December 6, 2007 11:27 pm
back in july, emily sprained her ankle while running at the beach one day. i took her to the clinic when i got home to have it checked out. nothing serious, just keep ice on it was all the doctor said.
about a week or so later, she developed a lump just behind her ankle bone on her right foot. it doesn’t bother her to walk on it but it is painful if bumped or poked. so, i took her to our family doctor the first week of september. he sent her for xrays, just to make sure the bones weren’t damaged. the xray showed nothing at all so he then sent us for an ultrasound. he’s thinking it’s most likely just a ganglion but wanted to be sure.
the ultrasound was booked for the first week in november. it showed that the lump was actually a solid tumor and an mri was recommended asap. i am very fortunate, working in the lab, to have access to some of the best pathology experts in our province. these pathologists are the doctors that actually determine the disease state from biopsy samples and diagnosis patients for physicians. i sat down last week with one of our best pathologists and he went through the ultrasound report with me. 3 out of the 4 differential diagnosis for this tumour are benign and don’t pose any serious threat to emily at all. the fourth would be the worst case scenario, which is cancer, if the tumour is attached to the bone. it doesn’t appear to be attached to anything from the ultrasound but an mri was recommended to confirm.
so, this afternoon, emily had the mri on her ankle. she did extremely well considering she had to lay there completely still for about 40 minutes. after 20 minutes into the scanning, the tech called me out of the room to tell me that they were going to have to inject the paramagnetic contrast agent, which provides a high sensitivity for detection of vascular tissues, such as tumours. emily HATES needles! she freaked out, began crying and begging me to not let them poke her. i can’t tell you how hard it was to listen to her pleading with me, to not let them put an i.v. into her arm. i calmly explained that she needed to allow them to proceed so that we can find out what this lump on her ankle really is. she was such a trooper. thank god for topical anesthetic! we will get the final report in 4 to 5 days.
regardless of the outcome, the tumour will be removed. the doctors figure it will begin to cause her grief eventually, because she is a dancer.i am trying very hard to remain positive but i know this whole thing has been weighing on me heavily. whatever it turns out to be, we will deal with it as it comes. one day at a time.