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Treatment for a Cyst identified through a CT Myelogram of the S1 Region

Started by Pumpkin1946 on 04/29/2012 9:56pm

Since September of 2011 I have been having severe pain that started in both hips but mainly now radiates mostly from the right hip. The pain level is usually a 10 on a scale of 1-10. Unable to do PT since the pain is too severe. Recently had a CT Myelogram done which diagnosed a large cyst. It is said to be near the lower spine, very large at the top and longated down to a narrower size. Have been told by one Neurosurgeon that the only way to treat it is to remove it. I am going to another Neurosurgeon to get a second opinion.

I am a former cancer patient having had prostate cancer in 2007 and one of my kidneys has stopped working. What are the chances that this cyst could be malignant?

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Dear Pumpkin1946 - I'm not certain what you've had done since you last posted - but with your past history and that the cyst is large and takes on a shape that's elongated down to a narrower size - I would encourage you to at least have a biopsy done. With the pain level you're experiencing and (do you know if it's growing farther down or thickening at all? Comparison films?) if it's on the dorsal aspect of your spine a biopsy should be considered. I'm not a big proponent of back surgery per se, having known several cases that "seemed fine" and then it wasn't long afterwards there were problems, - but cancerous growths need attention ASAP. If not for anything else than that it's so near your spine/vertebrae if it should penetrate bone - it will be painful all the time and may spread more readily. The chances are greater than 50% the cyst is cancerous or precancerous. If it's a cyst a less invasive type of biopsy can be done via large bore needle. How was your prostate cancer treated? TURP? Radiation? Other surgery? Fully recovered? Follow up radiation or chemo? Fast growing? Were you born in 1946? They say that ALL males have some form of prostate cancer by the time they're 80 years old - but usually pass away from something else. My uncle has it now and just went for his first Rad treatment - he's 76 and not a candidate for surgery. He was on the "female" injections and told his doctor he was "going" better and not as often - but his doctor told him that he didn't feel the injections were working fast enough. ?? Like I'm wondering how fast they're supposed to work even if he's had some relief. I'm not certain how long he'd been on them though so I can't really say.

Did one of your kidneys stop working because of cancer? Or another condition? Do you know?
Sorry for lack of brevity - I just hope you're seeking all aspects of care. Have you gotten the 2nd opinion yet? Best of luck! Be well. Keep in touch if you like.