My husband has a large lump on his upper back. CT shows it to be 10x15cm with fatty stranding, not well defined, no fluid, nodules or mass, unremarkable lymph nodes and no bone involvement. We are awaiting an appt to see a surgeon for biopsy. My brother was recently diagnosed with a liposarcoma on his spermatic cord so that is where my mind keeps going. Any input or ideas would be much appreciated.
Hello, Thanks for the question. Upper back region is a very common site of a benign lipomatous tumor called Lipoma. It usually occurs around the middle age and presents with radiological features similar to your case and CURABLE by surgery alone. However, it can only be confirmed by a biopsy(needle or open) or cytology. In my opinion as a Pathologist, A Fine Needle Aspiration Cytology (FNAC)OR an Incisional Biopsy both can confirm the true nature of your husbands lump. It is mandatory and essential for categorization and treatment. Though you did not mention the duration of the lump your husband is suffering from, and I suspect it is a long time(months). If that is the case, it emphases the presence of a benign lesion like lipoma. In conclusion, I would like to mention that, FNAC is a much faster and day care procedure which can alleviate your mental tension quickly. The only downside is you have to go for a biopsy ultimately if it fails or not done and reported by a person who is experienced and familiar with the procedure. Hope this helps. Feel free to contact again for any other question.