Question: Hello. I went to my PMD a few weeks ago for a number of problems: abdominal pain (mid to upper abdomen), constipation mostly w/ periods of diarrhea (stool yellowish/rust colored w/ alot of mucus) and severe hip pain. Labs revealed: high calcium, low vit D, low phosphate and low Vit B12. I also had a hip x-ray due to the pain. The x-ray revealed a 2 mm circumscribed sclerotic lesion in the femoral head junction likely reflecting a bone island. My PMD suggested taking Vit D for the deficiency and for the high calcium (no issues w/ parathyroid gland). She also suggested that I see an Orthopedist. He ordered an MRI which is pending. Depending on the MRI results I will likely also need a bone scan. As for the GI issues I have had an ultrasound to r/o gallstones which was neg and an endoscopy/colonoscopy which did not reveal much, but results of the colonoscopy will be revealed on my f/u appt. in a week (colitis suspected). In the meantime, I have been having pain in the other hip and have had pain in my ribs and back. Repeat labs indicated a normal Ca level (have been taking Vit D 2000 IU a day, but also revealed very mild pancytopenia. Are all of these symptoms related? Do you think I have an autoimmune disease or do you think symptoms are indicative of cancer? Should the lesion be biopsed/removed? If it is limited to just the area on the hip what are the odds of curing the cancer vs. having multiple lesions. How often should it be scanned to check for possible changes? Please provide any help that you can. I am so scared that the prognosis will not be good so I am trying to find out as much information as possible. Thank you.