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Doctor insights on: Upper Airway Biopsy

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What's a 14mm noncalcified left upper lobe parenchymal pulmonary mass adjacent atelectasis.Left upper lobe bronchus/hillar peribronchial cuffing/thick?

What's a 14mm noncalcified left upper lobe parenchymal pulmonary mass adjacent atelectasis.Left upper lobe bronchus/hillar peribronchial cuffing/thick?

Mgt PHI: The imaging may be uploaded to an inbox consultation. From your description I would suggest a follow up imaging study with an evaluation with additional information. Have you smoked? Is there a family history of cancer? Have you been tested for any infections? The mass is probably impinging on the airway and causing areas of collapse, called atelectasis. This area is prone to secondary infection ...Read more

Dr. Michael Gabor
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


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What does endobronchial carcinoma left upper lobe complete atelectasis is suspeted 7 CM left hilar mass highly suspious for endobronchial carcinoma?

What does endobronchial carcinoma left upper lobe complete atelectasis is suspeted 7 CM left hilar mass highly suspious for endobronchial carcinoma?

Not sure of ?: It sounds as f you are asking about what this cancer is. What you are describing sounds like a stage 3a or maybe a stage 2b nonsmall cell lung cancer. Best treatment would depend upon some more information needed. It will be dependent on if it is considered surgically resectable or not. It will require chemotherapy and possibly radiation as well. Curable but serious. Good luck and best wishes. ...Read more

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Is sedation needed in upper endoscopy ?

Is sedation needed in upper endoscopy ?

Yes: The gag reflex has to be obtunded. Topical analgesia with sedation is typically used. ...Read more

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Mum diagnosed with stage 4 lung cancer. Mass in upper right airway caused major blockage. Iressa (gefitinib) treatment opens up airway. Any chances of recovery?

Mum diagnosed with stage 4 lung cancer. Mass in upper right airway caused major blockage. Iressa (gefitinib) treatment opens up airway. Any chances of recovery?

Targeted therapy: Newer targeted therapy agents can be quite beneficial for some patients with lung cancer. This is especially true in female never smokers who may have selected mutations that can be easily targeted with these drugs. However, unfortunately stage IV lung cancer is not curable. ...Read more

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Esophagus biopsy taken distal and mid r/o EoE. Final diagnosis says reflux distal esophagus and active with rare intraepithelial eosinophils. Help?

Esophagus biopsy taken distal and mid r/o EoE. Final diagnosis says reflux distal esophagus and active with rare intraepithelial eosinophils. Help?

Your biopsy is fine: You do not need to worry about your Biopsy report as it does not indicate anything significant. If you have symptoms of Acid Reflux(hear burn and frequent burps), you should take an antacid on a daily basis. You can choose between(Zantac (ranitidine) or Pepcid(Less expensive) or Prilosec which is more effective but may be slightly more costly. ...Read more

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5 and 2 mm nodule on upper right lobe. 3 mm nodule lower left lobe. Ct scan colonscopy endoscopy normal. I'm 25 what are these nodules?

5 and 2 mm nodule on upper right lobe. 3 mm nodule lower left lobe. Ct scan colonscopy endoscopy normal. I'm 25 what are these nodules?

Which R & L lobes?: Please clarify, when you say "lobe" whether you mean of the lung, the liver, or what structure (it certainly makes a difference in the answer we can offer). Also, what are your risk factors regarding travel, for infection, medications taken, occupational exposures, and past medical history? Were the nodules described as solid, cystic, complex, granulomatous, vascular, etc. & how were they found? ...Read more

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Chest CT scan subsegmental atelectasis versus fibrosis in medial margins of r \l upper lobes abutting mediastinum was f/u for 6mm ground glass nodule

Chest CT scan subsegmental atelectasis versus fibrosis in medial margins of r \l upper lobes abutting mediastinum was f/u for 6mm ground glass nodule

The fibrosis and : Atelectasis isnt anything to worry about, just some lung tissue collapsed on itself and scarring. The ground glass nodule is something that may need longer term follow up to make sure it doesnt grow. These can be due to something called atypical adenomatous hyperplasia (aah). ...Read more

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Can upper GI endoscopy shows intestinal cancer?

