Neurosurgeon Questions Lytic lesions

What's done for lytic lesions on my skull?

I'm 42, and an MRI scan found lytic lesions on my skull. What will the treatment be like for this?

8 Answers

Either observation of the lesion or removal and testing for diagnosis are the best options
Unfortunately depends on what is causing the lesions. Tumor, infection, metabolic, or inflammation. Multiple lesions usually require a biopsy to get the right treatment.
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You need them biopsied to see what they are and whether you have lesions elsewhere. From there treatment can be organised
Sometimes we follow them, sometimes we take them out. You need MRI and/or bone scan to workup.
This is a condition that would be best answered by your treating neurosurgeon based on your clinical and radiographic findings.
A lytic lesion can represent a number of things from malignancy including lymphoma or myeloma to a variety of more benign lesions. Sorry that I can not provide you a more specific response without having more details.
The treatment will vary on the cause, a biopsy may be helpful
It usually isn’t a question of doing something as much as finding out what they are. Tumor spreading to bone can do that but other things can too. First step is to do imaging of bone elsewhere in the body, imaging of the body looking for a cause or source. Eventually a nuclear medicine scan (bone scan) and possibly a biopsy if there is no obvious diagnosis