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Topic: Spots on Liver - CT Scan

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

Meet others concerned about developing a recurrence or metastases.

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Posted on: Mar 30, 2021 08:27AM

Aram wrote:

Hi, I was just told that CT detected two spots on my liver. It didn't pick up any node involvement. My dr thinks these might be cysts. She ordered MRI to confirm but I don't know how long it takes till I get a call. I asked her if there are stats for distant metastasis without node involvement but she didn't have an answer. I was wondering if anyone here has had such diagnosis?

Dx at 40 Dx 2/5/2021, IDC, Left, 1cm, Grade 3, ER-/PR-, HER2+ (IHC) Dx 2/5/2021, IDC, Left, 3cm, Grade 3, ER-/PR-, HER2+ (IHC) Chemotherapy 3/11/2021 AC
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Mar 30, 2021 09:15AM 2019whatayear wrote:

was the CT done before you started chemo or during chemo?

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
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Mar 30, 2021 10:18AM Aram wrote:

2019whatayear, it was done before I started chemo. Does it matter?

Dx at 40 Dx 2/5/2021, IDC, Left, 1cm, Grade 3, ER-/PR-, HER2+ (IHC) Dx 2/5/2021, IDC, Left, 3cm, Grade 3, ER-/PR-, HER2+ (IHC) Chemotherapy 3/11/2021 AC
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Mar 30, 2021 03:05PM LivinLife wrote:

Aram it sounds like you're waiting on the call to get the MRI scheduled at this point. I certainly hope they call soon... MRI results only take about 24 hours to return depending on where you are. Hopefully wouldn't take more than 24-48 for you to hear results. I know that doesn't help much though just my way of empathizing and sending support..... Please let us know as things unfold...... Hoping for cysts!!!

with expansive comedo necrosis & weak ER/PR Dx 7/2020, DCIS, Left, 1cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/31/2020 Mastectomy: Left; Prophylactic mastectomy: Right
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Mar 30, 2021 03:20PM BevJen wrote:

Aram,

I had the exact situation as you. Liver lesions picked up on CT, suspected metastatic disease (no mention of nodes), followed with an abdominal MRI. That is normally followed by a biopsy. If you get to that point, you might want to ask your doc about doing genomic testing to see if your breast cancer has morphed. It will make a different in planning your treatments.

Microwave Ablations of the Liver: 7/2019; 10/2020; 12/2020 Dx 11/2003, ILC, Left, Stage IIIC, 13/18 nodes, ER+/PR+, HER2- Dx 6/2006, ILC, Stage IV, metastasized to other, ER+, HER2- Dx 5/2019, ILC, Stage IV, metastasized to liver, ER+/PR+, HER2- Surgery 7/5/2019 Targeted Therapy 7/31/2019 Ibrance (palbociclib) Immunotherapy Radiation Therapy Surgery Lymph node removal: Left, Sentinel; Mastectomy: Left, Right; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap Chemotherapy TAC Hormonal Therapy Faslodex (fulvestrant) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery Lymph node removal; Mastectomy; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap Hormonal Therapy Femara (letrozole)
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Mar 30, 2021 03:56PM Aram wrote:

Thanks LivinLife.

BevJen, so you had a liver biopsy after? My dr was like MRI will tell us if it is cancer. I asked if we need a biopsy then, and she said no, because you have breast cancer, it has gone from there, so no biopsy.

Dx at 40 Dx 2/5/2021, IDC, Left, 1cm, Grade 3, ER-/PR-, HER2+ (IHC) Dx 2/5/2021, IDC, Left, 3cm, Grade 3, ER-/PR-, HER2+ (IHC) Chemotherapy 3/11/2021 AC
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Mar 30, 2021 05:37PM BevJen wrote:

I think that's a bit shortsighted, Aram. Unless your MO is also a psychic, I don't see how she can determine what's cancer and what's not. Plus, genomic testing can provide certain characteristics about your cancer that cannot be seen on an MRI.

Microwave Ablations of the Liver: 7/2019; 10/2020; 12/2020 Dx 11/2003, ILC, Left, Stage IIIC, 13/18 nodes, ER+/PR+, HER2- Dx 6/2006, ILC, Stage IV, metastasized to other, ER+, HER2- Dx 5/2019, ILC, Stage IV, metastasized to liver, ER+/PR+, HER2- Surgery 7/5/2019 Targeted Therapy 7/31/2019 Ibrance (palbociclib) Immunotherapy Radiation Therapy Surgery Lymph node removal: Left, Sentinel; Mastectomy: Left, Right; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap Chemotherapy TAC Hormonal Therapy Faslodex (fulvestrant) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery Lymph node removal; Mastectomy; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap Hormonal Therapy Femara (letrozole)
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Mar 30, 2021 05:48PM moth wrote:

But BevJen, Aram was just diagnosed last month. For denovo, if they're certain a lesion is malignant on imaging, I don't think they always biopsy everything? Even as a non denovo, I've never had my liver mets biopsied & my initial lung met biopsy was really only done because I insisted ...(& we got no useful info from as it was necrotic)

Aram,, I'm still really hoping your spots turn out to be something benign!

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: nevertellmetheodds2017.tumblr.... 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 3/18/2020 Tecentriq (atezolizumab) Chemotherapy 11/25/2020 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 12/15/2020 Femara (letrozole) Dx 1/28/2021, IDC, Left, Stage IV, metastasized to bone, Grade 3 Radiation Therapy 3/3/2021 External: Bone
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Mar 30, 2021 06:57PM BevJen wrote:

Moth,

You know more medical stuff than I do -- I've just not had the experience of imaging sans biopsy. How can they be sure if they have not pathology?

