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    Old 06-09-2004, 09:36 AM   #1
    Hwguy
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    Question Past trauma and growth in bone

    I just found out yeasterday from my family doctor that he found a growth in the metatarsal connected to my big toe. Right now I am waiting for an appoitment with a specialist on June 29th. My father has had a history of foot problems, bone spurs and many other problems which have resulted in the rebulding of the bones in his toes(no tumors but he had a cyst once when he fractured a bone). Now for my question, I am curentally 21 years old and have never recalled having any major trauma to that area on my right foot except for one time when I was around 8 or maybe younger. It was then when I had a sharp spear-like object pass through my foot between the metatarasl in question and the one next to it. I don't recall if any bone was hit and there was only stitches and the scar to remind me now.

    My question is could this past trauma result in my current problem (right now I don't know if it is a cyst, tumor, or cancer)? Could I have inherited some genetic factors which have pre-disposed me to foot problems? Should I try and find an orthapedic surgeon on my own or just stick with the one refered by my family doctor? The pain is not that bad and I only started to feel it about two months ago, and then it was just off and on.

    I am sorry that I don't have more specific information but I thought it wouldn't hurt to ask others. Thank you very much, Wayne

    Last edited by Hwguy; 06-09-2004 at 09:43 AM.

     
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    Old 06-16-2004, 10:09 AM   #2
    Luckybear
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    Re: Past trauma and growth in bone

    Hi Wayne, what brought you to your family doctor who found out your growth? Was it pain? I heard from a podiatrist that maybe foot problems could be hereditary and even skip generations and then you get it... So probably you might have got some of those genes from your dad. I think you should stick to the doctor that your family doc referred you to. If you want a 2nd opinion or that you aren't satisfied with the answer he gave, then go for it! Look for another specialist. My orthopaedic doc certainly haven't been of much help and assurance. Bone cancer is rare and even rare if you don't have a secondary cause of it. Might be a tumor or cyst. Even if it's a tumor, might be a benign one, which I have. From what my doc told me, if the tumor ain't doing any damage or what, then they think it's best to leave it alone unless you personally opt for the surgery. Anyway, hope to hear from you about your appt! Take care!!! Good Luck 2!

     
    Old 06-18-2004, 08:46 AM   #3
    Hwguy
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    Re: Past trauma and growth in bone

    I managed to get into a doctor Tuesday and from the X-rays he thinks it is an Enchondroma not needing any treatment right now. The tumor is in my proximal phlange on my middle toe. We are going to watch it for now because there is no pain right now and I have an appointment in 6 weeks to take some followup X-rays. The only thing my doctor is concerned about is the size of the tumor and if it does get bigger it would greatly drop the success of a bone graft and cause for the removal of the toe. The doctor also said that if I break the toe it could naturally heal the tumor but I can't afford to have that happen because I am on my feet all the time at work.

     
    Old 06-19-2004, 10:20 AM   #4
    Luckybear
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    Re: Past trauma and growth in bone

    Hi again, glad you found out what is it. Usually for this tumors that don't need treatment at the moment, the doctor would prefer to follow you up and take X-rays. Other than that, what you can do for yourself is to monitor the growth of the tumor. If you notice any increase in size or constant pain at the site, go to the doctor! Did your doctor tell you how you got the tumor and how high is the chance that the tumor will increase in size? For my case, my doc says that since I've about stop growing, the tumor won't increase though it isn't always the case. Well, good luck to you and hope to hear what your decision's gonna be.

     
    Old 08-29-2004, 02:27 PM   #5
    KelliC
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    Re: Past trauma and growth in bone

    Quote:
    Originally Posted by Luckybear
    Hi Wayne, what brought you to your family doctor who found out your growth? Was it pain? I heard from a podiatrist that maybe foot problems could be hereditary and even skip generations and then you get it... So probably you might have got some of those genes from your dad. I think you should stick to the doctor that your family doc referred you to. If you want a 2nd opinion or that you aren't satisfied with the answer he gave, then go for it! Look for another specialist. My orthopaedic doc certainly haven't been of much help and assurance. Bone cancer is rare and even rare if you don't have a secondary cause of it. Might be a tumor or cyst. Even if it's a tumor, might be a benign one, which I have. From what my doc told me, if the tumor ain't doing any damage or what, then they think it's best to leave it alone unless you personally opt for the surgery. Anyway, hope to hear from you about your appt! Take care!!! Good Luck 2!
    Hi, saw your posting and wondered what kind of tumor you had? I have an Enchondroma in my R Femur bone 18 cm long, and YES doing nothing about it. Biopsy was benign after 3 labs needed 2nd opinions, what a scare!!! KelliC

     
    Old 09-01-2004, 12:29 PM   #6
    Luckybear
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    Re: Past trauma and growth in bone

    Hi KelliC, I have osteochondroma. I went to look up on enchondroma and it says that they are a type of hand tumor... but u mentioned that the tumor is at your femur. So are they the same or it can also happen in the femur? How was the biopsy? How does it feel?

