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Topic: Metastatic for 7 years?

Forum: Just Diagnosed With a Recurrence or Metastasis —

Meet others who are just facing the diagnosis of a recurrence of breast cancer or metastatic (advanced) disease. You are NOT alone.

Posted on: Jul 27, 2020 05:17PM

Peacestrength2013 wrote:

Hi, I had lung nodules from diagnosis in 2013. I’ve had many lung CT’s and for 6 years, no change. The last year has shown small growth. One has increased from 6 mm to 11 mm and just had a PET scan. This nodule showed a 3.2 SUV and radiologist said, “supports the presence of malignancy.” Can he really say this without having a biopsy to fully confirm that it’s cancer

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Jul 27, 2020 05:58PM cookie54 wrote:

Hi, So I understand it is that SUV values in PET helps the radiologist interpret what he sees to support the suggestion of malignancy. So that is why it is stated as such in report. These are standard guidelines in radiology,I'm sure there is always room for error though. Of course there is nothing like biopsy confirmation. ....Here is what i found for guidelines:

Typically, a standardized uptake value (SUV), a quantity that incorporates the patient's size and the injected dose, that is more than 2.0 is considered to be suggestive of malignancy, whereas lesions with SUVs less than this value are considered to be benign.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2563015/#:~:text=%E2%89%A4%201.0%20cm).-,Introduction,the%20evaluation%20of%20pulmonary%20nodules.&text=An%20SUV%20cutoff%20of%202.5%20or%20greater%20has%20been%20traditionally,influence%20the%20calculation%20of%20SUV.

Introduction. Metabolic imaging with 18F-FDG PET is a well-established indication for the evaluation of pulmonary nodules. ... An SUV cutoff of 2.5 or greater has been traditionally associated with malignant pulmonary nodules [1]. However, (2) has previously reported many factors that influence the calculation of SUV.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989969/

Best of luck to you, remain hopeful. Prayers and hugs.

Dx 8/15/2016, IDC, Right, <1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2- Surgery 9/14/2016 Mastectomy; Reconstruction (left): Saline implant; Reconstruction (right): Saline implant Dx 6/2020, IDC, Right, Stage IIIC, Grade 3, ER-/PR-, HER2- Chemotherapy 6/29/2020 Carboplatin (Paraplatin), Gemzar (gemcitabine)
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Aug 18, 2020 11:41AM KBeee wrote:

Hoping you get more firm answers from your care team soon. Do keep us posted.

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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Aug 18, 2020 02:11PM exbrnxgrl wrote:

Hi,

The title of your thread asks a question. Did you mean is it possible to be metastatic for 7 years

Bilateral mx 9/7/11 with one step ns reconstruction. As of 11/21/11, 2cm met to upper left femur Dx 7/8/2011, IDC, Left, 4cm, Grade 1, 1/15 nodes, mets, ER+/PR+, HER2- Surgery 9/7/2011 Lymph node removal: Left; Mastectomy: Left, Right; Reconstruction (left); Reconstruction (right) Dx 11/2011, IDC, Left, 4cm, Stage IV, Grade 1, 1/15 nodes, mets, ER+/PR+, HER2- Hormonal Therapy 11/21/2011 Arimidex (anastrozole) Radiation Therapy 11/21/2011 Bone Hormonal Therapy 6/19/2014 Femara (letrozole) Hormonal Therapy Aromasin (exemestane)

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