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