Microwave Ablations of the Liver: 7/2019; 10/2020; 12/2020 Dx 11/2003, ILC, Left, Stage IIIC, 13/18 nodes, ER+/PR+, HER2- Dx 6/2006, ILC, Stage IV, metastasized to other, ER+, HER2- Dx 5/2019, ILC, Stage IV, metastasized to liver, ER+/PR+, HER2- Surgery 7/5/2019 Targeted Therapy 7/31/2019 Ibrance (palbociclib) Immunotherapy Radiation Therapy Surgery Lymph node removal: Left, Sentinel; Mastectomy: Left, Right; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap Chemotherapy TAC Hormonal Therapy Faslodex (fulvestrant) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery Lymph node removal; Mastectomy; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap Hormonal Therapy Femara (letrozole)
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Mar 30, 2021 07:31PM AliceBastable wrote:

Some growths don't need a biopsy for experienced radiologists and other doctors to tell what's going on. When a non-contrast CT showed a large-ish growth on my kidney, both the radiologist and urologist we're pretty sure it was cancer, and after a contrast CT, they were even more sure. I'm in a kidney cancer FB group, and not many of us had biopsies, and only one or two had growths that turned out to be benign. I'm definitely not saying all suspicious growths or lesions on scans are cancerous, just that the experience of radiologists and surgeons shouldn't be discounted.

Endometrial cancer 2010, basal cell multiples, breast cancer 2018, kidney cancer 2018. Boring. Dx 5/2018, ILC/IDC, Left, 2cm, Stage IA, Grade 2, 1/1 nodes, ER+/PR+, HER2- Surgery 7/10/2018 Lumpectomy: Left; Lymph node removal: Sentinel Surgery 8/7/2018 Radiation Therapy 10/28/2018 Whole-breast: Breast, Lymph nodes
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Mar 30, 2021 07:59PM 2019whatayear wrote:

Aram - yes chemo can do weird stuff to imaging so I was confused about what you are saying -I hope you get results that show it’s not cancer . Waiting is horrible .

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
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Mar 31, 2021 05:25AM Aram wrote:

Thank you all. It seems it is common not to have biopsies in some cases. Waiting is so hard but considering they need to change my chemo from AC to TCHP if these are cancerous I hope I go higher on the list.

Dx at 40 Dx 2/5/2021, IDC, Left, 1cm, Grade 3, ER-/PR-, HER2+ (IHC) Dx 2/5/2021, IDC, Left, 3cm, Grade 3, ER-/PR-, HER2+ (IHC) Chemotherapy 3/11/2021 AC
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Apr 7, 2021 05:22PM DutchieGirl wrote:

I also had lesions on my liver when they first diagnosed me. My surgeon wanted me to have another scan but my oncologist said he was confident it wasn’t necessary. That was probably two years ago and I haven’t had any issues. Hoping you’re fine!

Dx 11/7/2018, IDC, Left, 1cm, Stage IIIA, ER-/PR-, HER2+ Surgery 1/14/2019 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left, Right; Prophylactic mastectomy: Right Chemotherapy 3/4/2019 AC + T (Taxol) Radiation Therapy 7/29/2019 Targeted Therapy Herceptin (trastuzumab)
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Apr 8, 2021 07:25AM Aram wrote:

DutchieGile, thank you. I hope mine are the same. Still waiting for the MRI call to come. I don't think I am very high on the list, so it might take a while for me to know for sure.

Dx at 40 Dx 2/5/2021, IDC, Left, 1cm, Grade 3, ER-/PR-, HER2+ (IHC) Dx 2/5/2021, IDC, Left, 3cm, Grade 3, ER-/PR-, HER2+ (IHC) Chemotherapy 3/11/2021 AC
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Apr 8, 2021 10:44AM KBeee wrote:

Hopin gyou get answers and that the lesions are not cancer.

Karen. Dx 8/5/2013, IDC, Right, 1cm, Grade 2, 0/1 nodes, ER+/PR+, HER2- (IHC) Surgery 8/26/2013 Mastectomy: Left, Right Chemotherapy 9/20/2013 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 12/12/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 1/23/2014 Reconstruction (left); Reconstruction (right) Surgery 1/29/2015 Lumpectomy: Right Dx 2/2/2015, IDC, Right, 1cm, Grade 2, 0/0 nodes, ER+/PR-, HER2- (FISH) Dx 2/25/2015, IDC, Right, 1cm, Grade 3, 0/13 nodes, ER+/PR-, HER2- (IHC) Surgery 2/25/2015 Lumpectomy: Right; Lymph node removal: Right, Sentinel, Underarm/Axillary; Prophylactic ovary removal Chemotherapy 3/31/2015 AC + T (Taxol) Radiation Therapy 8/25/2015 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy Femara (letrozole)
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Apr 8, 2021 08:46PM OnTarget wrote:

My breast MRI saw a lesion on my liver. I was like "great, just what I need".

I had a CT and then an MRI to look at it, and they decided it was benign. Whew!

Diagnosed at 42, Oncotype score 16, ITC in one node- considered node negative. Lost right implant to infection March 2020. Waiting to start reconstruction all over again. Dx 4/8/2019, ILC, Left, 3cm, Stage IB, Grade 2, 0/3 nodes, ER+/PR+, HER2- Dx 4/23/2019, ILC, Right, <1cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2- Surgery 5/15/2019 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy 6/13/2019 Zoladex (goserelin) Chemotherapy 8/5/2019 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 11/6/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant

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