Login      Sign Up
 

Q. MRI spine showed intramedullary mass at T4. Is it a cyst or malignancy?


 

Hello doctor,

I had an MRI of the thoracic spine and it showed an intramedullar mass at level T4. I was told it is likely to be a cyst and is not malignant. However, everything I have read online says that intramedullar lesions are almost always malignant and cysts are rare or maybe evidence of MS, which my uncle had, so now I am worried. The reports says it is a fusiform mass with hypersignal intensity at T2W1 and hyposignal intensity at T1W1.


Related Questions:
Keyhole Spine Surgery - a Boon to Spine Health
What are the reasons for left side hip pain?
I have positive Babinski and Hoffman signs. What does that mean?
 

Dr. Lokesh
MBBS., D.ORTHO., DNB ORTHO., FELLOWSHIP-JOINT REPLACEMENT SURGERY., MNAMS
Orthopedics And Traumatology, Spine Health, Spine Surgery

Hello,

Welcome to icliniq.com.

Can you attach the MRI images and upload it so that I can see it?

For more information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist

 

Thank you doctor,

I have attached the files. Please have a look.

 

Dr. Lokesh
MBBS., D.ORTHO., DNB ORTHO., FELLOWSHIP-JOINT REPLACEMENT SURGERY., MNAMS
Orthopedics And Traumatology, Spine Health, Spine Surgery

Hi,

Welcome back to icliniq.com.

I have seen your MRI scans (attachment removed to protect patient identity). The lesion is cystic but it can be benign or malignant. Cystic lesions does not mean that it can only be benign. It can be a benign focal syrinx or an ependymoma which can either be benign or malignant, or locally aggressive cystic lesions. Mostly ependymomas require removal surgically with or without radiation therapy. Recurrences are common if the cyst is not removed surgically.

Is there weakness of the lower limbs or urinary or bowel problems? Can you detail the symptoms the patient has? And also the duration of symptoms?

For more information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist


 

Hi doctor,

That is helpful to know, thank you. So how can I tell which type it is? Only by removing? My symptom has been pain around my right side on my ribs for nearly a year. I am not sure if this would be the cause. No lower limb weakness is there.

 

Dr. Lokesh
MBBS., D.ORTHO., DNB ORTHO., FELLOWSHIP-JOINT REPLACEMENT SURGERY., MNAMS
Orthopedics And Traumatology, Spine Health, Spine Surgery

Hello,

Welcome back to icliniq.com.

Yes, surgical excision and histopathology testing will help in knowing the type of lesion. The neuro or spine surgeon will take the final decision after clinically examining you. Pretty difficult to exactly say the type of lesion by MRI according to me.

For more information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


Are my headaches and dizziness suggestive of a brain tumor?
Query: Hi doctor, I have been having headaches and dizziness for five days. The headache is around my forehead and behind my eyes. I am 30 years old. My aunt has a brain tumor. I am wondering if my headache can be a tumor as well.  Read Full »
Dr. Ashok Kumar Choudhary
Geriatrician

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I like to inform you that we need to think the common causes of a headache before jumping to serious and uncommon causes. There is saying that if you think of rare causes for the symptoms of the patient you ar...  Read Full »
 
Keyhole Spine Surgery - a Boon to Spine Health
Article Overview: Spinal diseases are the second most common reason for a medical consultation. About 80% of world population will have low back pain at some point in their lives. Hence, anticipating this problem and with a goal to reduce postoperative pain and to improve recovery times, the keyhole spine surgery was first introduced in 1997. It is currently the most popular and most commonly performed type of spine surgery in the developed world.  Read Article »
Dr. Chandan Mohanty
Neuro Surgeon

Spinal diseases are the most common cause of the disability worldwide, measured using disability-adjusted life year (DALY) parameter. Contrary to popular perception, the peak incidence of spinal disorder is not seen in the elderly but rather in the age group of 35 to 55 years. With an increase ...  Read Article »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


Can mild back pain be due to cyst in kidney?
Hi doctor, Last year when I had tested for routine medical they found a small stone in kidney. I took Cystone for a mon ...Read more »
Why am I having low sex drive with erectile dysfunction?
Hi doctor, I am 37 years old male and for the last few months my sex drive is getting lower and currently, it is at its ...Read more »
What Are Varicose Veins?
Do you have large and ugly looking veins in your legs? These can be treated without surgery by using Laser, and you can ...Read more »
 
 

Also Read Answers From