5.5 cm lesion in Ulna.

History A 69 y/o female was on chemotherapy for 3.5cm meningeal tumour in the sellar cavity. The treatment was sucessfull. Chief complaint After 6 months she came with the complaint of pain in the left upper arm with difficulty in movement. Investigations CT & MRI shows a 5.5 cm lesion in upper part of ulna. Biopsy shows metastatic relapse. Treatment Treatment advised radiotherapy for the ulna lesions. What else do you advise?

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* RADIATION.. * CHEMOTHERAPY.. * PET SCAN..WITH..ONCOLOGISTS OPINION FOR FURTHER MANAGEMENT..

Tnx Dr Shivraj Agarwal sir
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Metastatic lesions are usually multiple and unresectable Radio sensitive lesions can be tackled by Radio therapy. PET scan may show lesions elsewhere

Agreed to all colleagues

Thanx dr Kute Ankush
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PET scan Consider Selective radiotherapy.

What is the meningeal tumor. Meningiomas do not metastasize. Even most CNS malignant tumors spread out of the CNS. What is the origin of the tumor? Treatment would depend on the tumor type.

Let the Oncologist decide

Thanks Dr. Shivraj Agrawal, Dr.Dinesh Gupta
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Chemotherapy + Radiotherapy adviced

NICELY DISCUSSED. IN DETAILS... THANKS. DR

Oncologists opinion. Pet scan study.

If tumour is radio sensitive , radiotherapy if radio resistant , adjuvant chemotherapy, reduce the size and excise the tumour if possible

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