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Bone lesion
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Bone lesion

› Forums › General Melanoma Community › Bone lesion

  • Post
    • November 26, 2013 at 1:21 pm
    A
    Participant

      Hello,

      Last week I had an MRI arthrogram of my hip because of intermittent mechanical pain in my posteriolateral hip for abot 3 months (it was not getting worse with time, I would say even improved). An orthopaedic doctor I saw did X-ray (which was normal) and ordered MRI with contrast to rule out the labral tear. Well, MRI showed extensive labral tear but it also revealed a bone lesion 3.0 x 2.8 x 3.3 cm in acetabulum of my ischum bone with fluid fluid layers,"likely aneurysmal bone cyst", 
      Because of my melanoma history (Stage 1, 9 years post diagnosis), I am besides myself with worry. I made an appointment with an orthopaedic oncologist at MGH who deals with benign and malignant tumors and I assume they will do a biopsy of this lesion. How bad is bone biopsy? Did anyone have an MRI suggestive of cyst that later turned out to be a metastasis???

    Viewing 11 reply threads
    • Replies
        • November 26, 2013 at 1:43 pm
        Mat
        Participant

          Hi, it is definitely appropriate to diligently follow-up on this–as you are doing.  I was Stage I 10 years ago and am now Stage IV.  I was diagnosed in July 2013 with a heavy and aggressive tumor burden and, therefore, limited treatment options (so far, so good on current treatment).  However, the first "sign" that I had was severe left arm pain, which first occurred in early January.  Given the passage of time, I never even suspected melanoma or any anything serious for that matter.  I assumed my pain was as a result of carrying around my 4 year old or from typing, etc.  I didn't have my arm x-rayed, etc.  Turns out that it was a bone lesion.  Now, to be clear, my situation is atypical and my intent is not to increase your worry.  Rather, it is to validate your vigilence.  (Note: I did not have a bone biopsy, so I can't speak to that.)

          • November 26, 2013 at 1:43 pm
          Mat
          Participant

            Hi, it is definitely appropriate to diligently follow-up on this–as you are doing.  I was Stage I 10 years ago and am now Stage IV.  I was diagnosed in July 2013 with a heavy and aggressive tumor burden and, therefore, limited treatment options (so far, so good on current treatment).  However, the first "sign" that I had was severe left arm pain, which first occurred in early January.  Given the passage of time, I never even suspected melanoma or any anything serious for that matter.  I assumed my pain was as a result of carrying around my 4 year old or from typing, etc.  I didn't have my arm x-rayed, etc.  Turns out that it was a bone lesion.  Now, to be clear, my situation is atypical and my intent is not to increase your worry.  Rather, it is to validate your vigilence.  (Note: I did not have a bone biopsy, so I can't speak to that.)

            • November 26, 2013 at 1:43 pm
            Mat
            Participant

              Hi, it is definitely appropriate to diligently follow-up on this–as you are doing.  I was Stage I 10 years ago and am now Stage IV.  I was diagnosed in July 2013 with a heavy and aggressive tumor burden and, therefore, limited treatment options (so far, so good on current treatment).  However, the first "sign" that I had was severe left arm pain, which first occurred in early January.  Given the passage of time, I never even suspected melanoma or any anything serious for that matter.  I assumed my pain was as a result of carrying around my 4 year old or from typing, etc.  I didn't have my arm x-rayed, etc.  Turns out that it was a bone lesion.  Now, to be clear, my situation is atypical and my intent is not to increase your worry.  Rather, it is to validate your vigilence.  (Note: I did not have a bone biopsy, so I can't speak to that.)

              • November 26, 2013 at 1:57 pm
              Janner
              Participant

                A fluid filled lesion on the bone is not likely to be a melanoma tumor.  If the radiologist thought it had malignancy potential, the wording would have said just that:   "Suspicious for malignancy". Sometimes, things are exactly what they seem. Certainly doesn't hurt to check it out, but don't jump to conclusions.

                • November 26, 2013 at 1:57 pm
                Janner
                Participant

                  A fluid filled lesion on the bone is not likely to be a melanoma tumor.  If the radiologist thought it had malignancy potential, the wording would have said just that:   "Suspicious for malignancy". Sometimes, things are exactly what they seem. Certainly doesn't hurt to check it out, but don't jump to conclusions.

                  • November 26, 2013 at 1:57 pm
                  Janner
                  Participant

                    A fluid filled lesion on the bone is not likely to be a melanoma tumor.  If the radiologist thought it had malignancy potential, the wording would have said just that:   "Suspicious for malignancy". Sometimes, things are exactly what they seem. Certainly doesn't hurt to check it out, but don't jump to conclusions.

                    • November 26, 2013 at 2:22 pm
                    POW
                    Participant

                      I agree with both Mat and Janner. A fluid-filled cyst looks very different on an MRI than does a solid tumor like melanoma. You most probably have a cyst. But Mat is right, too. With a history of melanoma, it's always best to get weird things checked out. Relax and have a wonderful Thanksgiving!

                      • November 26, 2013 at 2:22 pm
                      POW
                      Participant

                        I agree with both Mat and Janner. A fluid-filled cyst looks very different on an MRI than does a solid tumor like melanoma. You most probably have a cyst. But Mat is right, too. With a history of melanoma, it's always best to get weird things checked out. Relax and have a wonderful Thanksgiving!

                        • November 26, 2013 at 2:22 pm
                        POW
                        Participant

                          I agree with both Mat and Janner. A fluid-filled cyst looks very different on an MRI than does a solid tumor like melanoma. You most probably have a cyst. But Mat is right, too. With a history of melanoma, it's always best to get weird things checked out. Relax and have a wonderful Thanksgiving!

                          • November 26, 2013 at 11:52 pm
                          paul Lyons
                          Participant

                            Hello.

                            I recently had a bone biopsy. It's a simple procedure, generally.. It was sore at the biopsy site for a few days with no residual pain a few weeks out.

                            Best of luck,

                            Paul

                            • November 26, 2013 at 11:52 pm
                            paul Lyons
                            Participant

                              Hello.

                              I recently had a bone biopsy. It's a simple procedure, generally.. It was sore at the biopsy site for a few days with no residual pain a few weeks out.

                              Best of luck,

                              Paul

                              • November 26, 2013 at 11:52 pm
                              paul Lyons
                              Participant

                                Hello.

                                I recently had a bone biopsy. It's a simple procedure, generally.. It was sore at the biopsy site for a few days with no residual pain a few weeks out.

                                Best of luck,

                                Paul

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