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What Does The Following Blood Test Report Indicate?

Posted on Mon, 10 Apr 2017

Question: Dear Dr.
I hope you are doing well.
please find the attachments blood test for my brother.

Here you can find the Eosinophils absolute count is high in the last report.

And he did thyriodetcomy last 17/2/2017 and he is waiting for XXXXXXX treatment next week. is this result means Adrenalin gland cancer and is there any est to be done to confirm or rule out .Thanks and best regards
XXXX

Answered by Dr. Shailja Puri (38 minutes later)

Brief Answer:
History suggests cancer thyroid,upload other reports for more information.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
Thyroidectomy is done for neoplasm of thyroid and not adrenal gland.
To know the exact nature and character of thyroidectomy specimen, you need to post the histopathology report. XXXXXXX is given for malignancy of thyroid gland so it can be assumed that there was a cancer or malignancy in thyroid gland.
Secondly, eosinophilia can occur due to various causes like parasitic infection, allergy to various items like environmental pollutants, food items, drugs etc.
There is no uploaded report.
Kindly, upload the reports for more information.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Shailja Puri (26 minutes later)

Hi doctor,
Thanks a lot for you reply.
it is very nice to find pathology doctor in here. so please advice us based in your request.
you will find here the pathology report please give us your opinion.
and blood test shown low eosinophilia .05 and the range is from .05 to 0.5. please advice.
Best regards
XXXX

Answered by Dr. Shailja Puri (16 minutes later)

Brief Answer:
Thyroid carcinoma is papillary type which has good prognosis.

Detailed Answer:
Hello and welcome again,
The histopathology report shows that the thyroid tumor is papillary carcinoma type.
After surgery XXXXXXX has to be given which is already planned by your doctor.
The papillary carcinoma has good prognosis and you can expect a favorable outcome.
Regarding your blood report eosinophils are on lower side but there is nothing to worry.
All other blood parameters are within normal range.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Shailja Puri (23 minutes later)

Thanks alot doctor. i will be appropriated since we are in confusion and we can not find qualified pathology doctor like you.
Does the tumor has a positive margin?
And what is cauterized?
Thanks in advance
best regards
XXXX

Answered by Dr. Shailja Puri (2 minutes later)

Brief Answer:
Margins are negative, cauterization is done to limit the tumor mass.

Detailed Answer:
Hello and welcome again,
The tumor margins are negative.
This means that tumor does not extend beyond the thyroid gland.
Cauterization is a procedure to limit the tumor or to burn off the tumor so that it becomes less bulky.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Shailja Puri (20 hours later)

Dear Doctor , I hope you are doing well.
Please find the attachment, I hope please you can explain further for AFP.
Best regards
XXXX

Answered by Dr. Shailja Puri (7 hours later)

Brief Answer:
Normal AFP rules out tumoes of liver and testis.

Detailed Answer:
Hello and welcome again,
The report posted by you shows a normal AFP and normal CEA.
AFP (alpha feto protein is a tumor marker which is raised in tumors of liver and testis.
Normal level rules out few cancers of liver and testis.

Thanks and take care
Dr Shailja Puri

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Above answer was peer-reviewed by : Dr. Prasad