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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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My Dad Has RA And Osteoporosis. He Has Had Numerous

My dad has RA and osteoporosis. He has had numerous testing, MRI, CT scans, x-rays, etc. but finding nothing for one year. He has had rapid weight loss, fever, and in bed all the time now. He just got a call from his doctor saying he has a mass. Afraid it is cancer. Why didn t it show up before now?
Tue, 22 Jul 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
A mass (?site unknown) with history of weight loss and fever are very much suggestive of a cancer.
You need to consult your treating doctor as soon as possible.
The mass needs to be investigated.
Depending on its site relevant investigation will be required- aspiration cytology or biopsy.
Aspiration cytology or biopsy will determine the origin and nature of the lesion.
If the mass turns out to be malignant, treatment in the form of surgery, chemotherapy and/ or radiotherapy will have to be planned.

Treatment will depend on the site and type of lesion.
It is difficult to say why the mass did not appear on imaging earlier.
Probably it was too small to be detected.
Your treating doctor will be in a better position to answer that.

Thanks and take care
Dr Shailja P Wahal

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My Dad Has RA And Osteoporosis. He Has Had Numerous

Hello and welcome to HCM, A mass (?site unknown) with history of weight loss and fever are very much suggestive of a cancer. You need to consult your treating doctor as soon as possible. The mass needs to be investigated. Depending on its site relevant investigation will be required- aspiration cytology or biopsy. Aspiration cytology or biopsy will determine the origin and nature of the lesion. If the mass turns out to be malignant, treatment in the form of surgery, chemotherapy and/ or radiotherapy will have to be planned. Treatment will depend on the site and type of lesion. It is difficult to say why the mass did not appear on imaging earlier. Probably it was too small to be detected. Your treating doctor will be in a better position to answer that. Thanks and take care Dr Shailja P Wahal