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I am a 43-year-old male, overweight with gallstones and early

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Posted on Thu, 28 Mar 2019
Question: I am a 43-year-old male, overweight with gallstones and early non-alcoholic fatty liver disease and HBP. Recently I have had more right side abdominal pain ( only after a fatty meal), evening tachycardia (resting heart rate 110-115 normal is 77) sudden appearance of multiple cherry angiomas. What tests should I pursue to rule out internal malignancy, specifically misdiagnosis of live cancer as fatty liver disease? Will the biopsy of cherry angioma and imaging suffice? Will imaging work for pancreatic cancer? Should I request endoscopy etc?
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Follow up: Dr. Esmeralda Sera (5 minutes later)
To be clear. Internal malignancy is pretty broad. I want to insist on tests to catch something as early as possible without being ridiculous about it. I realize probabilities are I just have gall stones. But the cherry angioma (multiple) has me a little worried, and the common misdiagnosis of liver cancer as fatty liver disease is a concern.
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Answered by Dr. Esmeralda Sera (2 hours later)
Brief Answer:
Exams

Detailed Answer:
Hello and thank you for asking

Usually for the conditions that you prescribed before fatty liver and gallstones the ultrasound it’s useful.They couldn’t be missdiagnossed with cancer if the exams that you have done are not indicated this disease.

Other exams are blood tests,AFP,CA 19,9 liver functions enzymes,MRI of abdomen if your doctor needs further examination or have doubt for the cancer diagnosis

For the cherry agioma are type of skin growth how typically not a cause for concern unless it bleeds often or changes in size, shape, or color

Feel free to ask further
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Dr. Esmeralda Sera

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Practicing since :1998

Answered : 1331 Questions

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I am a 43-year-old male, overweight with gallstones and early

To be clear. Internal malignancy is pretty broad. I want to insist on tests to catch something as early as possible without being ridiculous about it. I realize probabilities are I just have gall stones. But the cherry angioma (multiple) has me a little worried, and the common misdiagnosis of liver cancer as fatty liver disease is a concern.