Conversation: The conversation between human and AI assistant.
[|Human|] If there has been a 1 yr hx of lymphadenopathy in retroperitoneal area and now there is lymphadenopathy in the mesenteric area, but blood work is "pristine" is the cause still most likely cancer?   If it is a mesatisis, and a primary site has not been identified where should one look?   There is a history of acute cholecystitis with cholelithiasis and gangrene with lap. chole 6 years ago but bilary colic has persisted.  Waiting for biopsy results but the radiologist is totally surprised there is no history of cancer.  No night sweats, but chronic nausea and constipation/diarrhea.
[|AI|]  Hi and welcome to Chat Doctor. Thank you for your quarry. Well, it can be mesenterical lmyphadenitis or any intra-abdominal infection which can cause lymph node swelling. I wouldn't say that it is most likely cancer. Such metastasis would already have much more serious symptoms. I think that you should do imaging test of abdomen CT or MRI and chest. Also check your tumor markers and do frequent follow up of this lymphadenopathy. Wish you good health.