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Pathology Report


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#1 BellaBella

 
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Posted 16 December 2011 - 12:49 PM

A couple of days ago I posted a thread about my biopsy results.

http://www.celiac.co...yso-frustrated/

One member suggested getting the pathology report and posting that here so that's what I'm doing now:

Material submitted:
Part A: second part duodenum

Diagnosis:
Normal duodenal mucosa. No abnormalities seen. No evidence of sprue is seen.

Gross description:
A) Received in a 10% neutral buffered formalin filled bottle labeled "second part duodenum" with patient's name and an accession number are multiple irregular fragments of soft tan tissue ranging in size from 0.3 x 0.2 x 0.2 cm to 0.5 x 0.2 x 0.1cm. All fragments are totally submitted in one cassette.

A: Sections show duodenal mucosa with intact villous architecture. No evidence of neoplasia and no significant inflammatory infiltrates. No infectious organisms are seen. There is no evidence of sprue.
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#2 Bubba's Mom

 
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Posted 16 December 2011 - 01:32 PM

It means they aren't seeing any damage or inflamation in the biopsies that were taken. They appear normal.
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#3 carecare

 
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Posted 16 December 2011 - 01:49 PM

My biopsy came back clear too. I'm not bummed though...I'm still going to live gluten free because I know it makes me feel best. Good luck to you!
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#4 nora_n

 
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Posted 17 December 2011 - 05:07 AM

So they did not count the IELīs?

Looks like they only looked for villi.

Normally, there are only two or three IELīs on each villi tip, and more than 4 means celiac.

http://www.thefooddo...biopsies_photos

here about 5 IELīs considered abnormal now:
http://thefooddoc.bl...intestinal.html

I have seen postings where people have sent their biopsy specimens to the U of Maryland for second opinion, and I think they got a diagnosis wit they had increased IELīs and symptoms.
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gluten-free since may 06 after neg. biopsy symptoms went away and DH symptoms which I had since 03 got gradually better.
daughter officially diagnosed celiac and casein intolerant.
non-DQ2 or DQ8. Maybe DQ1? Updated: Yes, double DQ5
Hypothyroid since 2000, thyroxine first started to work well 06 on a low-carb and gluten-free diet
Lost 20 kg after going gluten-free and weighing 53 kg now. neg. biopsy for DH. Found out afterwards from this forum that it should have been taken during an outbreak but it was taken two weeks after. vitaminD was 57 nmol/l in may08)

#5 BellaBella

 
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Posted 17 December 2011 - 07:36 AM

So they did not count the IELīs?

Looks like they only looked for villi.

Normally, there are only two or three IELīs on each villi tip, and more than 4 means celiac.

http://www.thefooddo...biopsies_photos

here about 5 IELīs considered abnormal now:
http://thefooddoc.bl...intestinal.html

I have seen postings where people have sent their biopsy specimens to the U of Maryland for second opinion, and I think they got a diagnosis wit they had increased IELīs and symptoms.


Wow nora_n, I wondered about that. I also thought "no significant inflammation was present" was odd wording as well.

Can anybody get their biopsies sent to U of Maryland? I'm going to start searching the thread and look into that!!!

The reason I posted these results is because I'm not sure what all they are looking for with the biopsies and I obviously wanted to make sure they were thorough. Thank you for this information!
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