Malignant Lesions

Question: Medical Question: Can ecstasy cause malignant brain lesions?

Answer: yes, it may lead to damage to the cortex and hippocampus of the human brain...which basically means if screws with your brain really bad

Question: Can a primary, benign, osseous lesion inside the proximal humerus tum malignant? differential diagnosis of mri is benign and malignant bone lesions with metastatic disease but mri report favors benign. No previous cancer known of but runs strong in my fathers family. 37 yr old male, mri was done for pain in shoulder and neck ( 2 ruptured disk) and other probs.

Answer: yes it can ,

Question: What is the difference between a malignant brain lesion and a malignant brain tumor?

Answer: The term "tumor" refers to a swelling in the body. To many, the term is synonymous with cancer. But any type of swelling — even a large bruise (hematoma) — is technically a tumor. Tumors can be cancerous or noncancerous. A brain tumor is a mass or growth of abnormal cells in your brain. A lesion is an area of abnormal tissue; could be either benign (noncancerous) or malignant (cancerous). Brain tumors typically are categorized as either primary or secondary. Primary brain tumors originate in your brain and can be noncancerous (benign) or cancerous (malignant). Secondary brain tumors result from cancer that began elsewhere and spread to your brain. Primary brain tumors are less common than secondary brain tumors. Benign brain tumors are usually slower growing, easier to remove (depending on their location), and less likely to recur than are malignant brain tumors. Benign brain tumors don't invade the surrounding normal brain or other nearby structures, but they can still place pressure on sensitive areas of your brain. Malignant brain tumors can grow more rapidly, invading or destroying nearby brain tissue. Let me know if we should keep you/your family member in our prayers, or if you are doing your biology homework.

Question: is thyroidectomy the ONLY way to determine if a papillary lesion / follicular neoplasm is benign or malignant? My wife recently underwent FNAB for the thyroid gland and the findings were: 1. PAPILLARY LESION 2. FOLLICULAR NEOPLASM. Suggest thyroidectomy for a definitive diagnosis. Microscopic Description: Smears disclose a fairly cellular aspirate composed of cohesive clusters of follicular cells, in attempt to form acini and short papillary fronds. The cells show vesicular nuclei, with focal areas of pleomorphism. The background is hemorrhagic containing thin colloid materials and few mixed leukocytes. I really would like to know if the it is benign or malignant but is there any other way besides invasive surgery? Thanks a lot in advance for all the answers and help.

Answer: If FNAB demonstrate follicular neoplasm , we must perform thyroid lobectomy for determining if it's malignant or not , and regarding to this , we will design the further definite and main operation . There is no way other than this yet . In some situations , we can perform total thyroidectomy as a plan to determine the permanent pathology at first ( there is several indications : old patients , mass more than 4 cm , ... ) . But about Papillary neoplasm it's somewhat different : we can plan for a definite operation , also with a FNAB .

Question: When an MRI impression states 'predisposed to pathological fracture', 'benign and malignant lesion' and mets? Impression: There is a large osseous lesion involving the proximal humerus which includes both primary, benign and malignant bone lesions as well as metastatic disease. Consider bone scan and thin section CT for further evaluation. Consider orthapedic consultation. Location is predisposed to pathalogical fracture. Lesion measures 2.4 cm by 3.6 cm. What I am asking is, above is the mri impresion, but in the report it states he favors a BENIGN LESION, which would be more likely? Thanks.

Answer: If the same person wrote both, no idea what is more likely, the MRI is very suggestive of cancer that has spread Metastasis is the spread of a disease from one organ or part to another non-adjacent organ or part. Only malignant tumor cells and infections have the capacity to metastasize. Metastatic disease is a synonym of metastasis. Sorry,the report and MRI are conflicting the impression suggest both exist

Question: Here is a question about an osseous lesion of the proximal humerus? The mri report favors benign lesion, but the mri impression states benign and malignant lesions with metastatic disease, this disease was stated in the mri differential diagnosis.

