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Doctor insights on: Pet Breast Cancer Diagnosis

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Dr. Joshua Lawson Dr. Lawson
Radiation Oncology
years in practice
Emory University School of Medicine
1

1
What does breast cancer look like on a pet scan?

What does breast cancer look like on a pet scan?

Bright: Pet scans take advantage of the thought that most caners are more metabolically active than the normal tissues around them. This makes the cancers show up as "hot" or "bright" on pet imaging. There are other areas that are "bright" normally as well, like brain and to some extent liver. However, when using pet for breast cancer staging one is looking to see if there are unexpected bright areas. ...Read more

Dr. Barry Rosen
4,316 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


Dr. Regina Hampton Dr. Hampton
Breast Surgery
19 years in practice
Drexel University College of Medicine
2

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Which test is more accurate in detecting breast cancer recurrence: a pet or an ultrasound?

Which test is more accurate in detecting breast cancer recurrence: a pet or an ultrasound?

Depends: This depends on if your are looking for local recurrence in the breast (ultrasound can help) or distant recurrence (in other organs outside the breast)-pet is better. They are both great tests. If you have concerns, i recommend contacting your oncology team and consider getting a second opinion. ...Read more

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Dr. Henry Jacobs Dr. Jacobs
Obstetrics & Gynecology
62 years in practice
3

3
Diagnosing Breast Lumps (Checklist)

Do a breast self exam after your period ends
monthly
Check daily in shower after soaping up
daily
Learn the architecture of your breasts by repetition
once
Observe skin around nipples
once
Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
4
Dr. Felix Brizuela Dr. Brizuela
Neurology
28 years in practice
University of Medicine and Dentistry of New Jersey - School of Osteopathic Medicine
5

5
Want a second opinion for a Pet Scan taken due to metastatis of breast cancer?

Want a second opinion for a Pet Scan taken due to metastatis of breast cancer?

Image?: DO YOU HAVE A COPY OF THE IMAGE TO SHOW ONLINE? DID YOU MEAN YOU WANT TO KNOW WHO TO SEE FOR A SECOND OPINION? IF IT IS THE LATTER, YOU NEED TO SEE AN ONCOLOGIST. ...Read more

Dr. Andrea Brand Dr. Brand
Family Medicine
years in practice
State University of New York Downstate Medical Center College of Medicine
6

6
Living with Skin Cancer (Checklist)

Avoid sun exposure between 10 am and 2 pm
daily
Apply sunscreen
2x day
Wear a hat outdoors on sunny days
daily
See dermatologist for check ups
2x year
Dr. Mark Hoepfner Dr. Hoepfner
Surgery
35 years in practice
University of Washington School of Medicine
7

7
What is the definition or description of: pet-ct breast cancer staging?

What is the definition or description of: pet-ct breast cancer staging?

PET - CT: Pet-ct scans are a means of combining the x-ray of a ct scan with the functional study of a pet scan. The pet scan can see over-active cells that are actively using glucose. The over-active cells may represent cancer cells and is a means of telling if cancer cells are spreading or growing somewhere in the body. The ct scan may see a growth & the pet scan can see if the growth has overactive cells. ...Read more

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Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
8

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Had a pet scan for breast cancer, showed fluid on the lung ?

Had a pet scan for breast cancer, showed fluid on the lung ?

Yes it can show: Pet scan also will have superimposed very high resolution ct scan images will show, now need additional test to find out the nature of fluid. ...Read more

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Dr. Robert Kent Dr. Kent
Physical & Rehabilitation Medicine
8 years in practice
Des Moines University College of Podiatric Medicine and Surgery
9

9
Managing Pain from Cancer (Checklist)

Ask oncologist to refer you to cancer pain specialist
Once
Ask pain specialist about both interventional and medication options
Once
If pancreatic cancer, ask about a celiac plexus block
Once
If neuropathy, request trial of ketamine-based topical creams
Once
Dr. James Urbanic Dr. Urbanic
Radiation Oncology
14 years in practice
Medical University of South Carolina College of Medicine
10

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What could be the causes of increased uptake by a nonenlarged subcarinal node on pet scan in a patient with breast cancer?

