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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Vertebral Collapse And Lesion

the patient has suffered D 11 vertebral collapse and a paravertabral lesion was seen in the mri so the Ct guided Fnac was done and the fnac report of the same sample from one labs shows lymphocytes, histiocytes, neutrophils, few multinucleated giant cells and necrosis in the background while the other report from second lab shows hemorrhagic paucicellular smears showing occasional osteoclastic giant cells on a background of inflammatory infiltrate. what is the cause? and what treatment she should be given.
Thu, 21 Apr 2016
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Neurologist, Surgical,  's  Response
Hi,

I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you

Question : What treatment she should be given.
Answer : The Collapsed Vertebra should be fixed by a Neurosurgeon so that it does not lead to paraplegia . While fixing it the neurosurgeon will take a biopsy of the lesion. With Biopsy, you can have correct diagnosis. FNAC may not always give the full diagnosis since only cells are seen. In Biopsy the architecture of the lesion also will be seen

Hope you found the answer helpful.

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

Let me know if I can assist you further.

Take care.
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Suggest Treatment For Vertebral Collapse And Lesion

Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : What treatment she should be given. Answer : The Collapsed Vertebra should be fixed by a Neurosurgeon so that it does not lead to paraplegia . While fixing it the neurosurgeon will take a biopsy of the lesion. With Biopsy, you can have correct diagnosis. FNAC may not always give the full diagnosis since only cells are seen. In Biopsy the architecture of the lesion also will be seen Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care.