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Suggest Treatment For Lump On Buttocks
Question: Last ear, on 19 January, I saw my GP because of a lump in my right buttock. She sent me for a soft tissue X-ray and a chest and abdomen X-ray was also taken. Three (!) months later |I was sent for a biopsy at a sarcoma specialist clinic but the result came back as melanoma, not sarcoma. By then it had grown quite a bit and in July I underwent a 4 week course of radiotherapy, which made it shrink. Now, one year later I am still awaiting treatment, I live on an island off the French coast which is part of Britain and government will not pay for immunotherapy so the alternative would be surgical procedure which may leave me disabled. My question to you as a surgeon: should the lump not have been removed in the first instance, when it was quite small and then sent for a biopsy?
Brief Answer:
Ideally yes, unless there was some problem hindering such a thing.
Detailed Answer:
Hi.
Thanks for your specific query.
Read your history carefully.
Your query: My question to you as a surgeon: should the lump not have been removed in the first instance, when it was quite small and then sent for a biopsy?
This will depend upon a few things like the location, size, possibility of fully covering the lesion with skin cover and so on.
Ideally the best policy is to remove the lesion in-toto with a margin of normal skin and send it to the biopsy. This may be a part of the treatment in some cancers.
Since I do not know how was it on presentation and how deep, it is bit difficult to comment upon.
Please tell me the present condition and the treatment you are taking and the extent of the disease, that its surgery will disable you.
I hope, This answers your specific query, please feel free to ask for relevant further queries if you feel that there is a gap of communication.
Ideally yes, unless there was some problem hindering such a thing.
Detailed Answer:
Hi.
Thanks for your specific query.
Read your history carefully.
Your query: My question to you as a surgeon: should the lump not have been removed in the first instance, when it was quite small and then sent for a biopsy?
This will depend upon a few things like the location, size, possibility of fully covering the lesion with skin cover and so on.
Ideally the best policy is to remove the lesion in-toto with a margin of normal skin and send it to the biopsy. This may be a part of the treatment in some cancers.
Since I do not know how was it on presentation and how deep, it is bit difficult to comment upon.
Please tell me the present condition and the treatment you are taking and the extent of the disease, that its surgery will disable you.
I hope, This answers your specific query, please feel free to ask for relevant further queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
The long delay between first scan and biopsy was not due to any medical consideration but unfortunately to inter-departmental mistakes. But I have one more question. After I woke up from anaesthetic for the biopsy, I noticed a lot of fluid had leaked from the needle incision and it was definitely not urine as the nurses suggested. I was soaked underneath only and I know I produce a lot of fluid, i.e. after an operation 8 years ago I had to be drained for a week, so could it be possible that draining it could reduce the swelling, which is at present ca 10 cm. It is hard in the morning but softens up and reduces when I start moving. I am not asking for a diagnosis which could contradict the findings made here but whether it is at all possible that the tumour/swelling is smaller than it looks and feels because of protective fluid? As regards possible disability, talk is of a colostony bag as it is quite close to the colon and damage to nerves (sciatic nerve?) which could make me unable to walk. Thank you for your consideration.
Brief Answer:
Yes, it can
Detailed Answer:
Noted your fresh query and read the information given by your.
Yes, it is possible that the tumor or swelling is smaller it appears. this is due to the excessive fluid it can have within or around it. This occurs as this is not a normal part of the body and not governed by the normal bodily mechanisms.
Saving life must be the most appropriate motto and avoiding disability is equally important. Go for the most appropriate treatment and get well soon.
Yes, it can
Detailed Answer:
Noted your fresh query and read the information given by your.
Yes, it is possible that the tumor or swelling is smaller it appears. this is due to the excessive fluid it can have within or around it. This occurs as this is not a normal part of the body and not governed by the normal bodily mechanisms.
Saving life must be the most appropriate motto and avoiding disability is equally important. Go for the most appropriate treatment and get well soon.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much Dr Chandrakant!
Brief Answer:
Thanks for your appreciation.
Detailed Answer:
You are most welcome.
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant
Thanks for your appreciation.
Detailed Answer:
You are most welcome.
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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