What could be the causes of increased uptake by a nonenlarged subcarinal node on pet scan in a patient with breast cancer?

Pet scan challenging: A pet scan will generally show 3 main groups of findings. Infection inflammation or cancer. With a history of breast cancer a biopsy may be considered but that will depend on the details of the situation. ...Read more

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Dr. Andrea Stebel Dr. Stebel
Internal Medicine - Oncology
37 years in practice
Autonomous University of Guadalajara Faculty of Medicine
11

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Dx breast cancer at 39, thyroid cancer at 40. Is a PET scan needed to rule out mets and am I at a risk for other cancers?

Genetic testing: You definitely need genetic counseling and testing. A complete family history will help direct this as well. There is no role for screening to look for metastatic disease if you are not known to have it. ...Read more

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Dr. Michael Ginsburg Dr. Ginsburg
Radiology - Interventional
8 years in practice
Loyola University Chicago Stritch School of Medicine
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Pet scan in jan 2013 showed 4 cancerous nodules in lungs from breast cancer. New pet scan july 2013 - lung spots no longer metabolically active; does this mean they are no longer cancerous?

Pet scan in jan 2013 showed 4 cancerous nodules in lungs from breast cancer. New pet scan july 2013 - lung spots no longer metabolically active; does this mean they are no longer cancerous?

Favorable Response: Pet provides the benefit of early identification of ineffective chemotherapy, particularly metastatic breast cancer, as various alternative treatment options are available & allows patients to be spared the toxicities of ineffective treatments. Complete metabolic response is a great prognostic indicator with significantly increased overall survival compared to patients showing no response. ...Read more

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Dr. Liawaty Ho Dr. Ho
Internal Medicine - Hematology & Oncology
19 years in practice
Udayana University Faculty of Medicine
13

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Oct 2012-pet scan done with 2 areas of concern after breast cancer dx....Had biopsy and bone scan that were both neg...All cancer treatment done and #2 pet showed same areas-no change..Why bone scan?

Oct 2012-pet scan done with 2 areas of concern after breast cancer dx....Had biopsy and bone scan that were both neg...All cancer treatment done  and #2 pet showed same areas-no change..Why bone scan?

D/w your MD: The best person to answer your question is your doctor. Have a discussion with your doctor and see what the reason is. Most likely is the same reason your doctor did the bone scan last time- to ensure that this is also unchanged on the bone scan. Unlike the bone scan, the pet scan was not done dedicated only to check the bone. What is your cancer marker, alkaline phosphatase level? D/w your md. ...Read more

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Dr. Carlo Contreras Dr. Contreras
Surgery - Oncology
14 years in practice
Northwestern University Feinberg School of Medicine
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An MRI in nov 2012 showed a radiological cyst on l. Femur; pain since may 2012. I have stage 111c breast cancer. Should i get a pet /ct?

An MRI in nov 2012 showed a radiological cyst on l. Femur; pain since may 2012. I have stage 111c breast cancer. Should i get a pet /ct?

Probably not: On mri, cysts are pretty easily distinguished from metastasis from breast cancer. If you still have concerns, ask your oncologist if he can have the MRI interpreted by a second radiologist to make all are in agreement with the cyst diagnosis. ...Read more

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Dr. Romeo Mandanas Dr. Mandanas
Internal Medicine - Hematology & Oncology
34 years in practice
Cebu Institute of Medicine
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What is the best treatment for s tage 2a breast cancer in a 63 yo male. No nodes were positive and pet CT scan was negative. Er positive.?

What is the  best treatment  for s tage  2a  breast  cancer in a  63  yo male. No nodes  were positive and pet CT  scan was negative. Er  positive.?

