A giant cell tumor is usually benign—it doesn't typically metastasize—but it can be locally aggressive, or maybe just sit there unnoticed for years...
If eosinophil cells were actually present in the sample they analyzed, they probably would have been super easy to spot under histology.
The biopsy sample itself might be the whole point here. I guess the doctor or surgeon taking the sample is basically "caught between a rock and a hard place.> When they're grabbing a sample, they have to be careful not to wreck the surrounding tissue—like nerves or blood vessels. They also have to make sure they don't accidentally "push" potentially cancerous tissue into the healthy area by being too aggressive, which could spread things. At the same time, they need a "good enough" sample that represents both the sick and healthy tissue so the pathologist can actually tell what's going on. Finding that line between healthy and diseased tissue is huge when looking through a microscope.
The attending physician—probably an orthopedic surgeon—will decide what happens next based on the clinical picture and all the test results. Honestly, based on what you told me, I can't be any more specific than that. 🤷 Let us know what the medical board decides. 😉
So, I'm just waiting now. If I remember right, they mentioned an angiography to see if the edges are vascularized or not. Supposedly, that'll show which one it is. They said the biopsy would show too. Now I'm just waiting to see what the oncologist decides...
Back again with more questions.. They're looking into an eosinophilic granuloma, so they did a bone biopsy.... Honestly, I'm pretty lost on what this pathology report actually means...
The histological and immunohistochemical analysis of the sample could point toward an aneurysmal bone cyst, but we can't rule out a giant cell tumor either
Does this confirm the previous diagnosis, or are we looking at a whole new thing now...
Bone scan—how long does that usually take? My daughter is going tomorrow right after school, so I’m trying to figure out if she'll make it back in time or if I should just call the school... Thanks in advance..
Has anyone here dealt with LCH? I think that's what they call it online. How do you even treat that, or whatever else goes with it... We don't have a confirmed diagnosis yet (not me, my daughter), but the test results seem to point right at it.
velvetmoose9 said:It’s been ages since I dealt with pediatrics, but look, eosinophilic granuloma is a BENIGN type of histiocytosis. You definitely need to talk to an oncologist, though. They'll probably want a biopsy of the lesion for pathology. It can flare up again or show up in different bones—even cause fractures—but honestly, these things often just clear up on their own without coming back. So, treatment isn't always a given, maybe just local steroids or even surgery...
From what I've seen online, this Langerhans cell histiocytosis thing isn't exactly nothing. Apparently, they use steroids and chemo, and there's a pretty good chance of recovery.. Thanks
velvetmoose9 said:Regarding Boldan, I guess (so,just guessing here) we're talking about someone pretty young, maybe under 30, probably more like 10-18. Could use some actual info though (age, gender, past illnesses, current stuff + meds etc.). Was the pain already happening there before?
She’s 16, and no, the pain wasn't there before. She deals with thyroid issues—Hashimoto's or whatever it's called—and takes daily pills for it... From what I've been digging up online, this doesn't look good. The surgeon says the pain isn't related to what they found, because the pain is right in the joint, but the lesion is actually on the bone itself (about 11-14 mm).
Sorry for bugging you guys again!!!! Can someone please explain what this CT scan result actually means? "the lesion (now specifying which bone) may primarily correspond to eosinophilic granuloma. I'm just freaking out about what that bold part signifies...
A little backstory—hit my knee about a month ago and it just won't stop hurting. Went to see an orthopedic surgeon last week, had an X-ray, and they found some kind of shadow on the bone. After seeing the images, they rushed me through a CT, and I just got the results today. The surgeon is sending us straight to oncology because of this finding. We're waiting for an appointment next week, so if it's not too much trouble, could someone just translate what this granuloma thing is...
velvetmoose9 said:It looks like she’s being treated by an incredibly thorough and conscientious doctor.
Just some nonsense about ribs and whatever... The truth is, her MS specialist really knows what they're doing—they've already run the MRI and genetic tests. It's not the doctors that are the issue here; I guess the wife is just spiraling into unnecessary panic...
velvetmoose9 said:Unfortunately, autoimmune issues tend to travel together—attacks on both the pancreas and the thyroid happen all the time. So, what were her fasting blood sugar levels? Did she do a glucose tolerance test? Any actual diabetes symptoms? Or maybe just obesity?
She hasn't done those specific tests lately, but she did them before and everything was totally fine regarding her sugar levels.
