C10030936 / invoice 10000

Results consistent with large to intermediate cell lymphomaSpoke to pathologst and adv:ICCA- will help oncologist and can be run on FNAsCBC, OTHER ORGANS- can be further tested by onogologyUnfortunately more large cell are more aggressive but more responsive to chemo. B cell more so, so ICCA will help with thisSTOOP and disc resultsAdv options: 1. Oncology referral- disc FI and chemotherapy possible option2. Palliative management with preds- but disc likely months 3. Do nothing, but likely will progress quicklyO keen to do everything:So adv call SASH for oncology referralHave asked reception to send historyCalled lab and added on ICCA testO requested pathology report copy - have asked reception to sendAdv o if any questions to call--- 06/03/2026 09:57:25 YJA:Oncologist appointment - not until FridayWondering if should start steriods now while waiting - advised not sure can check with oncologist but will worry that can delay chemo as will need to taper offOther than the swollen lymph nodes on her neck, EDDU normal, acting normalDiscussed full bloods as well - she is keen for this - booked in on Wed to send off to IDEXX. Don't charge consult if just to take bloodsChecked with ES - > advised no steriod if Frankie is well as can interfere with chemoAdvised Jade, she is happy to just do bloods and wait for specialist    Vital Signs