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Fat Mass - Not Yet Been Diagnosed as Lipoma or Liposarcoma - Options?
asked 1 year ago by needinganswers in Orlando
Latest answer by Tom J. Pousti, MD
Question viewed 410 times
Tags: back, back pain, options
After years of back pain, a neurosurgeon told me I needed bone fusion of my L4/L5. The MRI he ordered showed a fat mass and a further CT scan showed the mass originating from my kidney downward into my lower pelvis. It isn't known yet if this is a lipoma or a liposarcoma. I understand 6"x5" is rather large for a lipoma. What would be the standard procedure for dealing with this mass? Could this be the cause of my back pain? If it's removed maybe I wouldn't need the bone fusion surgery.
3 answers to Fat Mass - Not Yet Been Diagnosed as Lipoma or Liposarcoma - Options?
+1
Lipoma or Liposarcoma?
Unfortunately, there will be no way of knowing the exact pathologic diagnosis without excision of the lesion and examination under the microscope. Of course, you are talking about major surgery. It will be worth doing your due diligence and have the procedure performed by a well experienced surgeon.
Best wishes.
+1
Mri back mass
The mri should be suggestive of one or the other. i would have it reviewed by a musculosketal mri specialist.
based on that i would have them removed and of course biopsied.
if truly a liposarcoma which is really rare then further treatment would be indicaed. otherwise if just a lipoma it should be taken care of.
a needle biopsy might also help to give u a diagnosis prior to having a definitive procedure too.
either ct...
more
+1
Lipoma Vs Liposarcoma
The first thing is a biobsy to determine the exact diagnosis.
You may want to be in a major university center for the work up. ASAP
The mass may be contributing to your back pain.
Samir Shureih, MD
Baltimore Plastic Surgeon
Baltimore Plastic Surgeon