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Doctor insights on: Persistent Lesion

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CSF says "mature lymphocytes" present. Also 5 OCBs. 4cm brain lesion, persistent enhancement, relapsing remitting symptoms. 5 years trying to dx.?

CSF says "mature lymphocytes" present. Also 5 OCBs. 4cm brain lesion, persistent enhancement, relapsing remitting symptoms. 5 years trying to dx.?

Not finished: You only present half the story, not the full feature. It is tempting to blurt out "MS" with 5 OCB, but there are other autoimmune disorders that are more rare. NOBODY (in my opinion) has a stronger autoimmune Neurology program than Mayo. If its been five years, no diagnosis, time to see an institution of that power. ...Read more

Dr. Scott Bolhack
802 Doctors shared insights

Wounds (Definition)

Wound = injury to tissue. May include ...Read more


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What could "mature lymphocytes" in CSF mean? I also have 5+ OCBs and relapsing remitting symptoms. 4cm brain lesion w/ persistent enhancement. Not MS.

What could "mature lymphocytes" in CSF mean? I also have 5+ OCBs and relapsing remitting symptoms. 4cm brain lesion w/ persistent enhancement. Not MS.

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, Up to five mature lymphocytes is within normal limits. You may consult this site for more information:
https://medlineplus. Gov/ency/article/003625.htm ...Read more

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Persistent cough for months and can’t keep any food down most times, no weight loss and did an endoscopy and colonoscopy found a lesion On my stomach?

Persistent cough for months and can’t keep any food down most times, no weight loss and did an endoscopy and colonoscopy found a lesion On my stomach?

What kind of lesion?: You need to ask the doctor who did the endoscopy to find out if what was the lesion (if I understood your question correctly) found on your stomach or esophagus. If you have vomiting along with the coughing, consider whooping cough as a potential cause. These issues need be clarified before we can assist you. ...Read more

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Persistent vulvar itch in one spot lasting several months. Comes and goes but same location. No sores, lesions, lumps, or spots. No pt hx of sti's.

Persistent vulvar itch in one spot lasting several months. Comes and goes but same location. No sores, lesions, lumps, or spots. No pt hx of sti's.

Needs Evaluation...: Infection is a common cause of vulvar itching; however, there are other, less well known causes. For example vulvar vestibulitis and lichen sclerosis are skin conditions that cause itching. Pre-cancer or cancer can also sometimes cause itching as can menopausal atrophy. In some cases, a biopsy is required. Persistent itching like this is best initially evaluated by an Ob/Gyn. Best wishes! ...Read more

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Any docs familiar with Tumefactive Multiple Sclerosis? Ever seen a persistently enhancing lesion? 4cm lesion 5yrs enhancement. RR symptoms. 5 OCB.

Any docs familiar with Tumefactive Multiple Sclerosis? Ever seen a persistently enhancing lesion? 4cm lesion 5yrs enhancement. RR symptoms. 5 OCB.

Generic response: "Tumefactive" lesions are not uncommon in MS, and may be associated with even very potent medications. From your description, would presume your diagnosis is correct for R/R MS, but the lesion in question may be a co-morbidity, such as a vascular malformation, a brain
glioma, or even a nidus of infection, such as abscess. Need to see your neurologist and go through careful and thorough testing. ...Read more

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What is an abnormal lesion?

What is an abnormal lesion?

A lesion: Is a nonspecific term that means abnormality. It could be innocuous or serious. Calling something an abnormal lesion is somewhat redundant. ...Read more

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What is an ovarian lesion?

What is an ovarian lesion?

It is: An as yet undefined abnormality of the ovary which may require further imaging or biopsy to diagnose accurately, ...Read more

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What is pedunculated lesion?

What is pedunculated lesion?

On a stalk: Pedunculated lesions (in the colon, on the skin, etc) are growths (either benign or malignant) that stick out from the surface (ie they are on a stalk). This contrasts with growths that are flat on the surface of the skin or membrane. ...Read more

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What is an amelanotic lesion?

What is an amelanotic lesion?

Colorless lesion: It is a lesion that has no dark or black color to it. Sometimes it is described as a flesh colored lesion. ...Read more

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What is an optic lesion?

What is an optic lesion?

Disease of the eye: There are many 'lesions' affecting the vision and optics of the eye. Ophthalmologists speak of optic disease mostly when referring to the optic nerve. That can be damaged by trauma, multiple sclerosis, tumors, and some other rare conditions. Check with the doctor who used this term and see where your optic lesion is located and what that means for you. ...Read more

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How to treat mulluscum lesion?

