PET-CT
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Hi Percy,
Really, i’m so grateful for your reply and care,thank you very much.Today i went to chest doctor, when he saw CT (done with PET) he told me that basal patches are neither pneumonia nor TB but it is radiation pneumonitis and he said YES it causes fever and dry cough he prescribed corticosteroids (ofcourse under umbrella of antibiotic) i’m really surprised her lung uptake was 16% and the interventional radiologist told me that is ok and we can proceed!!! i’m afraid that it could deteriorate.
Hi,
Also I have the chance to ask one of the clinical person at the SIR-Spheres booth at ASCO today with regard to your question about low grade fever for four months; he said, if the ALK PHOS is below 800-900, then the low grade fever is NOT related to theY 90 procedure. However, if it is above 900 and did not come down later, let say, a month or so. Then it may be y 90 radiation related but then again, this is off the label findings and may not be of definitive for such findings.
God bless.Hi,
I agree with the triphasic CT liver with that 15 min. delay to have a better picture.
I also think your oncologist does not want to over treat your mom’s thyroid may be a good idea. Most of the chemo and targeted agents do carry cardiotoxity apart from other side effects,and the toxicities are accumulative . I went to a session in ASCO talking about cardio toxicity , the monoclonal antibodies like Avastin or Erbutix ,because they are angiogenesis inhibitors, they may therefore affect the NORMAL repairing of the heart and cardiovascular system. In that sense it may apply to other targeted agents like Naxavar and of course the alkylating agents as well.And I have just learned that age ,medical history like diabetes,hypertension,etc may be a factor in dosing adjustment and choices of chemo agents as well as targeted agents.” So less may be better than more” may make sense.
God bless.Hi,
My mom had PET-CT last tuesday because of rising tumor markers (not for radioemb.evaluation) her radiologist is convinced that the best way for evaluation is triphasic CT liver which she will undergo next week.PET-CT is really confusing, it showed pulmonary deposits with low grade uptake but her oncologist and her radiologist that there are no deposits, showed adnexal uptake (SUV 5) but also they said no uptake. the worest thing that it showed active focus in left thyroid lobe ( mom had multinodular goiter since 10 years) (SUV 6.
her oncologist is suspecting cancer her ultrasound showed metabolically active multinodular goiter and her radiologist is not encouraging idea of malignancy, her thyroid functions are within normal range, her oncologist told me no need for FNAC as even if it is cancer it has ver good prognosis (as he said 100% survival without treatment) i don’t like that way in thinking i felt as he told me that your mom will never live for 10 years, also i can’t imagine that mom has another cancer and i’m supposed to neglect it, i’m really so scared and depressed.
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