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Medical Forum / Diseases and Disorders / Lupus / September 2003

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OT- Andy's MRI and results

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Dawn - 15 Sep 2003 01:40 GMT
Hi all, sorry it took so long to get back to you all.  Between internet
probs and a busy week, I just wasn't able to get back until today.
Orthopedic Dr. and radiologist report said Andy's cyst is called a
'nonossifying fribroma'.  In layman's terms, a spot of soft tissue (like a
cyst)  that migrated from his growth plate while he was in utero and stopped
there(about an inch above his knee joint).  WooHoo!!!  Not to be worried
with anything.  No weird spots, all smooth edges and it's about the size of
a dime.  Because this is a soft spot, of he were to get hit directly in that
spot (like when the moon and the stars in a certain alignment <smile>) it
could break there.  We are so relived!!!!!  There is, however, a tear in his
meniscus.  He has felt popping from it ever since his 9th grade injury.  We
have bought him a hinged brace for support.  He should be able to play this
Friday.  He is so excited!!!!
Thank you, thank you, thank you everyone for keeping us in your thoughts.
I think it was Cindy that mentioned her high school team were the Lions also
but from Moore, OK.  A couple days later, I looked at my youngest sons chest
and it said Moore on it with a lion!!!!  Some friends of ours lived in Moore
some time ago and they gave my Josh an old shirt of theirs.  The Moore
Lions!  Funny coinkidink :)
Love to all!

Dawn Schmidt
BJ - 15 Sep 2003 04:06 GMT
Hi Dawn,
I can't tell you how happy I am to hear the good news from you. I was
getting very worried. Go Andy!
BJ-Sk. Canada
> Hi all, sorry it took so long to get back to you all.  Between internet
> probs and a busy week, I just wasn't able to get back until today.
[quoted text clipped - 18 lines]
>
> Dawn Schmidt
Sherry - 15 Sep 2003 04:27 GMT
Dawn, that is fantastic news!  I know how relieved you all are.

Hugs,
Sherry

> Hi all, sorry it took so long to get back to you all.  Between internet
> probs and a busy week, I just wasn't able to get back until today.
[quoted text clipped - 18 lines]
>
> Dawn Schmidt
Cindy - 15 Sep 2003 05:54 GMT
Good news Dawn,
I am so happy. And it is a very small world also... Would like to know if
your Friends played ball with my son. He graduated in 1999.
Cindy
> Hi all, sorry it took so long to get back to you all.  Between internet
> probs and a busy week, I just wasn't able to get back until today.
[quoted text clipped - 18 lines]
>
> Dawn Schmidt
Dawn - 16 Sep 2003 02:32 GMT
I don't know when he graduated but it definitely was not '99.  He's in his
40's.
Andy really likes his brace too.  He will have to wear it during all
sports/athletics classes,  and when he marches w/ the band.  He plays tuba.
Dawn

> Good news Dawn,
> I am so happy. And it is a very small world also... Would like to know if
[quoted text clipped - 31 lines]
> >
> > Dawn Schmidt
Cindy - 16 Sep 2003 18:25 GMT
Well then Maybe I would know him as I graduated in 76...I am 46 UGGGGGH

> I don't know when he graduated but it definitely was not '99.  He's in his
> 40's.
[quoted text clipped - 40 lines]
> > >
> > > Dawn Schmidt
Dawn - 18 Sep 2003 03:03 GMT
His last name is Sharum
> Well then Maybe I would know him as I graduated in 76...I am 46 UGGGGGH
>
[quoted text clipped - 52 lines]
> > > >
> > > > Dawn Schmidt
kcat - 15 Sep 2003 17:43 GMT
>Hi all, sorry it took so long to get back to you all.  Between internet
>probs and a busy week, I just wasn't able to get back until today.
>Orthopedic Dr. and radiologist report said Andy's cyst is called a
>'nonossifying fribroma'.  In layman's terms, a spot of soft tissue (like a
>cyst)  that migrated from his growth plate while he was in utero and stopped
>there(about an inch above his knee joint).  

is this similar to a "ganglion cyst"?  

WooHoo!!!  Not to be worried
>with anything.  No weird spots, all smooth edges and it's about the size of
>a dime.  Because this is a soft spot, of he were to get hit directly in that
>spot (like when the moon and the stars in a certain alignment <smile>) it
>could break there.  

hubby had a huge ganglion cyst on his wrist for years - caused in part
by the style of wristwatch he wore.  we were moving furniture through
a doorway and his wrist was caught between the table edge and the door
frame. Yowch it hurt!  but the next day the cyst was gone!  it has not
recurred since then and since I bought him a different watch. :)  so
don't count on that unlikely planetary alignment! :)

>We are so relived!!!!!  

so are we!  Great news.  hug the little monster.. uh angel for me. :)
Sherry - 15 Sep 2003 20:05 GMT
"Nonossifying fibroma,
a benign tumour arising from fibrous connective tissue, which is composed
of whorled bundles of connective tissue cells. This tumour has a propensity
to develop at sites of muscular attachment to bones and may be related to
fibrous cortical defect and the names are sometimes used interchangeably.
However, some differerences do exist; nonossifying fibromas tend to be
larger and more often symptomatic. These lesions may develop as a result of
unrecognized local trauma that has caused focal haemorrhage and oedema.
The most common sites of involvement are the long tubular bones, especially
the tibia and femur. Usually they involve the posterior wall and medial
rather than lateral bone surface. On radiographs focal, shallow radiolucent
areas are observed in the cortex with normal or sclerotic bone adjacent to
the lesion. Sometimes a blister-like peripheral shell of bone is present.
With growth of the bone, an apparent shaftward migration from the metaphysis
may occur; segmental sclerosis may be seen in part of the bone defect.