How to treat mulluscum lesion?

Be patient: Molluscum lesions are cousins of the wart & are a transient problem for a kid & will gradually become irritated & fall off over a 3-4mo period. Kids that scratch at them may spread them over a broad area. They can be frozen or removed with various agents, but the process will leave a scar. Most that self shed will leave a temporary mark that fades in a year. ...Read more

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What is a lesion on the spine called?

What is a lesion on the spine called?

Unclear: A lesion just means that there is an abnormality. It does not imply anything other than that. There are many things it can be. ...Read more

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I have stallate lesion in my breast what are the chances of survival?

I have stallate lesion in my breast what are the chances of survival?

Unknown.: Breast cancer is a much more tricky than that. The prognosis is determined by a host of factors which include the histologic type of tumor and invasion. The way the cells look, the specific markers found on the cell surface, the presence of genetic mutations, the size of the tumor, the presence of lymph nodes, etc.

Talk with your doc about your prognostic factors. ...Read more

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What is a chronic hill-sachs lesion?

What is a chronic hill-sachs lesion?

Fracture of humerus: Shoulder dislocation can result in fractures of the scapula and humerus. When the glenoid part of the scapula fractures it is called a Bankart deformity.
When the humerus fractures, it is called a hill sacs deformity. It is due to a cam type impaction injury. ...Read more

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How to differentiate between UMN lesion and LMN lesion?

How to differentiate between UMN lesion and LMN lesion?

Simply: Put upper motor neuron injuries do not have inhibitory fibers input hence you have hyper reflexes and spasticity while lower motor has hypo reflexes and flaccidity. Nice neurology book will offer more details ...Read more

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What is a soft tissue lesion?

What is a soft tissue lesion?

Soft tissue: Soft tissue lesion is something that normally does not belong at that location but its exact etiology is not known. Usually a persistent lesion will warrant an excision or biopsy to establish its cellular nature ...Read more

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What is a pedunculated lesion?

What is a pedunculated lesion?

Usually refers: To a polyps that has a stalk similar to a mushroom in appearance. ...Read more

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What is a periportal cyctic lesion?

What is a periportal cyctic lesion?

Portal veins: The portal veins are around the liver so a periportal cystic lesion is a cyst near those veins. Cysts are fluid filled sacs that can occur anywhere in the body and they are usually a benign finding and are not concerning. ...Read more

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Could a lesion in within the right media?

Could a lesion in within the right media?

Media?: What do you mean by media. Please refrase your question. ...Read more

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Is a kidney lesion something to worry about?

Is a kidney lesion something to worry about?

Depends.: Some lesions are benign, some malignant, and many unknown until treatment or a biopsy is performed. Many tumors, cysts, or kidney stones that are benign do not need treatment, and may be observed. Some benign lesions can enlarge in size to later cause problems, and require treatment though they are not cancerous. And malignant lesions should be treated by an experienced urologist. ...Read more

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Atherectomy-how big of a lesion can it treat?

Atherectomy-how big of a lesion can it treat?

Atherectomy: There is surgical and transcatheter atherectomy. In general surgical atherectomy can deal with larger lesions. Your physician who has the information about you can provide specific advice for you. ...Read more

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Small round lesion, won't heal, keeps bleeding.

Small round lesion, won't heal, keeps bleeding.

When to get checked: Skin lesion that fails to heal and bleeds should be evaluated. A biopsy to rule out a skin cancer may be a benefit. Okay to check in with your doc or local dermatologist. ...Read more

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What to do if I have a periampullary lesion is this bad?

What to do if I have a periampullary lesion is this bad?

Ask your doc...: A perampullary lesion could be benign or malignant and should be biopsied for microscopic verification. For detail, ask you doc. Best wish to health.... ...Read more

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How could a chest lesion contribute to hyperprolactenimia?

How could a chest lesion contribute to hyperprolactenimia?

Suckling reflex.: Seems that chest wall injury may activate local neural net that simulates "suckling" reflex. This should produce a modest rise in prolactin - nothing like a prolactinoma. ...Read more

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What is the difference between an infra- and supratentorial lesion?

What is the difference between an infra- and supratentorial lesion?

One explanation -: Normally this equates to a level of the nervous system- supra= above the ears (approximately) or infra=below.

The tentorium cerebelli separates the cerebrum (the popular, highly functional part of the brain) from the cerebellum, brain stem and spinal cord (the old fashioned, simple, automatic? Parts).

Sometimes supratentorial is a term used to describe unexplained or imagined symptoms. ...Read more