Answer: Having access to one's own medical reports is not always a great idea -- it adds anxiety, especially when one doesn't have the medial expertise to properly interpret it. An "osseous lesion" simply means a bony, or bone-related, lesion: http://www.medterms.com/script/main/art.… Humerus is the upper arm bone, and proximal means closer to the shoulder (vs. "distal", which means closer to the elbow). A bony lesion in the arm bone near the shoulder can be anything from something benign like slight unevenness in the calcium to something malignant like bone cancer. Since the radiologist who read the MRI has never met you (or whoever the MRI belongs to), he/she was forced to include all possibilities in his/her report. It is not meant to be the final diagnosis -- your doctor (who hopefully *has* met you) should then put the report in the proper context for you. So, talk to your doctor. After all, that's why your doctor is getting paid (either by you or by someone else). All the best.

Question: What are the chances of carrying more than one strain of the HPV virus? I have been diagnosed with HPV and had the cancer causing strain. Had a hysterectomy due to stage 4 cervical dysplasia as some malignant lesions removed from my labia. Now I have what I am almost positive as warts but have not been sexually active in over 18 months.

Answer: I have at least two different kinds of HPV. I have a kind that caused cervical cancer for me about 6 years ago and I have a kind that caused genital warts for me about a year ago. So, it's definitely possible you could have two or more different kinds.

Question: Can a bone lesion be identified as malignant by a mri alone?

Answer: No. MRIs are not the best test for bone mets and are not used to confirm them. A bone scan is what is typically used when a doctor is looking for bone mets and a PET scan when looking for bone mets in addition to other types as well. Usually a bone biopsy is not done unless the primary site is unknown and it is the only metastatic disease found.

Question: Possible malignant lesion? Hey all, I'm probably worrying over nothing here. Last week I found lump/swelling on my rib, I wasn't sure how long it had been there since noticing it so decided to get it checked. My appointment with my GP was yesterday and as soon as he felt it he said it needed to be x-rayed. He wanted me to go straight after my appointment but by that time the x-ray department at my local hospital was closed so I'm going today and have been told I'll get results within a week. On my referral form it says that the examination found a 'swelling on the left 5th rib - mid-axillary line'. There is a section that asks what the GP expects the x-ray to reveal, and has put 'boney lesion on left 5th rib'. I'm a 21 year old male. I must admit I am slightly anxious about this. All I wanted was an honest opinion, but my doc wouldn't even say what he suspected it might be, just said it was a swelling that required further investigation. What do you think?

Answer: You are right to go and have this checked out and as stated cancer is rare in teens and young adults. Unfortunately I am all too familiar with that litany, as we too were repeatedly told that cancer was rare for a 17 year old (being rare doesn't mean it doesn't happen and being rare doesn't mean teens don't die from cancer) . . what we found is that doctors tell you all the 'good' and positive things first and try to turn attention away from anything 'negative'. So, it is often what doctors do not say that is the most troubling. It really isn't possible to tell you not to be anxious about this and you may need to be persistent until you get a diagnosis. In general only, since no one here knows what this swelling really is . . in the back of a doctors mind he may be thinking not only cancer . .but sarcoma. But they will never come out and say it to you until they are sure. Regular doctors and even regular oncologists almost never see sarcoma and that is one reason they fail to recognize it . . they also rarely see a young patient with cancer . . the specialist that sees young people with cancer is a pediatric oncologist or in the case of a young adult . . an Adolescent and Young Adult oncologist (AYA). If at any point while you are being 'examined' for the cause of this swelling . . there is mention of sarcoma . . you should immediately ask to be referred to a sarcoma specialist or to a sarcoma center (at your age probably a pediatric sarcoma specialist is best). Only a sarcoma specialist should treat sarcoma. I hope this does not make you any more anxious than you already are . . but at this point nothing can be ruled out . .including cancer. Sarcoma Alliance: Youth with cancer http://www.sarcomaalliance.org/Youth/you… ASCO: Cancer in Young Adults http://www.cancer.net/youngadults