Tamoxifen: After a mastectomy, use of tamoxifen in an er+ tumor has the best historical experience for this rare condition in men. The decision to use chemotherapy may depend on comparable metrics used for breast cancer in women such as size of tumor, grade, presence of markers (her2neu, high ki- 67). Though no data in men, oncotype DX theoretically can help with treatment decision about need for chemo. ...Read more

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Dr. Joseph Accurso Dr. Accurso
Radiology
25 years in practice
University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences
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Do i need a pet scan after surviving breast cancer? I had breast cancer (stage 1) and treatment was successful. I just had a mammogram and there was no cancer. Treatments were chemotherapy and radiation.

Do i need a pet scan after surviving breast cancer? I had breast cancer (stage 1) and treatment was successful.  I just had a mammogram and there was no cancer.  Treatments were chemotherapy and radiation.

You and your oncolog: You and your oncologist need to discuss this. Given the low stage, and assuming successful completion of treatment, pet/ct might not be indicated at this time. It does depend on the specifics of your case. Pet/ct is useful in evaluating for distal metastatic disease. It does not replace mammography, ultrasound or breast MRI for local recurrence surveillance ...Read more

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Dr. Steven Eisenberg Dr. Eisenberg
Internal Medicine - Hematology & Oncology
21 years in practice
Philadelphia College of Osteopathic Medicine
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Is my family history relevant to my breast cancer diagnosis?

Is my family history relevant to my breast cancer diagnosis?

YES YES YES: Especially first degree relatives with breast cancer such as one mother or sisters (or father or brothers for that matter). If one of these family members were diagnosed under age 50, that's also and important fact. Consider genetic counseling. ...Read more

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Dr. Charles Hendricks Dr. Hendricks
Surgery
34 years in practice
University of Maryland School of Medicine
18

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How frequently does a spot compression lead to a breast cancer diagnosis?

How frequently does a spot compression lead to a breast cancer diagnosis?

Sometimes: Spot compression is used to determine if an area of abnormal appearing tissue on a mammogram spreads out like normal breast tissue or holds together densely like a more worrisome mass. Usually it spreads out and you forget it. Even when it leads to a biopsy because it doesn't compress it doesn't by any means absolutely mean cancer, it just increases those chances. ...Read more

Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
19

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Can doctors tell me what does the breast cancer diagnosis decimal number mean?

Can doctors tell me what does the breast cancer diagnosis decimal number mean?

ICD Code: I believe you may be referring to the icd-9 code. The icd (international classification of diseases) is a universal means of classifying different diseases. This is used primarily for statistical and billing purposes and does not reflect the cancer prognosis. ...Read more

Dr. Kris Gast Dr. Gast
Radiation Oncology
27 years in practice
University of Kansas School of Medicine
20

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29yo. Pat grndmthr diagnosis Breast Cancer@24yo. Ovarian cx@age 34& took her@68yo.Inherent odds? +Ive virtually zero chest, size <34A-change my odds?

29yo. Pat grndmthr diagnosis Breast Cancer@24yo. Ovarian cx@age 34& took her@68yo.Inherent odds? +Ive virtually zero chest, size <34A-change my odds?

Hereditary CA: With grandma having both cancers at a young age, and both ca being the ones linked to a gene you should talk to your doctor about testing and what you would do differently if positive. Also see if you can get more family history data. That would help a lot. Size of your breasts won't really matter. Gather info, calculate risks, and stay on top of screening. ...Read more

Dr. Barry Rosen
1,365 doctors shared insights

Breast Cancer (Definition)

Occurs when glandular cells lining the milk ducts and lobules of the human breast begin to grow in an unregulated manner. Often curable if found early and treated effectively with surgery, hormonal therapy, chemotherapy and targeted therapy, or a combination thereof. Early detection before the malignancy becomes large enough to be felt depends on mammography/sonography and MRI imaging of the breast ...Read more


Dr. Mark Hoepfner
1,050 doctors shared insights

Breast Carcinoma (Definition)

Most breast cancers are carcinomas. This is a type of breast cancer. These cancers start in the cells that line organs and tissues. In fact, breast cancers are often a type of carcinoma called adenocarcinoma, which starts in cells that make glands (glandular tissue). Breast adenocarcinomas start in the ducts (the milk ducts) or ...Read more