     
    Old 10-04-2004, 02:20 AM   #7
    olafsky
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    Re: Past trauma and growth in bone

    Hi All,
    I am new to the board and my question concerns my wife. She is 44 and otherwise healthy. An unrelated bursitis in her knee led to an xray which detected an enchondroma in her distal femur. Consultation by an orthopedic oncologist led to diagnosis of low grade chondrosarcoma. She has had several xrays, MRI and full body bone scan. Orthopod advises against biopsy because it would make future xray comparisons more difficult. Doc #1 says wait and see with follow up xrays at 6 weeks, 3 months and 6 months and then essentially forever. Doc #2 suggests surgery soon because the lesion is 4 inches, 100% cross section and the outer shell of bone is thinned to 50% in places. On MRI the bone is slightly scalloped. My wife has no pain at all. Doc #2 suggests the following options for surgery: removal of the bone and replacement with cadaverous bone donor, curettage with negative margins removed and then filling the defect with polymers and/or bone chips, or second option plus a nitrogen liquid to kill any remaining cancer cells if they are there. Does anyone have a similar experience? I am most gratefull for any advise.
    Thanks, Marc.

     
    Old 10-04-2004, 05:33 AM   #8
    olafsky
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    Re: Past trauma and growth in bone

    Quote:
    Originally Posted by KelliC
    Hi, saw your posting and wondered what kind of tumor you had? I have an Enchondroma in my R Femur bone 18 cm long, and YES doing nothing about it. Biopsy was benign after 3 labs needed 2nd opinions, what a scare!!! KelliC
    Hi All,
    I am new to the board and my question concerns my wife. She is 44 and otherwise healthy. An unrelated bursitis in her knee led to an xray which detected an enchondroma in her distal femur. Consultation by an orthopedic oncologist led to diagnosis of low grade chondrosarcoma. She has had several xrays, MRI and full body bone scan. Orthopod advises against biopsy because it would make future xray comparisons more difficult. Doc #1 says wait and see with follow up xrays at 6 weeks, 3 months and 6 months and then essentially forever. Doc #2 suggests surgery soon because the lesion is 4 inches, 100% cross section and the outer shell of bone is thinned to 50% in places. On MRI the bone is slightly scalloped. My wife has no pain at all. Doc #2 suggests the following options for surgery: removal of the bone and replacement with cadaverous bone donor, curettage with negative margins removed and then filling the defect with polymers and/or bone chips, or second option plus a nitrogen liquid to kill any remaining cancer cells if they are there. Does anyone have a similar experience? I am most gratefull for any advise.
    Thanks, Marc.

     
    Old 10-04-2004, 10:05 PM   #9
    ajhanson
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    Re: Past trauma and growth in bone

    Our son just went through a surgery this summer after discovering a rather large tumor IN the left femur, up near the hip...we sought several opinions, one of which was a rod, bone graft, screws etc...and 6 months recovery....the other was a team of doctors at Presbyterian St. Luke's hospital in Denver, a one inch incision, filled with alloy matrix (calcium sulfate and protein growth) and he is now playing hockey again after 6 weeks with 85% of his OWN bone grown back....the best advice for you is to get on Presbyterian St. Luke's web page and look for "Limb Preservation Institute", this is a group of 30+ doctors who use the latest and greatest techniques for the limbs...people from all over the country/world come to this group of doctors. It is worth it to research, we did, and it paid off immensly...one doctor told us it is "old fashioned" to use rods, plates, and such. Also, our son had NO pain either, the name of his disease is Fibrous Dysplasia, often can be mistaken for enchondroma....please research.

    Good Luck

     
    Old 10-30-2004, 01:08 PM   #10
    olafsky
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    Re: Past trauma and growth in bone

    Quote:
    Originally Posted by KelliC
    Hi, saw your posting and wondered what kind of tumor you had? I have an Enchondroma in my R Femur bone 18 cm long, and YES doing nothing about it. Biopsy was benign after 3 labs needed 2nd opinions, what a scare!!! KelliC
    Hi KelliC,
    I would love to talk with you more about your case. My wife is contemplating surgery and we are talking to as many people as possible.
    Marc

     
    Old 10-30-2004, 01:12 PM   #11
    olafsky
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    Re: Past trauma and growth in bone

    To: KelliC,
    One doc advised my wife to watch the enchondroma in her femur very carefully. He was concerned about the size of the lesion. All other docs want to do surgery. Is it possible for my wife to call you on the phone to get your take on this??
    Marc

     
    Old 01-24-2005, 02:29 PM   #12
    ucdcrush
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    Re: Past trauma and growth in bone

    Quote:
    Originally Posted by ajhanson
    Our son just went through a surgery this summer after discovering a rather large tumor IN the left femur, up near the hip...we sought several opinions, one of which was a rod, bone graft, screws etc...and 6 months recovery....the other was a team of doctors at Presbyterian St. Luke's hospital in Denver, a one inch incision, filled with alloy matrix (calcium sulfate and protein growth) and he is now playing hockey again after 6 weeks with 85% of his OWN bone grown back....the best advice for you is to get on Presbyterian St. Luke's web page and look for "Limb Preservation Institute", this is a group of 30+ doctors who use the latest and greatest techniques for the limbs...people from all over the country/world come to this group of doctors. It is worth it to research, we did, and it paid off immensly...one doctor told us it is "old fashioned" to use rods, plates, and such. Also, our son had NO pain either, the name of his disease is Fibrous Dysplasia, often can be mistaken for enchondroma....please research.

    Good Luck
    ajhanson - how is your son doing? I have the same problem as your son, and my doctor just told me I'd need screws and rods and stuff. i'm 26.

    Thanks.

     
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