Help me interpret PET scan report

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Viewing 9 posts - 1 through 9 (of 9 total)
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  • November 20, 2011 at 2:47 pm #54808
    pcl1029
    Member

    Hi,Lainy,
    Thanks for your compliment,like you, I just do what I think I know the best.
    God bless.

    November 20, 2011 at 2:41 pm #54807
    pcl1029
    Member

    Hi,
    The location of the lesions in the liver are difficult to get to especially the caudate lobe, it is relative small and located posterior and in between the blood vessels.
    Segment V may be easier to put the biopsy needle thru and get the sample and of course the lymph nodes are small too. A 5 cm lesion indicated that you may have it for a year or two,but still relatively is a manageable size for surgery if no other organ,blood vessels involvement. Please find out the diagnosis and keep us informed.
    I think based on the PET scan,you may have cancer in the liver and some lymph nodes involvement . But since you did not get biopsy to confirm you did have cholangiocarcinoma. Your intuition to go to Cleveland Clinic is absolute correct.And I suggest you do that as soon as possible.When you will be up in the Cleveland Clinic,they will do their cat or pet scan and their more experienced team of radiologist and surgeon and oncologists may tell you what you have without biopsy.
    Your goal is try to have a resection(surgery) to get rid of the lesions before the lymph nodes involvement getting into the way(ie:disqualify you to have surgery).
    So time is of the essence,Ohio State hospital cancer center in Columbus is also another place to look into,but I think they are a bit conservative in the surgical
    approach.
    I am not a doctor but just a patient like you.
    Good luck and
    God bless you.

    November 20, 2011 at 2:04 pm #54806
    lainy
    Spectator

    PAK. I also vote for another opinion!

    November 20, 2011 at 8:42 am #54805
    marions
    Moderator

    pak…definitely obtain another professional opinion. Good luck and please keep us posted.
    All my best wishes,
    Marion

    November 20, 2011 at 7:53 am #54804
    pak001
    Spectator

    Thanks for your response.

    max suv for liver 6.1
    max suv for lymph node 4.3.

    it appears because the biopsy came back negative, they want to perform second biopsy using either ct scan guided or laporoscopy.

    The first attempt was ultrasound guided. Don’t they visualize the needle insertion into the area using ultrasound??? MD states they may have obtained the specimen from the wrong area. But if they can visualize it with ultrasound, how far off can they be???

    November 20, 2011 at 6:40 am #54803
    lainy
    Spectator

    THANKS, Percy, I just knew you would come through!

    November 20, 2011 at 5:01 am #54802
    pcl1029
    Member

    Hi,
    Did they mention any maxSUV uptake value in the PET scan report?
    If no value is given, or maxSUV <3.7,
    then the lesion may not be cancer.
    The problem area is in the middle and lower right side of the liver(segment V).
    a second opinion on radiology in a larger medical institution is recommended.
    God bless.

    November 20, 2011 at 4:09 am #54801
    lainy
    Spectator

    Dear PAK…since we are not Doctors I am not sure how this will be answered. Are you able to talk with the Oncologist? Stay tuned for what others might say.
    P.S. I used to take each word and google it. But even that was not like talking to the ONC.

    November 20, 2011 at 3:35 am #5944
    pak001
    Spectator

    5cm moderately hypermetabolic region corresponding to low-attenuation lesion described on ct scan in caudate lobe and hepatic segments V.
    Findings are concerning for malignancy.
    Moderately FDG avid perioportal lymphadenopathy.

    Labs:
    CA-19 = <2
    CA 125 = 26
    AFP= 4.4
    CEA= 8.3 (THE ONLY ABNORMAL MARKER)

    CBC, CMP, PT/PTT, PLT ALL NORMAL.

    RECENT BIOPSY WAS NEGATIVE FOR MALIGNANCY. “MILD PORTAL INFLAMMATION”

    surgeon wants another biopsy using either ct scan guided or laporoscopy.

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