Spinal Lipoma

[Dolphin5140]

I have constant pain and numbness in my left leg.  An MRI revealed a fatty "lump" between L3 and L4.  Two spinal surgeons did not recommend surgery because the nerves may have been entwined with this "lump."  Is there any other treatment to consider to relieve the pain in my leg?

[Dolphin5140]

I was on neurontin for pain and it worked once but not a second time.  Also did a course of steroids and have had 3 injections.  I think a biopsy would be difficult because of where the lipoma is according to the surgeon.  I had another benign lipoma removed from my hip.  Since it was benign I expect the one in my back is also so I'm not sure about chemo or radiotherapy.  What about cyberknife or electric stimulus?

[Fernando Roque, MD]

Hi. You can try taking Neurontin (Gabapentin) 300 mg tab twice or thrice daily.  A short course of oral steroids may also help relieve the pain (but consult with your doctor first before starting these).  

A biopsy of the mass may also be helpful, if surgery cannot be done.  The biopsy might reveal a tumor which may be responsive and can be shrunk by either radiotherapy or chemotherapy.