Doctor insights on:
Pet Breast Cancer Diagnosis
It can be: Dcis, the earliest form of breast cancer, can be associated with brca mutations. 13% of women under 50 diagnosed with dcis had a brca mutation in retrospective (looking backwards) studies. Women with a family history of breast or ovarian cancer or dcis before age 50 should have genetic counseling. For more info: http://clincancerres.Aacrjournals.Org/content/13/14/4306.Full. ...Read moreSee 3 more doctor answers
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
In one word unknown : Ductal carcinoma in situ dcis is simply the sleeping cancer cells inside the breast ducts, like a garden hose loaded with cancer cells safe if they are inside the duct , once they are out side then is invasive cancer, ready to spread, cause is unknown at this time, from genetic mutations, braca i & ii age, hormonal uses.Environment , late age pregnancy life style etc are all attributed. ...Read moreSee 1 more doctor answer
Spread : This means that the cancer has spread to other areas outside of the breast. This is known as stage 4. With the use of modern chemotherapy, this disease can be controlled. I recommend you meet with your medical oncologist to determine options available for treatment. ...Read moreSee 3 more doctor answers
Need more info: "cancerous change" can mean many things. There are different pre-cancerous changes seen on breast biopsies, such as ADH (vasopressin) or alh (atypical ductal or atypical lobular hyperplasia). There are early cancers called dcis or lcis (ductal carcinoma in situ or lobular carcinoma in situ). Hopefully this is nothing, but we need more information. Make sure to follow-up with your doctor! ...Read moreSee 1 more doctor answer
Spread of cells: Micrometastasis means that a few tumor cells have left the breast tumor and traveled to the lymph nodes under the arm. In most cases, this is treated as a negative lymph node. I encourage you to review your pathology report with your surgeon and oncologists (ideally they are communicating with each other through a meeting called a tumor board). ...Read moreSee 3 more doctor answers
Many or none: Proper screening with self breast exams looking for new lumps, breast exams by your physician looking for skin or nipple chanes as well as masses or lymph nodes, and mammogram and ultrasound if needed are the best ways to pick up early stage breast cancer before it causes any symptoms. Once advanced it can cause many different symptoms throughout the body. ...Read moreSee 1 more doctor answer
My mom had lobular breast cancer at 52. Brca negative. Is lobular breast cancer more genetic based than ductal?
No its medullary: a quote from Lancethttp://www.ncbi.nlm.nih.gov/pubmed/9167459: "The occurrence of invasive lobular carcinoma and invasive ductal carcinoma was not significantly different between carriers of BRCA1 or BRCA2 mutations and controls. Medullary or atypical medullary carcinoma was, however, found more often in BRCA1 (13%, p ...Read more
Tumor,Nodes,Mets: The t, n, m system classifies breast cancers based upon tumor size(t), lymph node status(n), and presence of cancer elsewhere in the body(m). Stage i is limited to small cancers +/- microscopic ln disease. Stage ii describes tumors 2-5cm +/- ln disease. Stage iii is for more advanced tumors (>5cm, skin/chest wall involvement) +/- multiple/distant ln. Stage IV describes metastatic disease. ...Read moreSee 1 more doctor answer
Situational: For screening: mammograms are the most valuable. For diagnosis (palpable mass, mammographic density): ultrasound can be very helpful. Mris are the most sensitive test for breast cancer, but their prohibitive cost makes this unaffordable for large-population screening. It is best used in high-risk patients, those with very dense breast tissue, and for evaluating the extent of a known breast cancer. ...Read moreSee 3 more doctor answers
Inflam. Breast Ca: There are certain visual clues on physical exam which may raise suspicion for an inflammatory breast cancer. However, like all other breast cancers, the definitive diagnosis of inflammatory breast cancer is made with a biopsy. For inflammatory breast cancer, it's important that the biopsy includes the skin in the area. ...Read moreSee 1 more doctor answer
Mammogram doubts neoplastic process, scan shows well lobulated solid mass,wider than taller,family history of 2 sis of breast cancer..d/d plz
It sounds: like you had a breast ultrasound as well. Obviously limited info and incomplete description, but based on those descriptors, it is probably a BIRADS category 3 lesion(98% or greater chance of being benign). Most commonly, a mass with this description is a benign fibroadenoma. ...Read more
Depends: Survival rates depend on multiple factors; age, response to treatment, stage of disease, your overall health. This is a conversation best had with your medical oncologist. ...Read more
Yes most of the time: Accuracy of mammography in varies serious positive for ca any where from 78% to 90 % but over all not 100% as in biopsy. For the diagnosis other parameters are involved like specific findindings, besides age , family history, physical findings , genetic diseases , personal habits , medications etc regular breast examination , awareness is also essential for early diagnosis and cure. ...Read moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
I have Stage4 Breast Cancer. PET showed Multiple
subcentimeter lesions and focal fatty marrow
within the left sacral ala. Areas for concern?
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
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 moreSee 1 more doctor answer
What could be the causes of increased uptake by a nonenlarged subcarinal node on pet scan in a patient with breast cancer?
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?
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 moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
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?
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 moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
I am a 13 year breast cancer survivor. Now I have had a CT and PET scan. Shows a mass in my abdomen and diffuse lymph nodes/one above collarbone.
Get worked up: This can certainly be recurrent breast cancer -- it can reappear decades after the primary is resected and you are congratulated on being a "five year survivor without evidence of disease." It can also be a second tumor, or an infection, or something else altogether. Your physician will probably want to get tissue, perhaps first from the mass above your collarbone. ...Read more
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
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
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