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Jim-N1BRP
Regular Member


Date Joined Jul 2006
Total Posts : 165
   Posted 12/13/2006 7:43 AM (GMT -7)   
Hi all,
I usually post in the Prostate forum but feel I need to due some posting over here.
I have been having some lower back and left hip pain. My neurologist sent me for pelvis and hip X-ray’s due to tripling of my PSA and prostate symptoms. The X-ray’s showed two 1 cm sclerotic lesions on the hip, one left and one right. A bone scan was done Monday (11 Dec ’06) still wait on final report but first impression was no uptake, Negative scan. I like to know just what is a sclerotic lesion is, are they tumors. Also would a CT scan be in order? I see my Urologist tomorrow and have my yearly physical on the 28 Dec.

Jim, 53, BPH since 1996

Kidney  cyst  since 2002

Sclerotic lesions found on hip, Nov '06

Bone Scan Dec '06 Waiting final, First impression Negative

 

Prostate Biopsy 18Sept '06, 10 sample all negative, Prostate size 36.3 ml

PSA's                   fPSA

0.7    Sept 01

0.8    Sept 02

1.2    Nov 03

1.3    Nov 04

1.2    Oct  05

3.61  Jul    06

3.2    Aug  06

2.6    Sept 06          19%  

Family history of PCa, father and two uncles    

Post Edited (Jim-N1BRP) : 12/13/2006 3:57:49 PM (GMT-7)


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 12/14/2006 5:14 AM (GMT -7)   
hi jim, sry noone has welcomed you yet redface   i know myself with the holidays i have over worked my joints and am exhausted in pain.   so forgive our poor manners and know you are very welcome here on the arthritis threads :-)
 
as far as the hip lesions go i am uncertain eyes i would have guessed the bone scan would show something?  perhaps the next step would be a ctscn.  i tried and googled your problem and frankly it didnt show "how to" methods of diagnostics. 
 
i would definetly not wait to address this issue with all doctors and i even mught be inclined to phone my doctors and try to see them rather than wait for appointments.  you shouldnt have this burden dampering your holidays with questions.  i wish you tons of luck on getting answers and let us know how you make out.  we do care and sry again for our tardy welcome sad    ~* yalinda

Jim-N1BRP
Regular Member


Date Joined Jul 2006
Total Posts : 165
   Posted 12/14/2006 5:55 AM (GMT -7)   

Thanks Linda, I can’t understand why a no show on the bone scans, myself. I’m going to talk this out with my Urologist today. The reason for the bone scan was my neurologist wanted to make sure I don’t have cancer that didn’t show on the prostate biopsy. BTW, I have the X-ray’s on CD and can see the lesions myself, all my Google’s showed that a lesion would show on a scan first not X-ray. I’m thinking could I have drunk too much water and flushed the dry out too soon or did someone look at the wrong scan. I’m going to push for the CT scan, I’m over due one on my kidney anyways. I should say when the pain came on last month it was so bad that it push me back down into my seat three times before I could stand up. This was worse then the pain from when I had my Laminectory.

 

Jim, 53, 5 level Cervical Laminectory-2003, sclerotic lesions in hip found Nov 2006, GERD, 30% Carotid artery blockage, Kidney Cyst, Asthma, Eye problems, Prostate BPH, Tripling of PSA.

Meds, Tramadol HCl, Flexeril, Omeprazole, Nitrostat, Plavix, Albuterol, Saw Palmetto, Multi Vitamin Mens 


elcamino
Veteran Member


Date Joined Sep 2005
Total Posts : 1744
   Posted 12/14/2006 6:57 AM (GMT -7)   

Sorry Jim.  I haven't replied to your post because I don't know anything about sclerotic lesions?  I commonly have hip pain, but have never had an MRI done.  Your doctor would be the best source of information, most likely, in your case--although there may be others on this forum that have experiences similar to your own.

 

Elcamino


Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan


momto3
Veteran Member


Date Joined Nov 2006
Total Posts : 1331
   Posted 12/14/2006 8:22 AM (GMT -7)   
Hi Jim,
 
I originally read your post, but my hip pain is not the same as yours...mine is on both sides (outer area) and is a deep pain that is felt all the time and I have a hard time sitting for extended periods of time (car rides etc) or sleeping.  Most often it is unbearable and I just want to crawl up the wall. 
 
I am not familiar with your condition and even in my most painful state my rheumy has never suggested an MRI of my hips.  Even though I cannot ride a bike, walk for long periods of time or drive like I used to without being in pain.
 
Hopefully someone will be able to relate and answer your post, since so many come here and read daily.  I wish you the best!

erin.K
Veteran Member


Date Joined Mar 2005
Total Posts : 3148
   Posted 12/14/2006 4:18 PM (GMT -7)   
Hi Jim,
Great to have you here.
Umh...just from experience, I was assisting in a vascular surgery 2 years ago & they were doing an angiogram on a man. In his chart was sclerotic lesions of the groin and hip. And basically what this was in this man's case was that some small vessels and arteries were sclerotic & lack of bloodflow was affecting his hips and lower body causing pain.
This is just the 1st thing off of the top of my head.
I haven't looked it up in my nursing books yet as I haven't felt well...but when I do I wil post back.
I would say in the meantime...I'd call the physician that wrote the radiology report and just ask for a definition! Hey, an easy phone call right. Or perhaps your refering physician? Can't hurt to ask, :I'm just not exactly clear as to what this means, can you explain?" I'm sure they would be more than happy to share their well schooled knowledge!
Take care Jim
erin
Active Severe Rheumatory Arthritis. Crohns Disease. A.Chiari Malformation & right brain venous anomoly. Partial Complex Seizures. MVP & Tricuspid Valve Prolapse. Rheumatic heart & lung. Previous Lymes Disease for 10 years.
Meds: Remicade infusions Q3 weeks; Intra-articular knee injections; Imuran; Mesalamine; Prednisone tapering from 120mg; Meclizine; Reglan; LidoDerm; Diazepam; Restaril; Dilaudid; Avinza and too many others. 


