What Do These Medical Reports Signify?

Suspicious of Follicular lymphoma I have done all the test below. please suggest the severity of the disease and treatment plan. Also suggest any further tests to be done. TATA MEMORIAL HOSPITAL Dr.E.Borges Road, Parel, Mumbai 400 012 Tel: +91 22 0000 Fax: +91 22 0000 E-mail:***@**** Website:tmc.gov.in Case No. :CN/07375 Patient Name :Mr. SATISH GOPAL RAUT Reg. Date :9/3/2016 Sex/Age/Catg. :Male /37 yrs/ Gen-C Status :Outpatient Pri. Dr./Unit :DMG ADULT HEMATOLOGY All Requisitions Requisition No. Reqn Date Modality Service Description Reqn status Report Date FZZSP0000 09/03/2016 SP Outside unstained slides with or without blocks (except lymphnode & breast) FinalReport 14/03/2016 UZZHL0000 09/03/2016 HL M.SERVICES FinalReport 10/03/2016 UZZHL0000 09/03/2016 HL M.SERVICES FinalReport 10/03/2016 FECBC0000 09/03/2016 BC M.SERVICES FinalReport 10/03/2016 GZZSE0000 09/03/2016 SE M.SERVICES FinalReport 10/03/2016 FZZSP0000 09/03/2016 SP Small biopsy/cell block except lymph node & breast FinalReport 15/03/2016 Final Histopathology Report for requisition no. FZZSP0000 Reqn. Date :09/03/2016 Consultant Pathalogist : EPARI SRIDHAR Report Date : 14/03/2016 Resident Pathalogist :PRANJAL GUGALIA Sample Rec. Date : 09/03/2016 Path. no. :010744/CN Previous Path No. :010744/CN 010820/CN Nature of Material Received :2 paraffin blocks (JH-222/16) Service Desc. :Outside unstained slides with or without blocks (except lymphnode & breast) Microscopic Description:- Retro orbital mass biopsy (side not mentioned - 2 paraffin blocks): Dense lymphoid cell infiltrate showing vague follicular architecture with germinal centres and relative expanded mantle/marginal zones. Interfollicular areas with sheets of relative monocytoid-like cells seen. On immunohistochemistry, the expanded zones mantle/marginal zones are positive for CD20 and Bcl-2; CD138 does not reveal any plasmacytic differentiation. Cyclin D1 is negative. CD3 reveal sparse interfollicular T-lymphocytes. MIB-1 reveals high proliferating germinal centres and 5% in the expanded mantle/marginal zones. IMPRESSION:- Retro orbital mass biopsy (side not mentioned - 2 paraffin blocks): Low grade B-cell non-Hodgkin lymphoma, favour marginal zone lymphoma. Final Report for requisition no. UZZHL0000 Reqn. Date :09/03/2016 Report Date : 10/03/2016 Report By : P G SUBRAMANIAN Service Desc. :M.SERVICES Investigation Observed Type Observed Value Normal Range 1. eosinophils % High 8.0 1.0-6.0 % 2. neutrophil % Normal 58.8 40.0-80.0 % 3. Basophils % Low 0.5 1.0-2.0 % 4. Basophils abs Low 0.0325 0.02-0.1 x 10e9/L 5. Eosinophils abs High 0.52 0.02-0.5 x 10e9/L 6. HB Normal 14.3 13.0-17.0 g/dL 7. HCT Normal 40.8 40-50 % 8. Lymphocyte % Normal 25.1 20.0-40.0 % 9. Lymphocyte abs Normal 1.6315 1.0-3.0 x 10e9/L 10. Monocyte % Normal 7.6 2.0-10.0 % 11. Monocyte abs Normal 0.494 0.2-1.0 x 10e9/L 12. Neutrophils abs Normal 3.822 2.0-7.0 x 10e9/L 13. NRBCS % Normal 0.1 0.0-2.0 NRBCS/100 14. RBC Low 4.32 4.5-5.5 x 10e12/L 15. TLC Normal 6.5 4.0-10.0 x 10e9/L 16. MCV Normal 94.2 83-101 fL 17. MCH High 33.1 27-32 pg 18. MCHC High 35.1 31.5-34.5 g/dL 19. RDW Normal 13.3 11.6-14.0 %CV 20. PLATELETS Normal 202 150-400 x 10e9/L 21. MPV Normal 8.0 7.5-10.5 fL       Final Report for requisition no. UZZHL0000 Reqn. Date :09/03/2016 Report Date : 10/03/2016 Report By : P G SUBRAMANIAN Service Desc. :M.SERVICES Investigation Observed Type Observed Value Normal Range Control Machine 1. APTT Normal 29.000 29.5 ELP03 2. INR Normal 1.034 ELP03 3. PT Normal 13.800 13.4 ELP03       Final Report for requisition no. FECBC0000 Reqn. Date :09/03/2016 Report Date : 10/03/2016 Report By : P.K. SADHUKHAN Service Desc. :M.SERVICES Sno Procedure Name Observed Type Observed Value Normal Range 1. Fasting Blood Glucose Normal 78 70-99 mg/dL 2. Serum Urea Normal 19 12.84-42.8 mg/dL 3. Serum Uric Acid High 9.0 3.5-7.2 mg/dL 4. Serum Creatinine Normal 1.2 0.7-1.3 mg/dL 5. Serum Sodium Normal 139 136-145 mmol/L 6. Serum Potassium Normal 4.2 3.5-5.1 mmol/L 7. Serum Chlorides Normal 106 98-107 mmol/L 8. Serum Bicarbonates Normal 22.9 22-29 mmol/L 9. Serum Protein Normal 7.3 6.6-8.3 g/dL 10. Serum Albumin Normal 4.3 3.5-5.2 g/dL 11. Serum Globulin Normal 3.0 1.7-3.5 g/dL 12. Serum Alkaline Phosphatase Normal 71 30-120 U/L 13. Total Bilirubin Normal 0.63 0.3-1.2 mg/dL 14. Serum AST Normal 19 15. Serum ALT Normal 30 16. Serum LDH Normal 190 100-190 U/L 17. Serum Calcium Normal 9.1 8.6-10 mg/dL 18. Serum Phosphorus Normal 3.8 2.7-4.5 mg/dL Final Report for requisition no. GZZSE0000 Reqn. Date :09/03/2016 Report Date : 10/03/2016 Report By : SANJAY BISWAS Service Desc. :M.SERVICES REPORT:- TEST RESULT Hepatitis B Surface Antigen (HBsAg) NonReactive Hepatitis C Antibodies (Anti HCV) NonReactive HIV Antibodies NonReactive Final Histopathology Report for requisition no. FZZSP0000 Reqn. Date :09/03/2016 Consultant Pathalogist : EPARI SRIDHAR Report Date : 15/03/2016 Resident Pathalogist :PRANJAL GUGALIA Sample Rec. Date : 10/03/2016 Path. no. :010820/CN Previous Path No. :010820/CN 010744/CN Nature of Material Received :Bone marrow biopsy Service Desc. :Small biopsy/cell block except lymph node & breast Gross Description:- Received single linear bony bit measuring 1.2cm in length submitted entirely. Microscopic Description:- Bone marrow biopsy: Normocellular marrow for age (approximately 40-50% cellularity) with hematopoietic cells of all three series. No tumour deposit seen. IMPRESSION:- Bone marrow biopsy: Normocellular uninvolved marrow.