Can upper GI endoscopy shows intestinal cancer?

Sometimes but not: Often. Egd examines esophagus, stomach, duodenum (technically small intestine, but only the very first part), and sometimes the first portion of jejunum, which is the true small intestine. The small intestine is about 30 feet long. Then there is the large intestine, or colon, for which you need colonoscopy. The middle 29+ feet is not accessble via endocsopy. ...Read more

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In a esophagogastric junction biopsy, what does hyperplastic esophageal squamous mucosa with rare intraepithelial eosinophil mean ?

In a esophagogastric junction biopsy, what does hyperplastic esophageal squamous mucosa with rare intraepithelial eosinophil mean ?

Not much: This is a benign diagnosis. If there were more eosinophils, we'd be more confident that reflux is present. Hyperplasia doesn't really mean much here. The key is what the biopsy report doesn't mention -- there's evidently no cancer, no severe inflammation or tissue damage. This will be correlated with the other information and a plan implemented. ...Read more

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Could esophageal dilation with upper endoscopy cause pericarditis?

Could esophageal dilation  with upper endoscopy  cause pericarditis?

Unlikely: Based on a literature (pubmed) and google search, I could not find any cases of esophageal dilation causing percarditis. Are you having symptoms of chest pain after dilation? If you are concerned about pericarditis, you should discuss this with your doctor or go to the ER if it is severe. ...Read more

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Two lung nodules upper right lobe 5 and 2 one nodule lower left lobe 3 mm. All uncalcified. Colonoscopy endoscopy brain MRI normal. What are theseim26?

Two lung nodules upper right lobe 5 and 2 one nodule lower left lobe 3 mm. All uncalcified. Colonoscopy endoscopy brain MRI normal. What are theseim26?

R u smoker?: The absolute diagnosis of pulmonary nodules is done by a pathologist under microscopic examination. Otherwise speculative. Cat scan or pet scans are not microscopic examinations by a pathologist. If nodules become calcified most likely grannulomas. Carcinomas and grannulomas look alike early on. Close periodic f/u versus early excissional bx advised. Needle bx not DX unless cancer diagnosed. ...Read more

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Ct scan showed 11mm spiculated lesion in upper zone of left lower lung lobe. Am non smoker,never smoke but have asthma was hospitalised for bronchitis?

Ct scan showed 11mm spiculated lesion in upper zone of left lower lung lobe. Am non smoker,never smoke but have asthma was hospitalised for bronchitis?

Spiculated lung: Spiculated lung lesion >1cm should be evaluated. Recommend to see a lung doctor first. Statistics shows an increase in lung cancer in woman, non-smokers in recent years. Therefore, it is prudent to have this evaluated soon. ...Read more

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Questionable small density at the left upper lung field and linear atelectasis is superimposed on the left hilum.What? Cancer? Remainder lungs clear.

Questionable small density at the left upper lung field and linear atelectasis is superimposed on the left hilum.What? Cancer? Remainder lungs clear.

Possible: The possibility of cancer is almost always there. The risk depends on the smoking history, family history of cancer, the size of the mass, etc.. Smokers are at higher risk. Certain cancers are familial. Larger spots and those with ragged edges are more likely to be cancerous. Consultation with oncologist or lung specialist may be considered.. ...Read more

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Is a 6mm pulmonary nodule in the right upper lobe too small to biopsy?

Is a 6mm pulmonary nodule in the right upper lobe too small to biopsy?

Probably so: Biopsy of a lung nodule depends on the size and location. A nodule smaller than 1 cm is difficult to biopsy. A nodule located too close to the heart or main blood vessels is difficult to biopsy. A nodule too adjacent to the ribs may also be difficult to biopsy. In your case ct follow up at intervals by established guidelines may be considered. ...Read more

Pharynx (Definition)

It is the connection between the mouth and the throat. The 3 parts are the oropharynx, nasopharynx, and hypo-pharynx. The pharynx leads into the ...Read more