My niece is 20 years old. She is feeling left leg and hip pain from last two months. CT SCAN OF ABDOMEN AND PELVIS and MRI LUMBER SPINE performed.
Following findings concluded by CT SCAN ABDOMEN & PELVIS:
“Findings suggestive of an aggressive lesion arising from the sacrum from its left half. Differential diagonosis include soft tissue including liposarcoma, lymphoma and ewings tumour”.
Following findings concluded by MRI LUMBER SPINE:
“A large lobulated eccentric mass originating from the left side of the sacrum involving the upper two sacral vertebral bodies with main bulk of mass bulging into the pelvic cavity causing marked displacement of surrounding structures. Markedly heterogeneous internal environment with much areas of necrosis. A large area of necrosis involving the site of origin. The appearances can be due to a large infective / tuberculous mass. The other possibilities include a plasmacytoma, giant cell tumor. The significant less likely possibilities would include chordoma or a sacral tertoma.
Please advice further for treatment options and also let me know the specialist who can best treat the patient (Orthopedic, neurosurgeon, general surgeon, medical specialist etc)
A medicine specialist with an orthopaedic surgeon would be the best persons to treat the case. If it is a tuberculosis related then it will decrease with medicines and if it is a tumour related an orthopaedic surgeon will be useful. Multi speciality faciltities will have the option of all kinds of doctors and will be used for consultation wherever required. Follow up near your treating doctor who will guide you properly. Take care!
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