Melanoma

[Dina]

Whether it is possible to put only on the basis of a roentgen absolutely unequivocal diagnosis - metastasises in a clavicle, a scapula and 1 rib? Last operation (excision of a lymphonodus) has been made 10 years ago. Complications - limfidema with the subsequent brachiotomy (6 years ago) and a postradial fibrosis with very strong subsequent pains during all time. Whether there is a necessity for carrying out of additional inspection for specification of the diagnosis?

[pes]

For absolutely unequivocal diagnosis in an oncology, in general, histological research always is necessary; however, under the certain circumstances to put such diagnosis on the basis of roentgenography it is possible with the probability which is coming nearer to 100 %. Whether there are somewhere else attributes of metastasises? What treatment is supposed?

[Dina]

Full inspection of an organism is spent. Any attributes a metastasis it is not found. Even the roentgen of a brachium has been made under the request of relatives of the patient after the general or common check when casually and have defined or determined metastasises in a bone. Fibrous pains of all this time were very strong (was accepted tramal). There were doubts, whether there can be also it destruction of a bone as consequence or investigation of an irradiation. Treatment is supposed only a chemotherapy (on the basis of inteferona).

[pes]

In a similar situation I, probably, would suggest to specify the diagnosis of a metastasis by a puncture with the cytologic research. By way of treatment: at absence of metastasises of other localizations it would be possible to consider or examine an opportunity of excision revealed - by -plastic operation. If the choice will be made in favour of conservative treatment by interferons, discuss with the treating oncologist expediency of purpose or appointment bisfosfonatov (bonefos, etc.).

[Dina]

Dear Evgenie Serafimovich!

Thanks you for consultations and advice or councils. The first operation on excision regenerated rodinki has been made to my father 18 years ago. Then in five years the axillary lymphonodus has been removed. 18 years we with mum listen as we should bury my father and we struggle 18 years. Therefore for us any advice or council and any help is very important. We again hope, that we can still or even something make. Thanks you once again.
Yours faithfully,
Vasileva the Dyne
Moscow