HomeAnswersRadiologycerebral haemorrhageWhat is the possibility of cerebral microhemorrhages being hemorrhagic metastatic melanoma?

Are cerebral hemorrhages cancerous?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Vivek Chail

Medically reviewed by

iCliniq medical review team

Published At June 27, 2016
Reviewed AtSeptember 27, 2023

Patient's Query

Hi doctor,

I have been having neuro issues such as seizures, headaches, etc., for the past 2.5 years. I was tested for paraneoplastic syndrome and came up as reactive on immunofluorescence, but negative ultimately on western blot. Still, a PET scan was done and it was clear. I have had several brain MRIs over the past 2.5 years. All have noted cerebral microhemorrhages. These are unexplained. I understand that they have not changed in size or character over the years, but one or two more have appeared. I understand in the differential diagnosis for these bleeds is hemorrhagic metastatic melanoma. No doctor has been suggested it. What is the possibility that these are actually melanomas? My doctor said unlikely because it has been 2.5 years and the actual hemorrhages remain unchanged.How can a radiologist be sure that these are not cancerous? The first scan done before two and a half years was with contrast and the remaining were without contrast. I am just concerned about these unexplained hemorrhages in light of my neuro symptoms. I wonder if I have brain metastasis without cancer anywhere else in my body. Please explain.

Answered by Dr. Vivek Chail

Hi,

Welcome to icliniq.com.

  • In cancer, the size of the lesion usually doubles in 30 to 180 days. Therefore, if the lesions do not show any increase in size during the past six months, then it is less unlikely to be a cancer.
  • You can upload one of your CD for me to see in detail.
  • Microhemorrhages are tiny and will not increase in size. It can increase by a few in some years.

Revert back with the scan report to a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vivek Chail
Dr. Vivek Chail

General Practitioner

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Radiology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy