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Surgery Done For Tumor In The Spine. Developed Water Filled Boil On Spine. Any Suggestion?
Dear Sirs, First of all my regards to the entire community of doctors who are working for such a good cause. My grandpa had a surgery of back due to a tumour in the spine around 10 years back. After that he could not move at all without support. Now suddenly since the last 3 months he has developed another boil sort of thing and transparent water like fluid is oozing out of his spine. He had many tests including MRI but no result. Doctors suspected bone TB but then rejected. May please advise. Regds S G Ghosh India
Fri, 25 Jan 2013
HI,
hope a pathologic exam was done to elucidate the type of tumour. Also it important to do a work up to know whether the tumour is spread already if at all it is malignant
.
How ever, from what you describe, evn if a histopathologic exams ruled out spine TB, it is still very possible it should be spine TB.A good number of patients with spine TB have negative hisotpathologic results, and indirect measures are usually used. Anti TB drugs are not expensive and are generally harmless. I believe it is worthwhile discussing with your surgeon on putting the patient on a trial anti TB treatment and checking for the clinical response.
Thanks and best regards,
Luchuo, MD
hope a pathologic exam was done to elucidate the type of tumour. Also it important to do a work up to know whether the tumour is spread already if at all it is malignant
.
How ever, from what you describe, evn if a histopathologic exams ruled out spine TB, it is still very possible it should be spine TB.A good number of patients with spine TB have negative hisotpathologic results, and indirect measures are usually used. Anti TB drugs are not expensive and are generally harmless. I believe it is worthwhile discussing with your surgeon on putting the patient on a trial anti TB treatment and checking for the clinical response.
Thanks and best regards,
Luchuo, MD
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