Among the complications occurring in persons with nonossifying fibroma are
pathologic fracture, osteomalacia and rickets, and Jaffe Campanacci
syndrome.

DR

The Encyclopaedia of Medical Imaging Volume III:1

Ganglion,
a benign cystic mass (also termed ganglion cyst) usually attached to an
aponeurosis or tendon sheath, especially in the wrist or on the dorsum of
the foot. These lesions may also arise from tendons, nerves, and muscles.
Ganglia are myxomatous lesions and consist of single or multiple cystic
spaces. They are not lined by synovium, but on rare occasions they may
communicate with the synovium of a tendon sheath or a joint. The fluid
within the cyst may be slightly more viscous than joint fluid. On
radiographs they appear as soft tissue masses, sometimes with surface bony
resorption, and periosteal new bone formation. The larger lesions may be
demonstrated using sonography, CT scanning or MR imaging. On MR images the
ganglia are of low to intermediate signal intensity on T1-weighted spin-echo
sequences and of high signal intensity on T2-weighted spin-echo images.
Angiography shows the masses to be avascular.
Complications related to the presence of ganglia have been noted. Lesions
arising about the proximal tibiofibular joint may lead to compression of the
common peroneal nerve, and those near the hip have been associated with
chronic developmental dysplasia. The latter may communicate with
intraosseous ganglia. Intra-articular ganglia may lead to significant
clinical manifestations, including nerve entrapment.

Intraosseous and periosseous ganglia or ganglion cysts may also occur in
various locations and are often accompanied by a soft tissue mass.

Intraosseous ganglia predominate in the subchondral regions of tubular
bones, carpal bones and acetabulum and may simulate a degenerative cyst.
They may form de novo or after penetration of bone by a soft tissue
ganglion. Gas may be present within the osseous or soft tissue component of
the ganglion. On radiographs the lesions appear as osteolytic, well
demarcated, solitary or multiple lesions of variable size with sclerotic
margins. Periarticular ganglion about the shoulder, well visualized with MR
imaging, may lead to entrapment neuropathy involving the suprascapular
nerve. In some cases atrophy of infraspinatus with or without atrophy of
supraspinatus muscles is also seen. Tears in the glenoid labrum have been
noted to be associated with ganglia.

Periarticular ganglion cysts about the knee occur in close proximity to the
proximal tibiofibular joint and fibular head. In some cases compression of
the common peroneal nerve ensues. Intra-articular ganglion cysts of the knee
occur most commonly at the alar folds covering the infrapatellar fat body
and at the cruciate ligaments."

> >Hi all, sorry it took so long to get back to you all.  Between internet
> >probs and a busy week, I just wasn't able to get back until today.
[quoted text clipped - 21 lines]
>
> so are we!  Great news.  hug the little monster.. uh angel for me. :)
Dawn - 16 Sep 2003 02:39 GMT
Thanks for the info.  Best concise description i've read about it.   After
reading this, no, Kcat, it's not the same.  No fluid is involved with this.
I guess I was using 'cyst' incorrectly.  It is a fibroma/tumor.
I'm printing this for my hubby to read.  Thanks Sherry!
Dawn

> "Nonossifying fibroma,
>  a benign tumour arising from fibrous connective tissue, which is composed
[quoted text clipped - 91 lines]
> >
> > so are we!  Great news.  hug the little monster.. uh angel for me. :)
Sherry - 16 Sep 2003 03:55 GMT
You are welcome.  Glad it helped you!

Hugs,
Sherry

> Thanks for the info.  Best concise description i've read about it.   After
> reading this, no, Kcat, it's not the same.  No fluid is involved with this.
[quoted text clipped - 111 lines]
> > >
> > > so are we!  Great news.  hug the little monster.. uh angel for me. :)
Marg Watson - 16 Sep 2003 05:32 GMT
Great news Dawn!  You must be so relieved.

Hugs,
Maggie
kcat - 16 Sep 2003 18:48 GMT
>Thanks for the info.  Best concise description i've read about it.  

yup - very good and informative.

>After
>reading this, no, Kcat, it's not the same.  No fluid is involved with this.
>I guess I was using 'cyst' incorrectly.  It is a fibroma/tumor.
>I'm printing this for my hubby to read.  Thanks Sherry!
>Dawn

that makes sense.  i guess what made me wonder was the comment about
it possibly being "removed" by accidental impact.

thanks a bunch to you and Sherry
 
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