Baker's Cyst archives

Bakers Cyst , Hemangioma ?

Posted by Joe Bravo on December 21, 1998 at 13:13:43:

Dr Stoll,

My wife just had surgery and is was found that she did not have a Bakers Cyst. The Othropedic surgeon, described the condition as "Hemangioma", a collection of blood vessels in the back of her knee. He did not proceed in removing or repairing it.
It is possible that she has a vascular problem and we should consult a vascular surgeon ?

Thank you !


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Re: Bakers Cyst , Hemangioma ?

Posted by Walt Stoll on December 22, 1998 at 14:03:53:

In Reply to: Bakers Cyst , Hemangioma ? posted by Joe Bravo on December 21, 1998 at 13:13:43:

Dear Joe,

I am at a loss as to why the "surgeon" did not remove the hemangioma while he was in there!

Hemangioma's are localized & isolated phenomena. This does not indicate that she has any serious systemic problem.

If it were me, I would pin the doc down as to why he did not remove it while he was in there. Get the answer in writing. If the lump was not symptomatic I can understand it a little.

Walt



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Re: Bakers Cyst , Hemangioma ?

Posted by Joe Bravo on December 23, 1998 at 11:41:25:

In Reply to: Re: Bakers Cyst , Hemangioma ? posted by Walt Stoll on December 22, 1998 at 14:03:53:

Dr Stoll,

The surgeon indicated that the hemangioma location (back of the knee) and size 3 inches in diameter, was in a very sensitive area. He felt that it was too risky because of the potential effect it could have on the nerves and major veins in the area .... We had a post office visit and he is waiting to hear from the radiologist for more input as what to do next .. I hope this helps with question as to "why he did not remove it"... I wonder now, before we proceed with any more procedures we get a second opinion..

Thank you and I look forward to your response !!


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Re: Bakers Cyst , Hemangioma ?

Posted by Walt Stoll on December 24, 1998 at 11:04:48:

In Reply to: Re: Bakers Cyst , Hemangioma ? posted by Joe Bravo on December 23, 1998 at 11:41:25:

Dear Joe,

In that location this certainly could be true. If it were me, I would get that second opinion but if it agrees with the first, I would not discard the first doc since his explanation is reasonable.

It certainly is a lot easier to remove a Bakers Cyst than a deeply imbedded hemangioma. The last thing you need is nerve damage from the surgery.

Let us know what happens.

Walt



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Re: Bakers Cyst , Hemangioma ?

Posted by Joe Bravo on December 31, 1998 at 09:39:16:

In Reply to: Re: Bakers Cyst , Hemangioma ? posted by Walt Stoll on December 24, 1998 at 11:04:48:

Dr. Stoll,

My wife went back for the follow up and the next step is to get a Doppler MRI to determine the density of the mass of the hemangioma. Depending on what the MRI he may sent her to a vascular surgeon.
What would the Doppler MRI tell and what should be the determining factor for sending her to a vascular surgeon ?

Thank you !


Follow Ups:


Re: Bakers Cyst , Hemangioma ?

Posted by Walt Stoll on January 02, 1999 at 09:45:46:

In Reply to: Re: Bakers Cyst , Hemangioma ? posted by Joe Bravo on December 31, 1998 at 09:39:16:

Hi, Joe.

You are asking questions of me, someone you don't know from Adam, that your doc should be volunteeering the answers to.

Dopplers measure blood flow velocity. Therefore it is ideal for determining how deep & active the hemangioma might be. If this were me, I would insist on a vascular surgeon.

Walt



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Re: Bakers Cyst , Hemangioma ?

Posted by Joe Bravo on January 05, 1999 at 09:30:21:

In Reply to: Re: Bakers Cyst , Hemangioma ? posted by Walt Stoll on January 02, 1999 at 09:45:46:

Dr Stoll,

I thank you for being so frank with your answers !! I am in the "what if" thought process right now. So the answers from you are a big help. They are giving my wife and I some good things to think about.

I want to feel like we have a mental checklist for verify the root cause (the hemagioma) and the we are taking the most effective course of action.

Based on what we have learned so far, I too think a vascular surgeon may be our best bet !!!!!

Thank you again, I will keep you posted !!

Joe


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Re: Bakers Cyst , Hemangioma ?

Posted by Walt Stoll on January 07, 1999 at 13:31:53:

In Reply to: Re: Bakers Cyst , Hemangioma ? posted by Joe Bravo on January 05, 1999 at 09:30:21:

Thanks, Joe.

So far as I know, hemangiomas are congenital no matter what time of life they show up.

If you come up with any other causes, I would REALLY like to know.

The only preventive I know of is detailed in Dr Airola's classic "Every Woman's Book" that I frequently recommend on this bb for anyone thinking of getting pregnant.

Walt



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Re: Bakers Cyst , Hemangioma ?

Posted by Joe Bravo on January 22, 1999 at 23:35:16:

In Reply to: Re: Bakers Cyst , Hemangioma ? posted by Walt Stoll on January 07, 1999 at 13:31:53:

Dear Dr. Stoll:

We have had yet another procedure done regarding this hemangioma...it seems we are being inundated with information we already have!!! My wife was recently subjected to ANOTHER MRI, this time with GAD dye. We visited our ortho today and he told us the same thing he has told us the last 4 visits...hemangioma. He was unsure as to who he should refer us to (what type of practicioner) for final removal of this painful condition. You had recommended a vascular surgeon, the radiologist on consult suggested a radiologist that specializes in these types of procedures (embolizing the hemangioma via a clip implanted through a catheter), and our ortho mentioned a plastic surgeon today...we are very frustrated and my wife continues to suffer with the pain of this condition. Any additional input about finding a surgeon who is capable of resolving this once and for all?

Thank you!!!


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Re: Bakers Cyst , Hemangioma ?

Posted by Walt Stoll on January 23, 1999 at 11:50:48:

In Reply to: Re: Bakers Cyst , Hemangioma ? posted by Joe Bravo on January 22, 1999 at 23:35:16:

Dear Joe,

As I said before, if this were me I would go to the vascular surgeon. If the radiological consult is needed, they would work with the vascular surgeon.

Walt



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Re: Bakers Cyst , Hemangioma ?

Posted by Joe Bravo on January 27, 1999 at 13:47:49:

In Reply to: Re: Bakers Cyst , Hemangioma ? posted by Walt Stoll on January 23, 1999 at 11:50:48:

Dr. Walt,

Well.. My wife is scheduled to the hospital for a procedure that will be done by a radiologist. He will be viewing the hemangioma in detail using a doppler mri. The mri will be use to find the blood vessel(s) that are supplying the hemangioma. When is has been found. they will inject the vein in order to cutoff the blood supply. this should cause the hemangioma to ''die-off'' and since it is a golf ball size, it should be re-absorbed in the body, thus not requiring any surgery ...

your comments please!!!!

thanks !!!


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Re: Bakers Cyst , Hemangioma ?

Posted by Walt Stoll on January 28, 1999 at 14:15:46:

In Reply to: Re: Bakers Cyst , Hemangioma ? posted by Joe Bravo on January 27, 1999 at 13:47:49:

Dear Joe,

Sounds like a good plan to me!

Walt




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