Jim-N1BRP
Regular Member


Date Joined Jul 2006
Total Posts : 165
   Posted 12/14/2006 6:42 PM (GMT -7)   

Thanks Erin, Elcamino & mom

 

I just got home from seeing my Urologist. He was late showing up, was stuck in surgery, my 3:30 PM appointment turn into a 5 PM. This worked out fine for me since we had time to talk and I was able to ask just what a sclerotic lesion in the right ilium is.

 

OK are we all ready for the answer?

 

It’s an Arthritis bone growth – Mine is most likely secondary to Paget’s bone disease which also explains the PSA spike. As PSA change can be a symptom of Paget’s bone disease.

 

I was told that ortho might be in my future,  confused  

 

I received the final bone scan report in today’s mail.

It reads:

1.      Abnormal bone scan

2.      Abnormality- There is a small area of increase activity noted in the skull or brain.

3.      No abnormalities detected in the right ilium.  

 

I have a vascular loop on the brain, first thought to be a brain aneurysm, this might be the activity noted.   As for nothing detected in the hip, pelvis, if a sclerotic lesion is 1 cm or less only 4% will be detected on a bone scan. Sorry I forgot to bookmark the report/link.  nono  

 

Jim, 53, 5 level Cervical Laminectory-2003, sclerotic lesions in hip found Nov 2006, GERD, 30% Carotid artery blockage, Kidney Cyst, Asthma, Eye problems, Prostate BPH, Tripling of PSA.

Meds, Tramadol HCl, Flexeril, Omeprazole, Nitrostat, Plavix, Albuterol, Saw Palmetto, Multi Vitamin Mens 

Post Edited (Jim-N1BRP) : 12/14/2006 6:46:21 PM (GMT-7)


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 12/15/2006 4:31 AM (GMT -7)   
jim thanks for the update, atleast they didnt say the "C" word so that is good :). now if i new u better i might make a joke and comment on the abnormal brain activity, but since we have just met i will pass and just say i think my brain has abnormal activity too! anything given for the pain? yalinda

Jim-N1BRP
Regular Member


Date Joined Jul 2006
Total Posts : 165
   Posted 12/15/2006 7:30 AM (GMT -7)   

Aye, Go for it.

Which one were you going to sayJust like a man, always thinking about sex

I think may be a “C” word is in order

~~~~~~~~~~ MARRY CHRISTMAS ~~~~~~~~~~~~

 

Jim, 53, 5 level Cervical Laminectory-2003, sclerotic lesions in hip found Nov 2006, GERD, 30% Carotid artery blockage, Kidney Cyst, Asthma, Eye problems, Prostate BPH, Tripling of PSA.

Meds, Tramadol HCl, Flexeril, Omeprazole, Nitrostat, Plavix, Albuterol, Saw Palmetto, Multi Vitamin Mens 


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 12/15/2006 4:41 PM (GMT -7)   
aye...... do i detect a northern dialect? eh? or is that just the brain thingy .... hehehehehe

ah as far as the just like a man thing, i amjust like a woman and have no idea what u r talking about.

take care

Jim-N1BRP
Regular Member


Date Joined Jul 2006
Total Posts : 165
   Posted 12/15/2006 6:48 PM (GMT -7)   

Northeast US, I have some Canadian friends. Aye, spill the beans, post as you may on my brain activity.      I forgot to answer your question about what I take for pain. I take 50mg Tramadol PRN up to 4 a day as need; I mostly take two at bed time. If thing get very bad I have a TENS unit to use. The only thing is either me or my wife are always going to the doctors and can’t take the pills or use the TENS while I’m driving; well I guess I could and be just another Boston driver. HEHE. I also have Flexeril for spasm but it does nothing but puts me to sleep.

  

Jim, 53, 5 level Cervical Laminectory-2003, sclerotic lesions in hip found Nov 2006, GERD, 30% Carotid artery blockage, Kidney Cyst, Asthma, Eye problems, Prostate BPH, Tripling of PSA.

Meds, Tramadol HCl, Flexeril, Omeprazole, Nitrostat, Plavix, Albuterol, Saw Palmetto, Multi Vitamin Mens 


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 12/16/2006 6:13 AM (GMT -7)   
my daughter may be moving out your way to boston for college next year, maybe. at least i am hoping as california her other choice is too far away for me.

i just started a new pain med took one this morning as i am a wreck from sleeping on the floor ~my other child had minor surgery last evening and fell asleep on the couch. i was on the love seat but moved to the floor. so i took my first darvon.

as far as canada goes i am 5 min from the border in NY so i know eh about the dialects there eh.
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