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Topic: Question about PET scan finding

Forum: Not Diagnosed With a Recurrence or Metastases but Concerned —

Meet others concerned about developing a recurrence or metastases.

Posted on: Feb 12, 2021 11:04AM

Snowflake67 wrote:

Does anyone know what this with me? From PET scan report.


Several mildly FDG avid left axillary lymph nodes without enlargement or abnormal morphology are suspicious for nodal metastases in the setting of prior breast cancer. (Several mildly FDG avid left axillary lymph nodes are demonstrated, max SUV up to 2.8 without significant enlargement or abnormal morphology.)


th

Dx 9/12/2016, DCIS/IDC, Right, <1cm, Stage IB, Grade 1, 0/4 nodes, ER+/PR+, HER2- Surgery 9/28/2016 Lumpectomy: Right; Lymph node removal: Sentinel
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Feb 12, 2021 01:03PM moth wrote:

I believe it means they see some tissues in the left armpit lymph nodes which are suspicious.. They're not areas of enlargement or weird shape, just areas which are taking up the PET tracer - areas which are more metabolically active, which can be a sign of a malignancy. I'm guessing they recommend a biopsy?

I take weekends off

Initial dx at 50. Seriously?? “Sometimes the future changes quickly and completely and we’re left with only the choice of what to do next." blog: Never Tell Me the Odds

Dx 12/2017, IDC, Left, 1cm, Stage IA, Grade 3, 0/5 nodes, ER-/PR-, HER2- (IHC) Surgery 12/12/2017 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 2/14/2018 AC + T (Taxol) Radiation Therapy 8/13/2018 Whole-breast: Breast Dx 2/2020, IDC, Stage IV, metastasized to liver/lungs, Grade 3, ER-/PR-, HER2- Chemotherapy 3/18/2020 Taxol (paclitaxel) Immunotherapy 3/19/2020 Tecentriq (atezolizumab) Chemotherapy 11/26/2020 Abraxane (albumin-bound or nab-paclitaxel) Dx 12/9/2020, IDC, Right, Stage IV, metastasized to lungs, Grade 3, ER+/PR-, HER2- (IHC) Radiation Therapy 12/9/2020 External Hormonal Therapy 12/16/2020 Femara (letrozole) Dx 1/28/2021, IDC, Left, Stage IV, metastasized to bone Radiation Therapy 3/3/2021 External: Bone
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Feb 12, 2021 01:30PM - edited Feb 12, 2021 01:31PM by Snowflake67

I see my oncologist on Monday.

Dx 9/12/2016, DCIS/IDC, Right, <1cm, Stage IB, Grade 1, 0/4 nodes, ER+/PR+, HER2- Surgery 9/28/2016 Lumpectomy: Right; Lymph node removal: Sentinel
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Feb 12, 2021 04:19PM LivinLife wrote:

Best Snowflake! Please let us know how your appointment goes....

with expansive comedo necrosis & weak ER/PR Dx 7/2020, DCIS, Left, 2cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/31/2020 Mastectomy: Left; Prophylactic mastectomy: Right
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Feb 15, 2021 02:49PM Snowflake67 wrote:

The oncologist said too small for a biopsy. He will do another CT in May and repeat blood work.

Dx 9/12/2016, DCIS/IDC, Right, <1cm, Stage IB, Grade 1, 0/4 nodes, ER+/PR+, HER2- Surgery 9/28/2016 Lumpectomy: Right; Lymph node removal: Sentinel
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Feb 15, 2021 04:47PM LivinLife wrote:

Hmmmm..... so not necessarily good news though if it turns out to be something it should be caught quite early if it's too small to biopsy now??? And really staying on top of it by rescanning in May.... what to say? How are you feeling - I mean more emotionally b/c I could imagine really mixed feelings if I were in your shoes.....

with expansive comedo necrosis & weak ER/PR Dx 7/2020, DCIS, Left, 2cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/31/2020 Mastectomy: Left; Prophylactic mastectomy: Right
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Feb 15, 2021 04:56PM Snowflake67 wrote:

I hate the wait. Bone scan showed a spot on rib but CT and PET did not. CT showed small nodules on lung but PET did not. PET Showed lymph nodes but CT did not. Blood work was normal regardless. It’s been a stressful few weeks.

