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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does A Sclerotic Border Means Is Non Aggressive And Slow Growing Cancer?

Hi, my daughter went to the Dr. thinking she might have appendicitis and after an Xray, it was found she had a "lytic lesion with sclerotic border on her left iliac bone" according to the radiology report. Her doctor she hasn't seen an orthopedic surgeon yet, she's at school UC Santa Cruz, is recommening an Nuclear Bone Scan...she is 20 years old, healthy, are we looking at cancer for sure? does a sclerotic border means is non agressive and slow growing but it could still be cancer? we don't know how long she had this..could it be many years? in that case, could it be the cancer spread? I'm desperate , I know I need to wait, but i just cant...thank you!
Wed, 27 Aug 2014
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Oncologist, Radiation,  's  Response
Lytic lesions with surrounding sclerosis can be seen in infectious conditions , Benign tumors as well as malignant tumors(Cancer) conditions. There is more chance that it can be a inflammatory/ infectious condition or a benign condition than a cancer. But cancer should be ruled out.
The best approach would a blood culture and a bone scan and a consultation with an oncologist.
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Does A Sclerotic Border Means Is Non Aggressive And Slow Growing Cancer?

Lytic lesions with surrounding sclerosis can be seen in infectious conditions , Benign tumors as well as malignant tumors(Cancer) conditions. There is more chance that it can be a inflammatory/ infectious condition or a benign condition than a cancer. But cancer should be ruled out. The best approach would a blood culture and a bone scan and a consultation with an oncologist.