Doctor insights on:
Palpable Purpura Differential Diagnosis
Myxofibrosarcoma presenting in the skin: clinicopathological features and differential diagnosis with cutaneous myxoid neoplasms.?
Fairly common: The differential diagnosis will be made by the pathology team. My teacher hector battifora was among the world's most distinguished sarcoma pathologists but said he would never sign one out without another pathologist. The low nuclear grade ones rarely metastasize / kill, but all are prone to annoying local recurrences. Good luck, glad it's this relatively tame (still dangerous) cancer. ...Read more
Please explain: 5 CM irregular splenic lesion. Differential diagnosis lymphoma and splenic metastasis. Could this be cancer?
Yes: Both are forms of cancer. It could also be a benign hemangioma, an epidermoid cyst, an infart (how's your overall vascular health?) or any of a number of other entities. What to do next will depend on your history and physical exam. You're in no immediate danger but this very much needs to be followed up. Many of the lymphomas especially are very curable with today's biotech. ...Read more
Popliteal Lipoma : A lipoma is an extremely common benign lipid (fat) tumor. It can easily be identified on exam & verified by ultrasound. Lipomas can be seen anywhere on the body under the skin where there is fat. Malignant transformation is extremely rare. Lipomas formed from liponeogenesis, usually seen after a blunt trauma, has a higher incidence of liposarcoma transformation. Bakers cyst is not a lipoma. ...Read more
RLQ Pain: Long list including diverticulitis, crohn's disease, pelvic inflammatory disease, cholecystitis(gallbladder), ovarian cyst or twisted ovary, colon cancer, kidney stone, perforated ulcer, pancreatitis, bacterial infection and urinary tract infection to name a few. ...Read moreSee 1 more doctor answer
Confusing question: Your question makes no sense.Please submit appropriate basic facts and a clear question if you seek an answer.The questions are not linked on the site so each question should stand alone & be submitted as an open question, not to a specific person. ...Read more
Solid superficial subcutaneous 6x12mm nodule and presumed reactive lymph node. appears non specific. palpable. cervical. pediatric?
More specific: Your question can be better answered if you are more specific with what you are asking. I apologize, but "pediatric" what? ...Read more
How/why can lupus symptoms present & diagnosis of lupus be made by clinical picture &high ANA titer only?Why don't other labs show positive?Two rheum mds dx'd me.
Inhomogeneous thyroid w/ 1cm nodule. blood tests normal. Wrists in severe pain with swelling, possible hashimotos diagnosis? Need autoimmune test?
Probabl: Hashimoto's is something your doctor can say you have or do not have. IT IS AN AUTOIMMUNE DISEASE that can effect thyroid function. People with Hashimoto's are at significant increased risk of other autoimmune diseases. If there is any concern the wrist pain is autoimmune a work-up should be done! Don't panic! Autoimmune risk low in general and increased risk of a low risk is still low! ...Read more
Bruises on leg - derm biopsy report dx: vascular telangiectasias, sparse perivascular lymphocytic inflammation & hemorrhage. What does this mean?
Some can help..: The diagnosis of testicular cancer requires a tissue biopsy to determine that cancer is present and the specific type. There are some tumor markers for testicular cancer that can be detected in the blood to help determine response to chemotherapy and disease activity. These are not present in all patients with testicular cancer and are not used for the actual diagnosis of the cancer. ...Read moreSee 2 more doctor answers
Recent diagnosis w/autoimmune disease & skin biopsy result: urticaria or mast cell disease. Shouldn't biopsy give more definitive diagnosis?
Hard to tell: Mast cells are the cells that release histamine in the body. This is what happens in urticaria, so one will see mast cells in biopsies of urticarial (hive-like) lesions. Mast cells can also be found in increased numbers in people with mastocytosis. Thus the biopsies may be similar. As stated by my colleague, the clinical history can be key to the diagnosis. Talk with your doc. ...Read moreSee 1 more doctor answer
Does apple core stricture with mass and few lymph nodes on ct always mean a colon cancer diagnosis or other possible differential diagnosis ?
2cm rt jd node excisional biopsy: "many cells present, unable to identify." ongoing sx, several 1cm painless neck nodes, unilat face/neck puffy/full.
More info. needed,,,: You seem to have many nodes involved with something, and your puffy face can mean that you have a swelling issue that likey has backed up your lymph drainage there. But the biopsy report, and the underlying illness is too vague to know what this can be. It might be infection, an auto-immune preocess, or something else, but a visit to the doctor especially head and neck is needed to find out. ...Read more
What does a diagnosis of purpura fulmicans and lupus anticoagulant w/possible phophosilid syndrome mean?
Complicated question: Complicated question. Depends on severity, comlications and treatment. See rheumatologist. ...Read more
Mammogram report:benign appearing calcification are present on the left.2 obscured masses are seeing 0.7 and 1.0cm.is the rprt describing dif finding?
Without the: benefit of the full report, hard to say for sure, but it sounds like they are describing three findings: a benign calcification of no concern, and two partially visualized masses measuring 0.7 and 1cm. It is probable that the partially obscured masses will need additional evaluation with specialized mammographic views and possibly ultrasound. ...Read moreSee 1 more doctor answer
Hx breast ca, US spleen meaning?: Multiple hyperechoic solid lesions, indeterminate nature. Hemangiomata possible but metastatic disease not excluded.
Lymphoma vs. other: The spleen in hl may be heterogeneous/inhomogeneous/non-uniform due to lymphoma involvement, spleen infarction (death) due to cancer death in the spleen, or infection, or "other". The radiologist may or may not be able to determine that and your oncologist might be able to say more about it with knowing the clinical history. ...Read moreSee 1 more doctor answer
Big subject!: I wish i could do everybody's homework assignments in 400 characters. Get a good pathology textbook such as robbins or a website you trust and read up on the lymphocytic and lymphoblastic leukemias, hodgkin's disease, and the non-hodgkin's lymphomas. Good luck. ...Read moreSee 1 more doctor answer
- Talk to a doctor live online for free
- Henoch schonlein purpura differential diagnosis
- Remedies for palpable purpura
- Causes of palpable purpura
- Ask a doctor a question free online
- Purpura simplex diagnosis
- Differential diagnosis of dysarthria
- Submandibular mass differential diagnosis
- Colon cancer differential diagnosis
- Talk to a dermatologist online for free