ผมได้ไปทำ CT Scan ที่ต่างประเทศมา ได้คุยกับหมอเรียบร้อยแล้ว และหมอส่งผลมาให้ แต่ฟังและแปลไม่ค่อยเข้าใจอย่างถ่องแท้นัก อยากรบกวนคุณหมอหรือผู้เชี่ยวชาญช่วยอธิบายให้ด้วยครับ ใจความดังนี้ครับ
The CT scan of his right
scapula and humerus confirms he has a very large
expansile lesion in the medial aspect of the scapula
however it has a non specific appearance and it has
areas of sclerotic borders but other areas it appears to
erode the cortex of the scapula. They can not
definitively conclude this to be a benign condition. It
certainly has the appearance of a chondriod tumour as do
the multiple lesions in his humerus. The differential
diagnosis however can be quite wide including metastatic
disease, multiple myeloma or deposition disease such as
gout, however most of these are highly unlikely as he
generally very well. I still think there are going to be
multiple enchondromas and he may even Ollier's disease
which is multiple enchondrimatosis, but it is certainly
not florid.
This scapula lesion however could be differentiating
into a chondrosarcoma so we need to image it much more
appropriately. He needs an MRI scan, a bone scan and I
have organised a skeletal survey to see if he has lesion
elsewhere in the body. I have organised bloods as a
routine screen. I will then most likely send all the
file up to Ian Dickinson in Brisbane who is the senior
tumour specialist, for an opinion as to whether or not
he feel the scapula lesion will need a biopsy.
ขอบพระคุณอย่างสูงครับ
รบกวนสอบถามผลจากการทำ CT Scan ครับ
The CT scan of his right
scapula and humerus confirms he has a very large
expansile lesion in the medial aspect of the scapula
however it has a non specific appearance and it has
areas of sclerotic borders but other areas it appears to
erode the cortex of the scapula. They can not
definitively conclude this to be a benign condition. It
certainly has the appearance of a chondriod tumour as do
the multiple lesions in his humerus. The differential
diagnosis however can be quite wide including metastatic
disease, multiple myeloma or deposition disease such as
gout, however most of these are highly unlikely as he
generally very well. I still think there are going to be
multiple enchondromas and he may even Ollier's disease
which is multiple enchondrimatosis, but it is certainly
not florid.
This scapula lesion however could be differentiating
into a chondrosarcoma so we need to image it much more
appropriately. He needs an MRI scan, a bone scan and I
have organised a skeletal survey to see if he has lesion
elsewhere in the body. I have organised bloods as a
routine screen. I will then most likely send all the
file up to Ian Dickinson in Brisbane who is the senior
tumour specialist, for an opinion as to whether or not
he feel the scapula lesion will need a biopsy.
ขอบพระคุณอย่างสูงครับ