Dx 9/12/2016, DCIS/IDC, Right, <1cm, Stage IB, Grade 1, 0/4 nodes, ER+/PR+, HER2- Surgery 9/28/2016 Lumpectomy: Right; Lymph node removal: Sentinel
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Feb 16, 2021 08:19AM LivinLife wrote:

Snowflake that is just crazy making!! I sure hope you have some in person support, interests etc. to help you during this next few months...Obviously you have this site too. It will be important you try getting more of the worry to the background as much as you can during the next few months.... Planting a seed - I've had 6 month "call backs" for things other than breast cancer. I find the first 2 weeks or so when notified about needing that next test is difficult though I am able to put that behind me when there's a long time-frame until that next test. Then a couple weeks before the test I start getting antsy again.. I hope you can find a process something like that so you have more peace and ability to live your life in-between....

with expansive comedo necrosis & weak ER/PR Dx 7/2020, DCIS, Left, 2cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/31/2020 Mastectomy: Left; Prophylactic mastectomy: Right
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Feb 16, 2021 12:48PM 2019whatayear wrote:

For the lung nodules if they are 5 mm or less then they are most likely not malignant and if they are under 1 cm I don't think the PET scan would catch either way

Bone scans pick up everything but can't differentiate btwn cancer and benign- so if nothing on CT and Pet most likely is not a concern.

2.8 SUV is something but not very high (if that makes sense) but is good CT doesn't show anything.

Overall my fingers and toes are crossed for you and that in 3 months your scan is super boring and unremarkable and unchanged :-)

5/6/2019 IDC 2cm, micromet 1/9 nodes, BRCA2+, ER+, PR+, HER- BMX 6/2019, A/C & Taxol 2019, Radiation, BSO - preventative 2/2020, Letrozole 3/1/2020, Started Lynparza for 1 year preventative on 7/18/2021
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Mar 15, 2021 12:15AM Sherry2019 wrote:

Hello anyone here

I would like to know if suv max 8 shown in report means cancer??



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Mar 15, 2021 08:28AM MelissaDallas wrote:

Sherry2019, what is going on that prompted your PET scan? What and when was your diagnosis? Age, size, grade, stage, ER, PR, HR status? Can you provide more information from the report, rather than that little snippet? What is the full text from the report, and what are the findings and recommendations? I don’t think anyone can answer your question without a lot more information. It would be helpful since you’ve been here a while if you filled out your diagnosis profile information and set it to public so other members here understand what your situation is.

LCIS, extensive sclerosing adenosis, TAH/BSO & partial omentectomy for mucinous borderline ovarian tumor. Dx 5/20/2012, LCIS, Stage 0, 0/0 nodes
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Mar 16, 2021 01:36PM Sherry2019 wrote:

sorry..I am in the mid 30s currently still under target therapy treatment, i was diagnosed last year stage 2 grade 3 with 5.6 cm size, after my pets scan they found my lytic lesion and sclerosis lesion on my spine with suv max 8 so they decided for biopsy , results shown negative , so at this point they just gonna keep in views by doing regular scaning, you know i just curious & worrisome because my suv max is 8..

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Mar 17, 2021 11:25AM jhl wrote:

Sherry,

SUV means standardized uptake value. It takes in consideration the patient size and the injected dose. Generally, a value above 2 is considered malignant.

Dx 11/15/2019, IDC: Cribriform, Right, <1cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2- (FISH)
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Mar 17, 2021 11:58AM 2019whatayear wrote:

I don't think it is accurate to say a value above 2 is considered malignant.


From the NIH:

"Second, measured SUVs have a large degree of variability due to physical and biological sources of error, as well as inconsistent and non-optimized image acquisition, processing and analysis10. More specifically, it has been repeatedly demonstrated that the use of SUV thresholds (e.g. SUV > 2.5), wherein a nodule or mass is characterized as benign or malignant using thresholds, is often invalid. As such, many benign infectious/inflammatory processes will have substantial FDG uptake with a high SUV value, and conversely, many indolent or slowly growing malignant processes may have minimal uptake, and low SUV values. This is not to say, however, that using SUV thresholds for diagnosis is not of any value. In circumstances where a nodule or tissue mass has uptake no greater than adjacent reference tissue and the pre-test likelihood of malignancy is low, the decision to develop a "watch and wait" strategy for management can often be safely adopted. In this situation, the very low false negative rate of negligible FDG uptake can assist with the decision to avoid unnecessary invasive procedures for tissue diagnosis. This has often been referred to as using FDG-PET as a "molecular imaging probe"11. As such, FDG PET/CT can assist in the decision to avoid unnecessary invasive tissue biopsy as well as guide such a procedure to a tissue location where a valid diagnostic biopsy sample can be obtained."

5/6/2019 IDC 2cm, micromet 1/9 nodes, BRCA2+, ER+, PR+, HER- BMX 6/2019, A/C & Taxol 2019, Radiation, BSO - preventative 2/2020, Letrozole 3/1/2020, Started Lynparza for 1 year preventative on 7/18/2021

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