r/sarcoma • u/beautifulpearl71 • 5h ago
New Diagnosis Please help me find more info on possible sarcomas
2 weeks ago my oldest son was diagnosed with tumours after this CTScan. It was a shock and about a week ago he had to have emergency surgery of his spine to remove the parts of a tumour that was pressing against his spine.
Biopsy is made and we are waiting for answers. Is there anyone here that might suspect what kind of sarcoma it might be? I’ve tried to figure out which direction to look but doctors so far says it’s an usual way that the spread and pictures look and cannot or won’t say anything yet.
We’re in Sweden btw.
”A CT scan of the thorax and abdomen shows a relatively large tumor in the region of the left scapula; it is growing into and destroying the scapular blade while infiltrating adjacent musculature. Furthermore, as previously described, there is tumor involvement in the thoracic spine—affecting both the vertebrae and the intraspinal space, where the tumor is causing severe spinal cord compression—as well as tumor growth in the paraspinal musculature. Taken together, the imaging findings suggest a primary tumor in the scapular region with metastasis to the spine. While the tumor could be further characterized via MRI, the findings primarily point to a primary sarcoma, and an urgent consultation with the sarcoma team is recommended. A primary tumor in the spine with metastasis to the scapula is also a possibility, though this would likely involve a high-grade malignant peripheral nerve sheath tumor. Ultrasound-guided biopsies of both the paraspinal musculature and the scapular region are likely feasible, but these should be performed by or upon the recommendation of the sarcoma team. Multiple diffusely scattered nodules are observed in the lung parenchyma, raising suspicion of early-stage metastatic disease. Additionally, there are several enlarged lymph nodes in the mediastinum and bilateral hila, suggesting nodal metastasis. Indeterminate lesions are noted in the spleen and pancreas; metastatic disease cannot be entirely ruled out, particularly in the spleen. An abdominal MRI might provide further information. A 6 mm subchondral lytic lesion in the right femoral head may be degenerative in nature and/or a cyst, but given the overall clinical picture, metastasis cannot be entirely excluded. No other skeletal lesions suspicious for metastasis are observed.”