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Schlerotic Lesion in Right Hip Area
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Schlerotic Lesion in Right Hip Area

I went to the doctor with severe pain, inflammation, inability to rotate hip, and nerve pain in the right hip. After a x-ray, MRI, and bone scan they have diagnosed a sclerotic lesion and recommended I see an orthopaedic specialist.

What is the treatment for such a diagnosis?
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Avatar_n_tn
Hi,
How are you feeling?
Your finding on MRI and Bone scan of a sclerotic lesion suggests that there might be some non-growing benign lesion. The presence of a well-defined margin and a sclerotic rim strongly suggests a benign non-growing lesion.
Can you tell me what diagnosis have they made? Whether a biopsy is done or not? I would like to know whether you have any additional symptoms apart from this?
Keep me informed.
Bye.
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Avatar_n_tn
Started out with episodes of nerve pain through the hip joint to the knee some three years ago (at age 32). It would be quite debilitating for a couple of days then go away.

In the past six months it has become quite a different experience. Sometimes my hip aches sitting or walking. I feel stiff and stove(sp?) up. Some times its just extreme soreness in the joint, tender when I move a certain way. I have no rotation in my hip at all. And I'm still having nerve pains. I walk slightly stooped over because I feel pain in the hip when I try to walk straight, holding up without a limp.

I felt like it was arthritis and maybe some sciatic (sp?) nerve issues, but neither the xray, MRI, or Bone scan make mention of it. Other than the hip issues I'm in perfect health.

No biopsy has been done yet, but I have an appointment with a Muscoskeltal Oncologist with Emory Orthopaedics and Spine Center this week. Would appreciate any insight you might have.
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Avatar_n_tn
One other piece of information. The intial xray showed moderate dengeration of the right hip bone, so something dengerative is going on.

No official diagnosis yet.

Thanks.
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Avatar_n_tn
Hi,
As of now I can only say there is some growth happening in your hip bone which is causing all the symptoms.
I can tell you that your symptoms were indeed due to nerve compression due to this particular mass.
A biopsy is necessary to understand the pathology behind the lesion. It is also important to know whether the lesion is Benign or Malignant. Biopsy would also tell us whether the lesion is a primary lesion from the hip bone or any metastatic lesion.
How old are you?
Keep me posted.
Bye.
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Avatar_n_tn
I'm 35 years old with a three year old little girl undergoing Chemotherapy for a benign brain tumor partially resected a year ago. I need this situation in my hip to be an easy fix (probably why I haven't gone to the doctor already). So let's keep our fingers crossed!
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Avatar_n_tn
Hi,
I feel terribly sorry that your little daughter has to go through all this.
Chemotherapy would be difficult to go through. I am a physician who specializes in child health too, hence more concerned about kids.
Has she being diagnosed with Astrocytoma Grade I? Is she underwent surgery for Astrocytoma removal?
As per your age if your hip lesion turns out to be a tumor then it could be Paget disease, hyperparathyroidism, Enchondroma if a benign lesion and Metastatic bone disease, multiple myeloma, lymphoma, primary mesenchymal tumors, Chondrosarcoma, MFH if found to be a malignant tumor.
I hope it is not a lesion at all and would pray for your daughter’s recovery.
Keep me posted.
Bye.
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Avatar_n_tn
She was diagnosed with Juvenile Pilocytic Astrocytoma. It was partially removed with surgery and luckily it has been shrinking some with chemo. We finish chemo in May. She has tolerated the chemo very well and is a very active little girl (www.caringbridge.org/visit/marlayna).

Will keep you posted after doctor's visit on Wednesday.
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Avatar_n_tn
Hi Marlo,
She is very pretty and cute too. She is just like a princess and an angel from heaven just send to earth by god.
All me blessings are for her.
Give my love to her.
Keep me posted.
Bye.
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Avatar_f_tn
Please let me know how she is. Our prayers will be with her.
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Avatar_f_tn
I am at the same stage you are. I had a  MRI  Monday. I have Joint problems and just by chance on a painful night. I went to ER and that is when they did a exray of my hip. He came back and said he found a lesion on my hip. I have been going out of my mind. Everything I have searched for lesions on the net and every thing points to cancer. I go to Athens for mine. I could use a friend to go through this with me. I don't know about you but I have not told my family yet. It makes me crazy. I am Elaine. Hope we cat again. My e-mail is ***@****
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