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All TopicsForum: IDC (Invasive Ductal Carcinoma) → Topic: PET scan report

Topic: PET scan report

Forum: IDC (Invasive Ductal Carcinoma) — Just diagnosed, in treatment, or finished treatment for IDC.

Posted on: Jan 12, 2018 11:46PM

lemonee wrote:

I finally finished all my pre-chemo scans today: PET scan, brain MRI, echo, breast MRI. I get my port placed Monday and then start chemo Wednesday. I'll meet with the oncologist to go over test results, but I was able to view my PET report online today (nothing else is back yet). It wasn't what I was hoping for and I'm worried.

Here's the impression section:

IMPRESSION:

1. Intensely FDG avid left breast malignancy consistent with known history. There is a small nodule measures about 9 mm anterior to the left first rib at the deep subpectoral region best seen on image 90 series 1400 with intense uptake. This is very concerning for subpectoral nodal metastasis. Recommend followup. No definite FDG avid disease below the diaphragm.

2. Small focal intense uptake within the left hemipelvis. This could be due to uptake in the left distal ureter. No FDG avid lymphadenopathy within the abdomen or pelvis.

Along with this, I have mild emphysema (I've never smoked) and some other issues that don't worry me as much. I know this could be worse, but I was really hoping it hadn't spread anywhere else. How worried should I be?

Dx 12/14/2017, IDC, Left, Stage IIIA, Grade 3, ER-/PR+, HER2- Chemotherapy 1/16/2018 AC + T (Taxol)
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Jan 13, 2018 10:22AM - edited Jan 14, 2018 11:11PM by chronicpain

The PET suggests the BC is in your lymph nodes. You are appropriately set up to get chemo to hopefully make that go away, though it would be better of course if it were not in the nodes. You have to go with what you have and we hope for the best result. It is good there is no clear report of spread elsewhere so far, though the issue in the hemipelvis needs to be followed.

When you see the docs next week, ask them for details about expected side effects and prognosis with treatment, and maybe an anxiety medicine too.


Best of luck with your chemo, lemonee.


After a decade of autoimmune problems, Dx 10/2017 at age 63, IDC, Left, 9mm, Oncotype 13, Stage IA, Grade 1, 0/5 nodes, ER+/PR+, HER2-, 11/22/2017 Lumpectomy, Arimidex. Declined radiation.
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Jan 13, 2018 12:41PM - edited Jan 15, 2018 08:06PM by MountainLife

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Jan 13, 2018 03:56PM lemonee wrote:

Thank you for the responses. I'll be glad to get going with treatment. All the uncertainty and waiting is nerve-wracking.

Dx 12/14/2017, IDC, Left, Stage IIIA, Grade 3, ER-/PR+, HER2- Chemotherapy 1/16/2018 AC + T (Taxol)
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Jan 13, 2018 05:59PM - edited Jan 13, 2018 06:00PM by jo6359

Can anyone interpret my PET/CT scan? My surgeon told me it was all good except for the known cancer in R breast. I dont understand all of it. Especially the colon section

Dx 12/8/2017, IDC, Right, 1cm, Grade 3, ER-/PR-, HER2+ (IHC) Dx 1/2/2018, IDC, Right, 1cm, Grade 3, ER-/PR-, HER2+ (IHC) Surgery 1/29/2018 Lymph node removal: Right, Sentinel, Underarm/Axillary; Mastectomy; Prophylactic mastectomy: Left
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Jan 13, 2018 06:16PM jo6359 wrote:

im not tech savvy.

Dx 12/8/2017, IDC, Right, 1cm, Grade 3, ER-/PR-, HER2+ (IHC) Dx 1/2/2018, IDC, Right, 1cm, Grade 3, ER-/PR-, HER2+ (IHC) Surgery 1/29/2018 Lymph node removal: Right, Sentinel, Underarm/Axillary; Mastectomy; Prophylactic mastectomy: Left
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Jan 13, 2018 06:31PM Georgia1 wrote:

Well physilogic means normal, "no abnormal...activity" sounds good, and no evidence of metastatic disease (spread of the cancer) is certainly exciting! So that looks pretty good to me as a layperson.

Dx 9/3/2017, ILC/IDC, Right, <1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2- Dx 10/10/2017, LCIS, Right, 0/1 nodes Surgery 10/10/2017 Lumpectomy; Lymph node removal: Right, Sentinel Radiation Therapy 11/27/2017 Whole-breast: Breast Hormonal Therapy 1/2/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Jan 13, 2018 06:38PM Veeder14 wrote:

Hi,

I'm no expert but I've had a couple of PET scans related to Melanoma. I've had uptakes that were false positives but still had to be checked out, meaning the scan shows uptake in an area when there is no cancer. The scan is very sensitive an picks up a lot. My PET scan still continued to show uptakes after my leg surgery, but less and less until this November it didn't anymore. However, once there was uptake in my bladder area which turned out to be urine, even though I emptied my bladder before the scan. In my last scan, it showed uptake on my scalp which the doctor said could be because I moved my head during the scan or there was passing inflammation on my scalp. I'm still getting it checked out this week. The colon uptake that's mentioned in the report doesn't seem to indicate it's malignant and it's not mentioned in the final section under impression. I'd make sure you ask the doctor to go over the results with you.

Dx 1/2/2018, ILC, Left, <1cm, Grade 1, ER+/PR+, HER2-
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Jan 13, 2018 07:54PM jo6359 wrote:

georgia1 and vedeer14 -Thank You. My surgeon said no big deal but he didnt explain it to me.Thanks for sharing your kniwledge.

Dx 12/8/2017, IDC, Right, 1cm, Grade 3, ER-/PR-, HER2+ (IHC) Dx 1/2/2018, IDC, Right, 1cm, Grade 3, ER-/PR-, HER2+ (IHC) Surgery 1/29/2018 Lymph node removal: Right, Sentinel, Underarm/Axillary; Mastectomy; Prophylactic mastectomy: Left
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Jan 14, 2018 11:06AM lemonee wrote:

I do worry about the comment on the hemipelvis region because I've had a very strange deep shooting pain in that area that almost takes my breath away when I get it. It started a few days before Christmas and happened several times a few days in a row and only a few times since. I do have a tenderness in that area that I notice most with pressure or when my cat steps on it just right. I hate all of this so much.

Dx 12/14/2017, IDC, Left, Stage IIIA, Grade 3, ER-/PR+, HER2- Chemotherapy 1/16/2018 AC + T (Taxol)

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