Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
127 Doctors are Online

Lesion in pubic ramus, scan report normal, bone marrow analysis suggestion - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor :   Hi
User :   hi
Doctor :   How can I help you?
User :   what kind of dr are u please?
Doctor :   I am a general physician.
User :   are u familiar with Multiple myeloma
Doctor :   Yes.
User :   ok. I have a lesion in My pubic ramus that was diagnosed via MRI
User :   it was non specific
Doctor :   Ok
User :   the radiologist stated in the report that it could be a hemangioma or enchondroma but a metestic cancer could not be rued out by the mri only a bone scan is recommended if clinically indiated
User :   so I went for a bone scan which was perfectly normal
Doctor :   Ok
User :   I had bloodwork 5 weeks ago before all this started and everything was normal no anemia etc
Doctor :   Ok
User :   The same day i had the mri on my pelvis i hada mri on my lumbar as well..which was unremarkable
Doctor :   Ok
User :   My family dr who I know very well said that I did not need any more testing.
Doctor :   Ok
User :   But I went to see a ortho oncologist just to see what he said
User :   the ortho onclogist looked at my scans and said he did not think it is cancer but wants me to get a spep test just to make sure even though he is 99 pct sure its not myeloma.
User :   he also recommends a ct scan with dye.
User :   in your opinion how likely would a single lesion in the pubic ramus be a myeloma?
Doctor :   Bone scan is usually very effective in picking up cancerous bone lesions.
User :   I read online that it does not pickup myeloma?
Doctor :   Since the bone scan has come negative, the chance that it could be one is very unlikely.
Doctor :   Yes, the definitive test is a bone marrow analysis. But considering all other findings which are against the features of multiple myleoma,
Doctor :   personally the chance that this could be related to
Doctor :   it is less than 2
Doctor :   *1% I mean.
User :   I also went throw me old blood test and realized I had a spep test in 2009 about 20 months ago would that matter it was normal
User :   I do have some muscle/bone pain but i Do excercise..
User :   lift weights etc
Doctor :   It would be better, if you can answer why hip bone scan was performed in the first instance.
Doctor :   I would be able to answer, your second question better, if you could provide this information?
User :   I had a pain in the oppisite hip and a tear of the labrum was found the lesion was incidental
Doctor :   Did you have this pain in Sept 2009 when you had the protein electrophoresis test done?
User :   I was not excercising back then the pain I have now comes and goes it not steady..sometimes just like a sharp ach that comes and goes
User :   i had shoulder surgery back then so I dont really remember the pain i get now is not diffrent from what I have felt in the past
User :   I have had numerous blood test over the last 2 yrs and my hemoglubin wbc rbc etc have all been the same for yrs
Doctor :   It is not clear since how long you had this lesion on the hips,
Doctor :   SPEP test done almost 2 years ago, has no
Doctor :   clinical relevance now.
Doctor :   as far as ruling out Mutiple myleoma now.
Doctor :   However
Doctor :   I do not suggest you to be concerned.
Doctor :   All your other symptoms, including normal blood work up all through since 2 years
Doctor :   are against the feature of multiple myeloma.
Doctor :   It would be very, very unlikely that unusually features could pop up on SPEP test now.
Doctor :   You may consider the tests as suggested by the oncologist to clear any suspicion which the doctor or perhaps you too have beyond doubts.
Doctor :   Do you follow what I have suggested?
User :   yes and ty
Doctor :   It seems that you have moved out of the chat window. Please login again if you have any other query.

Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor