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What do my lab test reports indicate?

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Posted on Mon, 16 May 2016
Question: Hi Doctor,

Please find the attached report. Can you answer the following couple of questions?
1. Does this look like malignant brain tumor?
2. What should be the next plan of action

CAT scan of abdomen and pelvis (with iv contrast) came clear
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Answered by Dr. Robert Galamaga (9 minutes later)
Brief Answer:
Considerations

Detailed Answer:
hello and thank you for sending the question.

The CT and MRI imaging findings are suggestive of a possible central nervous system lymphoma. At this time the next logical step would be to obtain a biopsy or tissue sample for definitive diagnosis.A biopsy can be obtained directly from one of the lesions described in the MRI which is typically obtained by a skilled neurosurgeon. Another possible option would be to sample the cerebrospinal fluid through a spinal tap although this might not yield enough diagnostic information for the path all just to deliver a definitive diagnosis.

once a definitive diagnosis is obtained then treatment options can be reviewed.

I assume also that imaging of the chest has been done either in the form of a chest x-ray or CT scan.

Thank you again for sending your question.

Sincerely,

Dr. Galamaga
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Robert Galamaga

Oncologist

Practicing since :2002

Answered : 2637 Questions

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What do my lab test reports indicate?

Brief Answer: Considerations Detailed Answer: hello and thank you for sending the question. The CT and MRI imaging findings are suggestive of a possible central nervous system lymphoma. At this time the next logical step would be to obtain a biopsy or tissue sample for definitive diagnosis.A biopsy can be obtained directly from one of the lesions described in the MRI which is typically obtained by a skilled neurosurgeon. Another possible option would be to sample the cerebrospinal fluid through a spinal tap although this might not yield enough diagnostic information for the path all just to deliver a definitive diagnosis. once a definitive diagnosis is obtained then treatment options can be reviewed. I assume also that imaging of the chest has been done either in the form of a chest x-ray or CT scan. Thank you again for sending your question. Sincerely, Dr. Galamaga