clinical psychologist and following their leads.
Dr. Thomas Namey
Rheumatology 48 years experience
ANAs not marker for: Anas not markers for cancer. Of course, any undefined pain could be ca, but at your age very unlikely. Your systemic lupus panel does exonerate you from likely connective tissue disease, and your other tests are ok, except for the esr. I would have my pcp get a crp. Esrs in my opinion should rarely be done. If CRP elevated, probably inflammation somewhere, the more likely cause for pain!
Dr. Gary Sterba
Rheumatology 47 years experience
Revise : Some times medicine is not only a rule out game . Younhave pain nd it needs to be defined . It is not about looking for a diagnosis , sometimes iitnis aboutrelieving the symptom labs , x rays and other might not give you an answer.
Dr. Bruce Rothschild
Rheumatology 48 years experience
Unlikely: Unlikely, but a 2nd opinion might be helpful.

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Last updated Oct 4, 2016

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