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Celiac Disease Message Board
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Old 09-18-2011, 01:53 PM   #1
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Join Date: Aug 2010
Location: Ontario, Canada
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stilltired HB User
Patholoy Report - Need help

Hi,

I just got my small bowel biopsy results. I already have confirmed Celiac Disease, but this was to check for refractory celiac due to not getting better after 2 years. My questions are:

1. What does "no definitive evidence of abnormal lymphocytes" mean? My previous results just said "No abnormal cells". Maybe I'm reading into it too much, but it seems like they are not 100% sure.

2. Any idea why some cases are chosen for Internal Consultation? I'm not sure why it would need to be discussed further if there were no bad cells.

Thanks a million!

Report
-------
The biopsy shows duodenal mucosa with mild villous abnormalities and increased IEL counts. The lamina propria shows heavy infiltrate almost entirely made up of plasma cells. In view of clinical history, the morphological findings are compatible with Celiac Disease. There is no definitive evidence of abnormal lymphocytes.

This case has been discussed at our internal consultations on Sept 9, 2011

 
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