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Doctor insights on: Bony Metastasis

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Bone cysts versus bone spurs?

Bone  cysts versus bone spurs?

Inside bone/tendons.: Bone cysts r contained inside the bone, any where from simple benign @ malignant and need watching. Spurs r at the edges of the bone as in arthritis, or in response 2 tendinitis where a tendon attaches. As patellar tendinitis or where ligaments attach as in heel spurs ( planter fasciitis). Treatments r different 4 each & multiple 4 each. B followed & rx'd by an orthopedic surgeon. ...Read more

Metastasis (Definition)

A cancer begins in an organ (say the breast). If it gets into the blood stream or the lymphatic stream the cells can travel to other parts of the body where, in the right environment, they may settle and grow. This development of tumor growth far away from the original site ...Read more


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Excruciating pain in scapula, "mass" on mri. Bone spur or bone cancer?

Excruciating pain in scapula, "mass"  on mri. Bone spur or bone cancer?

Sorry to hear: This. A scapula is a very odd bone for a primary tumor, and also odd for something traveled to that bone, but it does no get bone spurs. A "mass" needs to be biopsied. However, it is more likely to be from some other place: lung, breast (w), prostate (m)...My last scapular met came from a kidney primary. ...Read more

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Many rt. Paratracheal/mediastinal, bilateral hilar nodes consistent w/metastasis. Right subcarinal metastatic node mass 3cm. Max suv 9.1. Lung cancer?

Many rt. Paratracheal/mediastinal, bilateral hilar nodes consistent w/metastasis. Right subcarinal metastatic node mass 3cm. Max suv 9.1.  Lung cancer?

Needs Biopsy: Is there a known primary cancer? If not, you will need a biopsy of one of the nodes. Your doctor may suggest a mediastinoscopy and biopsy to get a tissue specimen. There are other causes of mediastinal node enlargement such as infection and sarcoidosis so it is important to make a definite diagnosis. Good luck. ...Read more

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3 yrs lytic bone lesions through axial skeleton -skull. Extramedullary hematopoiesis. New MRI spots on brain-bone marrow expansion. Can this be fatal?

3 yrs lytic bone lesions through axial skeleton -skull. Extramedullary hematopoiesis. New MRI spots on brain-bone marrow expansion. Can this be fatal?

Depends: Bone marrow expansion throughout the skeleton typically signals either that the marrow is i appropriately expanding into these compartment such as in a myeloproliferative disorder or the present regions of marrow production are insufficient to keep up with current body needs. Regardless of the cause this is best answered by hands on evaluation, testing and management by an hematologist. ...Read more

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Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?

Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?

Yes: Chemotherapy regimens based on the drug Fluorouracil (5-fu) have been part of the treatment for high-risk stage ii or stage iii colon cancer. Many clinical trials have shown that these regimens improve overall survival primarily by reducing the high risk of recurrence within the first two years after surgery. ...Read more

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Can a malignant tumor spread to bones via local metastasis?

Can a malignant tumor spread to bones via local metastasis?

Yes: A malignant tumor can spread to other places, including bones. This can happen directly; that is, if a tumor is near a bone, it can grow directly into the bone. It can also happen from a distance, if tumor cells get into the blood stream and travel to the bone. The picture shows the different places cancer goes in the body. I hope that answers your question! ...Read more

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Metastatic carcinoma omental tissue with unknown source men?

Metastatic carcinoma omental tissue with unknown source men?

Unfortunate: This is usually an unfortunate situation. The most common primary site will be somewhere in the intestinal tract, like the stomach. The pathologists will try many stains on the tissue to help define the origin. This helps with choosing the most appropriate chemotherapy. ...Read more

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Metastatic breast cancer has gone to hip bone; prognosis?

Metastatic breast cancer has gone to hip bone; prognosis?

This depends: The answer depends on many factors. How old is the persone, what other medical problems do they have, when did the breast cancer first occur, what other sites are involved, what are the characteristics of the cancer (estrogen, Progesterone receptors, her2/neu status) and what prior treatments were administered are some of the issues that factor into an answer. ...Read more

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Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally" surgery or cast? Why .

Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally"
surgery or cast? Why .

Orthopedic consult: Displaced cuneiform fractures often require an open reduction and internal fixation with screws. This is due to tarsometarsal joint instability. Additional important considerations include - intra-articular vs extra-articular and plane of the fracture. Isolated cuneiform fractures are rare and more likely to happen in association with metatarsal injuries. You need to consult an orthopedic surgeon! ...Read more

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Does X-ray detect bone metastases?

Does X-ray detect bone metastases?

Not great: X-RAYs are relatively insensitive in the detection of early or small metastatic lesions. Although CT scans are superior, CT scanning is relatively insensitive in showing small lesions, and it has the disadvantage of limited skeletal coverage. Bone scans are very sensitive (they'll pick up everything) but nonspecific (could be just arthritis). MRI and PET scanning are accurate but very expensive. ...Read more

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Odds of pet scan missing bone cancer?

Odds of pet scan missing bone cancer?

Yes: Pet measure metabolic activity and yes they miss bone tumour and metastasis if small, not much metabolic activity and bone scan, MRI is better. ...Read more

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Sesmoid bone injury?

Sesmoid bone injury?

Arthritis or fractur: Sesamoiditis is painful inflammation of the sesamoid apparatus, which is located in the forefoot most patients will describe a deep achy and sharp pain in the ball of the foot behind the big toe with every step taken. It will be difficult to perform many weight bearing activities. Most patients do not have pain when at rest. Could be treated by consevatie means. Or surgical means. ...Read more

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Stage non small cell lung cancer in left lung hilum region and lymph node involvement.

Stage non small cell lung cancer in left lung hilum region and lymph node involvement.

Depends: In order to give exact stage need size of tumor also other wise answer is presumptive lacks accuracy. ...Read more

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If lymph nodes clear in primary invasive casinoma of the breast stage 1, can bone metastasis occur ?

If lymph nodes clear in primary invasive casinoma of the breast stage 1, can bone metastasis occur ?

Yes, but unlikely: If your lymph nodes were truly negative, it's much less likely you would develop metastatic disease, but it happens. Breast cancer that is er positive may show up many years later in the bones. ...Read more

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Will a bone marrow transplant cure bone marrow cancer?

Will a bone marrow transplant cure bone marrow cancer?

Yes: However it depends on the type of cancer, if it is in remission or not ,age of the patient and the type of donor. It also depends on the type of transplant, from self or another donor ...Read more

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Can malignant mesothelioma cause a bone tumor?

Can malignant mesothelioma cause a bone tumor?

Direct invasion: Or blood borne metastasis from a pleural, chest wall tumor to an adjacent rib or distant site. We'd call this bony metastasis, a bone tumor infers that it started out in a bone, not innocently affected from another king of cancerinvading it. ...Read more

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This is my X-ray diagnostic "no focal bone lesion, thoracic vertebral body compression fracture, degenerative bony lipping or disc height loss is see?

This is my X-ray diagnostic "no focal bone lesion, thoracic vertebral body compression fracture, degenerative bony lipping or disc height loss is see?

That is normal: The radiologist when they read a film will often say what they don't see to show that they looked for it. A focal bone lesion is a tumor or fracture. A compression fracture is a fracture from trauma or osteoporosis. Disc loss height and degenerative body spurs are signs of arthritis. So what you quote here is the radiologist saying that they do not see any of that. ...Read more

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