Its a tumor - glioma?

[papagnick]

Hi.My name is Nick.I m 51 years old. 24 August 2009 when i was bent and remove heavy things in my office and i had a headache at the top of my head and squeezing. I never had any headache. Next day 25 August i done MRI with 1,5 tesla.The MRI showed focal nodular alteration in the left parietal lobe than the parietal convexity, the left central somatosensory  propeller max diameter 0,8 cm (I think that was 1 cm), close to the slope. Located in the cortex and down to this white sub. It is spherical .Its left near the bone. It has high signal T2 and FLAIR - white-and very low signal on T1. It hasn t swelling, dont push,don t take on paramagnetic substance, has no restrictions on the dissemination.The opinion says is a non-specific finding (they cant say what is it -name) and recommended a new MRI after three months.I ask many doctors.The best neurosurgeons and neyroradiologists in Greece. They said isn' t an ishaimic. Isnt' t this...isn;t that, but they don t say if this thing is cancer.  
One of this said perhaps is something which i had from when I born Focal cortical dysplasia OR is the begining of a low grade glioma. The others said perhaps.We gan; t give now a name. A few days after searching I found a book "Pocket radiologist -Osborn -Blaser-Salzman" that had pictures and comments from the 100 most important diagnoses.I just found my own case description and picture (though slightly larger) in the pages referred to in low grade glioma.But the same was true for anaplastic gloioma.Mono biopsy singles.I visited the radiologist who did the translation of the book which is very good scientist and by chance located in the center that I done the MRI.He said it can be anything.I asked him even glioblastoma GBM and he said " Being so unfortunate?". I visited a young but very good neurosurgeon.He said the same.He told me that no neurosurgeon in the world will not do surgery because I have no any symptoms.He said that is a key point of brain and after the surgery I would have Disabilities .
My headache was ultimately irrelevant as that found in my head.

After 3 months 23 Novemper 2009 i done another MRI with 3 tesla.This alteration was 9 mm and faint uptake dotarem IV. Doctors said to do new MRI after two months. Other sai with 1,5 tesla and others with 3 tesla.

I have fotos in links from first MRI .Is there any doctor in forum to see these?
http://www.dpgr.gr/usergalleries/displayimage.php?pos=-381218
http://www.dpgr.gr/usergalleries/displayimage.php?pos=-381224
http://www.dpgr.gr/usergalleries/displayimage.php?pos=-381217
http://www.dpgr.gr/usergalleries/displayimage.php?pos=-381216
http://www.dpgr.gr/usergalleries/displayimage.php?pos=-381219
http://www.dpgr.gr/usergalleries/displayimage.php?pos=-381221

I want to ask if  this is glioma or something else. Is there any chance not to be a tumor? I m going to do another MRI 25 Jan 2010.Your opinion is to do  MRI with 1,5 tesla or 3 tesla? Its posible to be a focal cortical dysplasia?  

Thanks a lot.

[rumpled]

Did he give his reasons for 1.5 vs 3T?

I understand doing all the work - I do the same for mine.

Uptake, interesting, can be too in HOW the tech gives it, not the machine. I have a pit tumor - and the best way to get pit tumor MRI is called DYNAMIC. It really means that the contrast is given during the MRI (that the person is not taken out, given the shot, but that an IV is in the arm and a device can give it at a certain speed [too fast, pics are black, too fast, pics are white] so that the pics show the uptake in the potential tumor(s). For pit tumors, this works as pit tumors are tiny and sometimes this is the only way they show up. This can be done in 1.5 or 3T. Tech skill is needed as well, I have had some awful scans.

There may be a new substance though - gadolinium has been causing issues in people so let us know. I wonder if he wants a skilled facility, or really a new contrast. Find out what they are using. I just had a 1.5 in November and they used gad.

Not knowing is the worst.

[papagnick]

Hi rumpled. Thanks for your answer.I visited the best doctors in Greece.Professors etc.All said to do another MRI with 1,5 tesla after 2 months (now 20-23 Jan).This MRI is after 5 months from first MRI but this waiting  killing me. No  doctors are impassive spectators. I do all the work.One of them  (the best name professor) said (because there is sthg new uptake contrast substance) to do MRI 18 Dec to see this 21 Dec and if there is any developmend to do surgeon qickly at 5 Jan (today). Its mean many moving and aksthetic disabilities in my right hand - face - arm- body. I preferred to do  Cristmas with my family without problems. I will next MRI between 20-23 Jan with 1,5 tesla.

[rumpled]

This is not the doctor moderated forum, this is:
http://www.medhelp.org/forums/Head--Neck-Cancer/show/323 (look for forums under Expert forum, we are patients like you).

That being said, you have had this lesion show up now on several MRIs, so just being an artifact (e.g. weirdness) of the MRI is pretty much ruled out. MRIs are not perfect especially with smaller lesions (and CTs will not pick those up well either, from what I understand).

Sometimes it is not size, but location that makes things difficult. As they think you are ok, they are not willing to mess with anything as well, the treatments are going to be worse than your current status quo.

I too have heard a lot of debate with the new MRI (3T) vs standard (1.5T)... some docs are not in favor of the 3 as they say it presents too much too look at! I have had MRIs done with both, and to me, I prefer the 3T for clarity as well as I would think the offices using it are more up on the latest technology. I had one tech tell me the 3T was not available in clinical use (huh!) and that they were not going to get it because they thought patients would get dizzy afterward. I told him I had had a few, and his information was flawed.

As for dysplasia - possible. Are the docs sending out your films for other opinions? Or are you doing all the work?