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Expert: - 12/7/2009


Question


After an ultra sound my doctor has concluded I have 3 abnormal sized lumps on my neck. Two on the right side, and now very recently a third on the back of my neck where my hair line starts. I am suffering with excruciating pain in my head. I feel like I can't process my thoughts anymore, or think straight. This year I have felt very weak overall, and the head pain is now constant.

I am scheduled for a biopsy this week, but they have also scheduled me for a lumbar puncture.

Do you think this lumbar puncture is needed? I would think if this was meningitis I would have a fever/rash. I have neither of those. I also have a bone tumor just discovered (due the pain it is causing) on my right the rib. The radiologist says it appears benign but that a low grade cancer cannot be ruled out. No idea if this is related to the lumps in my neck, but the thoracic surgeon has decided he won't be biospying it based on statistics of its CT Scan apearance.

Any advice is appreciated.

Answer
The biopsy IS NEEDED. The puncture is more difficult to evaluate. Has any CT or MRI brain scan been done? Results?


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Brain Tumors

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Claes-Gustaf Nordquist, M.D.

Expertise

I`m a doctor of medicine and specialist in radiation therapy and medical oncology. I have a long time experience of these tumours.

Experience

I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy, educated and trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 . I have no restrictions on the number of questions there. I also answer questions about Oncology (General Cancer), General History, Military History, Breast Cancer, Colon Cancer.

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Doctor of medicine, specialist in medical oncology & radiation therapy.

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