Discussions By Condition: I cannot get a diagnosis.

Helf for diagnosis

Posted In: I cannot get a diagnosis. 10 Replies
  • Posted By: khalidysf
  • March 19, 2009
  • 09:48 AM

Hi All,
My mother feeling abdomanal pain since 4 year.She frequently visited doctors and took medication.At last november her ultrasound report is clear but when this test performed in feb 2009,massive quantity of fluid in her abdomanial cavity found.Then ct scan for whole abdoman was performed and no abnormility found.Doctor send sample of ascites fluid for cytology and pisitive result came which shows atypical cells.But doctors are still not confirm that is it a cancer or not and they advised further investigations.Blood tests for c125 and cea are in process but i dont know what they will do if these tests result shows normal range.I also cant understand that if cancer appears in any organ why not pointed out in ct scan?.

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10 Replies:

  • any pobablity of tuberclosis in this case?Hi All,My mother feeling abdomanal pain since 4 year.She frequently visited doctors and took medication.At last november her ultrasound report is clear but when this test performed in feb 2009,massive quantity of fluid in her abdomanial cavity found.Then ct scan for whole abdoman was performed and no abnormility found.Doctor send sample of ascites fluid for cytology and pisitive result came which shows atypical cells.But doctors are still not confirm that is it a cancer or not and they advised further investigations.Blood tests for c125 and cea are in process but i dont know what they will do if these tests result shows normal range.I also cant understand that if cancer appears in any organ why not pointed out in ct scan?.
    khalidysf 4 Replies Flag this Response
  • If ascites is her only finding,it could be due to a cancer of her intestines,which wouldn't show up on a CT scan.
    richard wayne2b 1232 Replies Flag this Response
  • Do you know what her serum ascites albumin gradient is(SAAG)?
    richard wayne2b 1232 Replies Flag this Response
  • Thank you very much for replying.You asked about albumin if you mean albumin level in fluid it is 4100 and albumin level in blood is 2.3.I would like to tell you that sigmoidoscoy already has been done with normal findings.
    khalidysf 4 Replies Flag this Response
  • Don't you mean 4.100,not 4100 in the ascites.4100 is almost impossible to use in figuring the serum ascites albumin gradient,which you should ask about.
    richard wayne2b 1232 Replies Flag this Response
  • Hi,I mentioned the protein value in ascitic fluid which is 4100 and albumin level in blood is 2.3 i think that is total protien including albumin
    khalidysf 4 Replies Flag this Response
  • what does the 4100 stand for?I understand the serum value,but I don't understand the 4100 what?
    richard wayne2b 1232 Replies Flag this Response
  • It is mentioned in ascited fluid report the value against protein is 4100 and Glucose 65 rbc + etc.
    khalidysf 4 Replies Flag this Response
  • I need to know the albumin concentration in the ascites in order to make a calculation.Can you get that?
    richard wayne2b 1232 Replies Flag this Response
  • Dear Khalidysf,In what country are you?
    richard wayne2b 1232 Replies Flag this Response
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