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What does a soft tissue growth on foot indicate? - Online Doctor Chats

Date : 30-Oct-2014
User rating for this question
Very Good Posted in: Lump
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General & Family Physician
Practicing since : 2003
Answered : 1549 Questions
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User:Hi This is XXXXXXX XXXX
User:My query is regarding my Wife
Doctor:Go Ahead
User:My Wife underwent a surgery recently, there was 1 soft tissue grow on her left foot
User:after all dianostic, Dr from Apollo Hospital Banjara Hill's XXXXXXX
User:suggested to undergo surgery
User:surgery was successfuly done on 5th September 2014
User:and the tissue tumour was send for biospy
User:now biospy report have come and after seeing it
User:Dr Said the tissue he removed was very aggressive tissue and may come back
Doctor:Do you have the report?
User:and hence we may need to undergo 1 more surgery to clear the adjoining musle..
User:yes i have all reports..
User:with dr priscription
User:you want me to attach it now
User:its in 2 pdf fill
Doctor:yes, go ahead
User:report attached..
User:hope u can access it
Doctor:one moment whil i read ok?
Doctor:this is a hemangioma
Doctor:it seems like it was damaging the tissue and bone tat it was in contact with
Doctor:That makes it pretty agressive
User:oh okie..
Doctor:A hemangioma is an overgrowth of the blood vessels in the soft tissue
Doctor:Blood vessels have special cells that can infiltrate any tissue, bone etc
User:but dr said this is not hemangioma
Doctor:under normal conditions, this is good, as you want the blood vessels to grow INTO the tissues and supply them blood
Doctor:but when they grow out of control, they can do alot of damage
User:but dr said this is not hemangioma
Doctor:The pathology report you uploaded says it is??
Doctor:Am i looking at the wrong one?
User:chl report 2
Doctor:Ok, the supplemental from apollo XXXXXXX came on 29/9
Doctor:Pleomorphic Hyalineizing angiectatic Tumor
User:what is PHAT
Doctor:This is unfortunately worse than having a hemangioma
User:can u explain
Doctor:the cells seem to be poorly differentiated
Doctor:OK, well, this is basically a cancer
User:hmm but dr clearly said its noy cancer
Doctor:i need to explain
Doctor:the word i cancer is pretty vauge and maybe it would have been better not to use it
Doctor:Now, when cells are born, they undergo many stages of maturation and growth
Doctor:during these stages, the cells will take on different characteristics and specialize
Doctor:When cells in blood vessels are born, they have to go alot of development and maturation before they are ready to do their jobs
Doctor:If the development and maturation is interfered with in late stages, then you can get a tumor like a hemangioma
Doctor:where the cells basically look like normal blood cells but with some improper characteristics and functions
Doctor:Are you with me so far?
User:lastly dr said that
Doctor:OK, lets say the maturation and development is interfered with at an earlier stage
Doctor:you can get something like a PHAT
User:oh okie...
Doctor:now, the earlier the stage of maturation, the more aggressive the tumor
Doctor:but since these cells are all of the same blood vessel lineage, they do not really have the tendancy to jump off the primary tumor and move to other parts of the body
Doctor:Lets say the lineage was lung tissue or liver tissue
Doctor:The poorly developed cells would love to jump away from the primary tumor and set up secondaries in other parts of the body
Doctor:That is the typical cancer we think of when we think of cancer
Doctor:but here, your doctor is probably saying that its not "CANCER" because the chances of these PHAT cells of jumping somewhere else are almost nil
Doctor:but the apollo XXXXXXX report from 29/9 does state that the cells show an intermediate malignancy
Doctor:malignancy is another word for cancer in general
Doctor:just that, thankfully, surgery alone should cure this
User:my dr said that if we dont do surgery changes are there it will come back..
Doctor:Yes, at this point, i imagine that the primary tumor has been removed
User:and if we do surgery than after surgery 99.90% it will never come bac
User:yes primary tumor is removed
Doctor:but these tumors tend to invade into healthy tissue surrounding them
Doctor:the cells don't jump, but they infiltrate aggressively
Doctor:So imagine an octopus with its 8 arms holding onto various rocks on the sea floor
Doctor:you can cut it's head off, but the tentacles will still be stuck to the rocks
Doctor:In this case, those tentacles can become new tumours
Doctor:So, it's tough to see these tiny tentacles of PHAT cells now
Doctor:so they surgeon will opt to do a wider tissue removal where they take out alot of healthy tissue as well
Doctor:Hopefully getting rid of the tentacle, rocks and all
User:got it..
User:so i should go with my dr suggestion and underwent surgery again
Doctor:If I were you and this as my family.. YES!
User:thanks a ton XXXXXXX
User:1 last question
User:its just been 1 month her left foot underwent surgery and now again if we do surgery on the same left foot...
User:will there any impact on her left leg
User:or left foot
Doctor:no, why do you think there would be?
User:Just question which was there in my brain,,
Doctor:there will be alot of pain and recovery after the surgery
Doctor:She will need physical therapy to get back on her feet
Doctor:But a good surgeon will be able to preserve function quite well
User:in her first surgery she recovered very well
Doctor:Shes in her 20's right, the body heals incredibly well
User:she is 28 now..
Doctor:She will be able to conquer this
User:turned 29 this october
Doctor:if she were 68, i might say something diff
User:oh okie..
Doctor:I know this is scary my friend.
Doctor:Let me give you some perspective.
Doctor:All she needs to beat this thing is another surgery.. if this had been another type of tumor
Doctor:The cells would be jumping and seeding through the body and she would need chemo and radiation
Doctor:That would be ful blown cancer
User:oh okie,,,
Doctor:she has dodged a bullet
Doctor:and it just grazed her foot
User:thank god she dont have that tumor
Doctor:she will heal and live happily
User:you were a grt8 support and you explain things pretty well
User:will I get this chat over email as well ?
Doctor:umm, i don't think so, but i will talk to our CRM guys to see if we can do something about that
User:it would be helpfull to explain things to my wife tomorrow morning..
Doctor:Sure, i get it
Doctor:will make it happen somehow
User:thanks a ton...
Doctor:whats your email address?
User:you are Superb and You really Rocked and Clear all my doubts..
Doctor:Thanks, thats kind of you to say
Doctor:ok, will have our crm team contact you
Doctor:If nothing else i will email the chat to you by cutting copying and pasting
User:no, you deserve it, as you satisfied all my query..
Doctor:Always happy to help
User:Thanks a was nice talking to you..
Doctor:Thanks for visiting me here. Bye for now.
User:bye and thanks again
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