As for weight, she’s a little on the heavier side, but nothing crazy (my wife and I are both pretty big-boned too). Thanks for the info...
velvetmoose9 said:It’d be way more helpful if we actually knew anything about the person being tested—like why they need these specific results, their age, or medical history (diabetes, autoimmune stuff, PCOS, etc.)...
A lab report could potentially point toward an autoimmune reaction against insulin-producing cells, or maybe just high insulin resistance...
The girl is 16 and dealing with thyroid issues (Hashimoto's or whatever you call it)....
John Evans80 said:Eric Adams promised us that shutting down the Mount Rainier gondola was just temporary, claiming New York City would build an even better one in its place.
But honestly, it looks like they pushed it indefinitely—hardly anyone mentions it anymore.
New Yorkers are slowly getting used to life without it. It seems there are more and more people who never even used that long-distance lift—which was a total world rarity in terms of its views—yet they still spout nonsense like this:
There are plenty of hiking trails all over Mount Rainier and the Appalachians. One doesn't rule out the other—they actually complement each other.
We really need to push to get that long-distance Mount Rainier gondola back; it genuinely made life in NYC so much better. Is anything actually being done about it?
Forget about it for the next ten years. According to Eric Adams, anything is possible... except progress. There isn't even a real plan or a project yet. They barely even have a rough route mapped out.
Linda Roberts2 said:It makes sense. Russia definitely won't target London, because then Moscow would be hit right back. But who cares about some small place like America that can't even fight back? I guess NATO might try to grab a naval base in America, which any smart government would probably welcome.
Giving an airbase like Zemunik over to NATO... man, people are just clueless about this stuff...
The head is still stuck in there and it’s causing irritation... Don't go pulling ticks out yourself, I guess. It's way too hard to get the whole thing out, and if you leave the head behind, you haven't really fixed anything...
bluerider63 said:That’s a totally different ballgame; Joe Biden runs his own party, just like Katherine runs hers, and everyone knows if your party wins the majority, you're getting the keys to the mansion. I remember hearing Mark Voljč wasn't even part of the campaign trail, whereas guys like Joe Biden or Katherine definitely were, much like how things worked before Ivo Sanders took over.
Look, if nobody pulls a majority in the elections, or if even a coalition can't scrape one together... then there's no clear leader. So I guess it means either we run the whole thing again, or we find some neutral person everyone can actually stand... I mean, whoever grabs the most seats in the US Congress becomes the Prime Minister, I guess.
rowdyowl said:First it was Italy, and now word is spreading to Canada—it’s a banker, too, and one who didn't even run in the elections 👎
Which ballot did you actually use to vote for Joe Biden for President, or before him, Jacqueline Kennedy, or any other past leader... The head of government is chosen by Congress, so their name has nothing to do with the general election...
Just looking for some clarification here. My little girl has thyroid issues (excess antibodies) and she keeps it under control with medication... Got her new blood work back today and T4 is 89.1 (normal) TSH is 1.93 (normal) hTgAt is 33 (normal) But TPO-At is 1747—and now that I'm looking at the results, it's supposed to be under 20. So it's almost 9 times higher than it should be. Does anyone actually know what TPO is and why it would be that high?
We have an ultrasound and follow-up scheduled for November 11th, but I just want to know what we're dealing with in the meantime...
My wife's grandma needs something like this, just to make her summer days a bit easier since she's 97.
Photos of what I'm looking for: http://goo.gl/JeTKY
She saw some girl on an ATV a few days ago and said that's exactly what she wants! Maybe an ATV isn't the best call for a 97-year-old, so we suggested those electric scooters you see in American movies all the time (I think I saw some available to rent at an Amazon near Vicksburg, and maybe even at a Chicago store—also for rent).
Does anyone know who sells these around here? What are we looking at price-wise? Please, send ideas, advice, or help! Thanks!
That's basically an orthopedic aid. You might be able to get it through social services, but otherwise, prices run about 15-20 $0.00 at medical supply stores.
So, in both those cases, the call taker actually got it right..... The issue is just that people aren't exactly thinking straight when they're calling in a crisis, so they can't really judge how urgent things are. That's what the dispatchers are there for—they're medical pros, so they keep a cool head to figure out how fast help needs to move.... I've used their services a ton over the years, and honestly, I have nothing but good things to say... One time I called just looking for some advice because my blood sugar was through the roof, and the dispatcher actually sent an ambulance without me even asking, though they did make me double-check the reading first. People are way too hard on them, acting like they need to be on-site the exact second you hang up, without realizing they’re literally busy saving lives at that moment....