Regarding the 3D MRA (Magnetic Resonance Angiography) report?
My report came out today, and the doctor said I have a noticeable small bowel leiomyoma.
I asked him what it was, and he mentioned that the lymphatics of the small intestine are more pronounced.
Since he was seeing patients quickly, I couldn't think of any questions to ask at that moment.
1.
Is it reliable to trust the diagnosis of a small bowel leiomyoma based on this 3D MRA, which is a non-invasive imaging test? Have you heard of this type of examination in your oncology department? Also, I consulted a traditional Chinese medicine practitioner.
2.
Doctor, is this a benign tumor of the small intestine? What is the likelihood of it being malignant? Should I go to a major hospital for further examination?
3.
I found online that many sources recommend further examination, but this doctor did not suggest any additional tests; he only advised me to avoid cold and raw foods and prescribed me some medication.
This has left me really confused about what to do.
Please help me, thank you!
Luo Kai-Ren, 20~29 year old female. Ask Date: 2018/06/11
Dr. Hu Ziren reply Oncology
1.
Never heard of it; 2.
If you're concerned, it's advisable to get it checked out;...
Reply Date: 2018/06/11
More Info
Understanding the results of a 3D Magnetic Resonance Angiography (3DMRA) can be quite complex, especially when it comes to small intestinal tumors. Based on your report indicating the presence of a small intestinal tumor, specifically a small muscle tumor, it is important to clarify a few key points regarding the findings, their implications, and the next steps you should consider.
1. Reliability of 3DMRA Results:
3DMRA is a non-invasive imaging technique that provides detailed images of blood vessels and surrounding tissues. It is particularly useful for assessing vascular structures and can help identify abnormalities in the gastrointestinal tract. While it is a valuable diagnostic tool, it is important to note that imaging results should always be interpreted in conjunction with clinical findings and other diagnostic tests. If your physician has indicated that there is a small muscle tumor in the small intestine, it is based on the imaging results, but further evaluation may be necessary to confirm the diagnosis.
2. Nature of the Tumor:
The term "small muscle tumor" in the context of the small intestine could refer to a type of benign tumor, such as a leiomyoma, which arises from smooth muscle tissue. Generally, benign tumors have a low risk of malignancy; however, the specific characteristics of the tumor, such as its size, growth pattern, and histological features, will ultimately determine its nature. It is crucial to have a definitive diagnosis, which may involve additional imaging studies, endoscopy, or even a biopsy to assess the tumor's characteristics more accurately.
3. Need for Further Evaluation:
Given the uncertainty surrounding the diagnosis and the potential implications of a small intestinal tumor, it is advisable to seek further evaluation, especially if you have concerns about the findings. While your current physician has recommended a conservative approach, including dietary modifications and herbal remedies, it may be beneficial to consult with a gastroenterologist or an oncologist at a larger medical facility. They can provide a more comprehensive assessment and recommend appropriate diagnostic tests, such as a CT scan, MRI, or endoscopy, to clarify the nature of the tumor.
4. Dietary Considerations:
Your physician's advice to avoid cold or raw foods may be based on traditional Chinese medicine principles, which often emphasize the importance of diet in maintaining health. While dietary modifications can be beneficial for overall well-being, they should not replace thorough medical evaluation and treatment when necessary.
5. Next Steps:
It is understandable to feel confused and concerned about your health. Here are some recommended steps:
- Schedule a follow-up appointment with a gastroenterologist or oncologist for a second opinion.
- Discuss the possibility of further imaging studies or a biopsy to obtain a definitive diagnosis.
- Keep a record of your symptoms, dietary habits, and any changes in your health to share with your healthcare provider.
- Consider seeking support from friends, family, or support groups to help you navigate this challenging time.
In conclusion, while the 3DMRA results suggest the presence of a small intestinal tumor, further evaluation is essential to determine its nature and appropriate management. It is important to advocate for your health and seek the necessary medical attention to ensure you receive the best possible care.
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