Doctor insights on:
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 moreSee 3 more doctor answers
"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more
Hard,painful mass(enl.supracl lymph node,soft tissue,musle), 2" x 3"right fossa supraclav.behind sternocloid muscle.TB,lymphoma ruled out.Suggestion?
Probable tumor node: In the supraclavicular fossa few lesions arise spontaneously. Most have spread. Thyroid Ca can spread to that site as well as tumors of breast having reached level III of axilla. Other nodes can enlarge on the left side as metastasis from abdomen pelvis travelling up the lymphatic pathway to neck ...Read more
Regional spread: Many tumors, as they evolve, develop the potential to spread. The lesions develop matrix metalloproteinase which forms small e-cadherin from the cell cement and allows for spread. Regional nodes are a common site and for lesions on the arm and chest, spread is to the axilla. Lt. breast carcinomas as they grow and spread frequently are noted in the left axillary lymph nodes as metastatic adenoca ...Read more
Cancer with unknown primary tumor. Enlarged lymphnodes under armpits. Tumor find in breastbone. Ok ct Scan of lungs, abdomen, breast. Lymphoma?
Need biopsy done: A biopsy of one of the axillary lymph nodes may provide some guidance about the primary source of this tumor. It could be breast Cancer which sometimes would not show on a Mammogram(it is called an Occult Primary). Without obtaining tissue for microscopic exam it is difficult to proceed further. Ask his oncologist to provide you some answers and an understanding of this problem. ...Read more
Hard to say: If the interpretation on the MRI by the radiologist is that it is a cyst, then it is likely benign. It also depends if there is any area of enhancement that would suggest a tumor. Also if you have serial MRI scans, you can tell if it is getting bigger or changing which is more likely a tumor. The location in the ventricle is important too. If it obstructs the foramen it could be a problem. ...Read moreSee 1 more doctor answer
Spread of cells: Micrometastasis means that a few tumor cells have left the breast tumor and traveled to the lymph nodes under the arm. In most cases, this is treated as a negative lymph node. I encourage you to review your pathology report with your surgeon and oncologists (ideally they are communicating with each other through a meeting called a tumor board). ...Read moreSee 3 more doctor answers
Yes: yes it will if done with IV contrast ...Read more
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
Nodule in l thyroid vth faint focal calcification, multiple enlargd lymph nodes in l cervical regn(surgical level3).Papillary carcinoma vth metastasis?
Thyroid cancer: Did you have a biopsy? An fna (fine needle aspirate) could be performed where a thin needle is used to collect cells from the thyroid nodule. This sample is sent to a pathologist for examination. The presence of multiple nodes is concerning and deserves further workup. Hope this helps. Papillary carcinoma is common and treatable. ...Read more
MRI neck show bilateral II & III lymph nodes 1 CM & larger. Jugulodigastric l-node 1.5 cm. leukoplakia, OSA, neck pain, migraines,Fatigue. Concern?
R/O OSA: OSA CAN BE LIFE THREATENING. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL.VS HYPID SUSPENSION. PERSISTENT LYMPHADENOPATHY DEMANDS BX. If BX is - YOU NEED A RADICAL NECK DISSECTION to R/O LYMPHOMA . ...Read moreSee 1 more doctor answer
Does metastatic cheek 1.5cm lymph node & almost completely occupied by a tumor proliferation without extracapsular extension need radiotherapy?
Maybe: Not always - need to sample additional and if carcinoma still present would rec XRT ; can do a scan to see if any residual tumor. ...Read more
2mm lung nodule grew to 4.5 mm in 12 mo new nodule noncalcified punctate 2.7mm , 1palpable intramammary lymph node and tiny axillary nodes, related?
Thoracic surgeon and radiologist is leaning towards thymoma from pet and CT scans. 2 enlarged nodes near thymus tumor. Can they tell if lymphoma?
Nonspecific pet/ct.: Pet/ct scans are very sensitive for identifying disease, but not as specific as to what type of disease. On some occasions, the appearance and distribution of disease on these scans can specifically identify one disease. More often tissues/nodes would need to be biopsied to be studied under a microscope by a pathologist to specify actual disease type/subtype and can aide in treatment options. ...Read more
RT NEPRECTOMY CLEAR CELL RENAL CARCINOMA(FUHRMAN GRADE 2) CONFINED TO KIDNEY.URETER RESECTION MARGIN, SINUS & HILUM , ADRENAL FREE FROM TUMOR?
Unclear: Sorry I am unclear as to what your question is. Please clarify. ...Read more
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 moreSee 2 more doctor answers