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Female | 69

Do I Have Liver Cancer with Spinal Metastasis?

I am 69 years old female. Since 2-3weeks I was having pain in right pelvic region and slight low backache.. Other than that I had no any symptoms…I had significant weight loss but didn’t care about it much…10 days back I underwent MRI Lumbo-sacral spine with TIM which showed partial collapse of L1 vertebra showing heterogenous altered signal intensity with in an ill-defined lobulated lesion in right half of body of L1 vertebra suggestive of either being neoplastic or infective..Then I underwent PET-CECT which showed Hypermetabolic lesion involving almost entire caudate lobe of liver suggestive of primary liver malignancy i.e.Hepatocellular carcinoma and hypermetabolic metastatic purely lytic lesion with large soft tissue component in L1 vertebra… I never had alcohol or any HBV or HCV infection nor I am obese..And spinal metastatis is very rare from liver…Please give your expert opinion regarding this case.. what may be the cause and what investigations should I need to do further? Also please tell me about the treatment options I could have

Answered on 31st July '24

Chemotherapy and radiotherapy. Are the only options. As being metastatic it's stage 4 ca

2 people found this helpful

Questions & Answers on "Spine Surgery" (10)

My mother in law has been suffering from Moderate to severe spinal canal stenosis is noted resulting in crowding of cauda equina nerve roots.

Female | 56

Her spinal canal stenosis indicates that the area her spinal cord passes is becoming narrower. The compression may in turn apply force to the nerves that run down her legs, and consequently, she may have pain, weakness, or even numbness. Depending on the specific case, treatment may involve physical therapy, medications for pain, or in rare cases, surgery to relieve the pressure on the nerves.

Answered on 10th Oct '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Findings: Spastic straightening of the cervical spine. L3-4 and L2-3 broad-based disc bulge indenting the thecal sac encroaching upon both lateral recesses mildly compromising the inferior aspect of the neural foramina effects accentuated by posterior elements hypertrophies and short lamina. L4-5 broad-based disc bulge indenting the thecal sac which upon both lateral recesses comprising the neural foramina bilaterally. L5-S1 broad-based disc bulge encroaching upon both lateral recesses compromising the inferior aspect of the neural foramina Rest of scanned discs show no significant disc protrusions or foraminal compromise. Normal MR appearance of spinal cord and bone marrow signal intensity. No other abnormality seen. Impression: Multilevel spinal canal stenosis and bilateral neural compromise between L3-4 to L5-S1 and to lesser extent L2-3 with effects accentuated by bilateral posterior elements hypertrophies, short lamina and possibly mild epidural lipomatosis

Male | 50

You have a condition calle­d spinal canal stenosis. This means the space­ around your spinal cord is narrow. The narrowing puts pressure on the­ nerves in your spine. This can le­ad to leg pain, numbness or weakne­ss. Aging and regular use of the spine­ cause wear and tear. Tre­atment options include physical therapy e­xercises, medications, or surge­ry in severe case­s.

Answered on 6th Aug '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

I am 69 years old female. Since 2-3weeks I was having pain in right pelvic region and slight low backache.. Other than that I had no any symptoms…I had significant weight loss but didn’t care about it much…10 days back I underwent MRI Lumbo-sacral spine with TIM which showed partial collapse of L1 vertebra showing heterogenous altered signal intensity with in an ill-defined lobulated lesion in right half of body of L1 vertebra suggestive of either being neoplastic or infective..Then I underwent PET-CECT which showed Hypermetabolic lesion involving almost entire caudate lobe of liver suggestive of primary liver malignancy i.e.Hepatocellular carcinoma and hypermetabolic metastatic purely lytic lesion with large soft tissue component in L1 vertebra… I never had alcohol or any HBV or HCV infection nor I am obese..And spinal metastatis is very rare from liver…Please give your expert opinion regarding this case.. what may be the cause and what investigations should I need to do further? Also please tell me about the treatment options I could have

Female | 69

Chemotherapy and radiotherapy. Are the only options. As being metastatic it's stage 4 ca

Answered on 31st July '24

Dr. Rakesh Kumar  G R

Dr. Rakesh Kumar G R

My father is suffering from spinal neck pain tinitus

Male | 51

Kindly get an MRI cervical spine and carotid Doppler to rule out vessels involvement

Answered on 5th Aug '24

Dr. Rakesh Kumar  G R

Dr. Rakesh Kumar G R

I have a back pain down on my spine

Male | 18 years

First start back stretches. Daily. Being at 18 yrs there should only be a muscle spasm. Have a lot of water.

Answered on 5th Aug '24

Dr. Rakesh Kumar  G R

Dr. Rakesh Kumar G R

after spine surgery T2 to T4 patient got paraplegia what to do after to recover

Female | 76

Paraplegia is a lack of le­g movement. It can come from surge­ry issues. Immediately talk to the­ surgical team. They'll check what cause­d it, suggest recovery he­lp.

Answered on 5th Aug '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Answered on 23rd May '24

Dr. Pramod Bhor

Dr. Pramod Bhor

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