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Doctor insights on: Pet Ct Breast Cancer Monitoring

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Ct neck shows scattered subcm short axis dimension lymph nodes anterior posterior cervical chains bilat. 2 x triple neg breast cancer surv. Biopsy?

Ct neck shows scattered subcm short axis dimension lymph nodes anterior posterior cervical chains bilat. 2 x triple neg breast cancer surv. Biopsy?

Imaging/biopsy: You have been through a lot. Imaging with ct scan provides information and helps guide next steps, but is not diagnostic. A biopsy obtains tissue for pathology to make the diagnose of lymph node. The timing of biopsy in relation to your overall health will be best addressed between you and your doc. Take family or friend with you. ...Read more

Dr. Barry Rosen
4,351 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


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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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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
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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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Can breast cancer be spotted through a chest CT scan?

Can breast cancer be spotted through a chest CT scan?

Yes and no: A mammogram and ultrasound ate the best way to diagnose a breast mass. However a ct scan may show a obvious large mass or asymmetry in the breast tissue which may lead to a mammogram. A ct scan also may show enlarged lymph nodes which may be a clue. ...Read more

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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 a dermatologist for checkups
2x year
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Axillary nodes removed as one was + for breast cancer, m'gram, U/S, MRI & body CT scan all clear, how is this poss & what is the next step?

Axillary nodes removed as one was + for breast cancer, m'gram, U/S, MRI & body CT scan all clear, how is this poss & what is the next step?

You are asking us: To determine what your treatment plan will be. The only people who have the required knowledge to do that are the providers on your treatment team. It would be irresponsible for an unknown doctor providing general health education on-line to guess about what your oncologist/ surgeon willl recommend as your next step. ...Read more

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Managing Pain from Cancer (Checklist)

Ask an oncologist to refer you to a cancer pain specialist
Once
Ask a pain specialist about both interventional and medication options
Once
If you have pancreatic cancer, ask about a celiac plexus block
Once
If you have neuropathy, request a trial of ketamine-based topical creams
Once
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Will I get breast cancer from CT pulmonary angiogram for PE? 32 female. Saw one article said risk is increased by 14%! Very scared. Had CT abd b4 also

Will I get breast cancer from CT pulmonary angiogram for PE? 32 female. Saw one article said risk is increased by 14%! Very scared. Had CT abd b4 also

Very unlikely: The life time accumulated dose has an effect
if you are a sun worshiper that give you more radiation exposure than car scan. If you want you can ask for the amount of radiation exposure from the scan from the place it was done ...Read more

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Current breast cancer dx-ct aug&sep 2013 showed enlarged mediastinal lymph node. Oncologist isn't concerned, I disagree. Am I right to be concerned?

Current breast cancer dx-ct aug&sep 2013 showed enlarged mediastinal lymph node. Oncologist isn't concerned, I disagree. Am I right to be concerned?

Isolated: Ct scan findings may or may not have any clinical meaning for the patient. The radiology information must be placed in context with all the detailed information on your breast cancer, stage of disease, cell type, axillary lymph node status, etc. Maybe a pet scan is indicated. Review in more detail with your oncologist who knows you best, or get a second opinion. ...Read more

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I had bilateral breast cancer and CT with RT. Now CT Scan showed atelectasis or infiltration in the right middle and left lingula. ER doc said it's ok?

I had bilateral breast cancer and CT with RT. Now CT Scan showed atelectasis or infiltration in the right middle and left lingula. ER doc said it's ok?

Atelectasis: There are a number of reasons for atelectasis (collapse alveoli or air sacs) or infiltration (areas of inflammation) in the lung: infection, mucus plugging, or shallow breathing. Though the cause is most likely unrelated to your cancer, lung cancers or recurrent breast may sometimes appear as infiltration. Best thing to do is to schedule a follow-up visit with your oncologist for evaluation. ...Read more

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Can a CT scan be wrong in metaststic breast cancer to the lung if the pt is on on chemotherapy and breast cancer was stage 2 grade 3 at diagnosis?

Can a CT scan be wrong in metaststic breast cancer to the lung if the pt is on on chemotherapy and breast cancer was stage 2 grade 3 at diagnosis?

Read below: Breast cancer can progress or recur in case chemotherapy is not working well against cancer. Ct scan is the best way to look for cancer in the lungs and liver. But it can only show shadows which often require further tests...Either a biopsy or a pet scan if there is any uncertainty about the cause of the shadows. Sometimes radiotherapy can cause shadows on the lungs...So not all shadows are mets. ...Read more

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Small short axis mediastinal nodes show on CT I had NHL 5 yrs ago and I am so scared what does this mean. Doc. Said scan in 12mths. Also 2 4mm lung nodules. Breast Cancer 15yrs ago. I am nuts. He wanted to wait 12 mths. I said NOOOOOOOOOO?

Small short axis mediastinal nodes show on CT I had NHL 5 yrs ago and I am so scared what does this mean. Doc. Said scan in 12mths. Also 2 4mm lung nodules. Breast Cancer 15yrs ago. I am nuts. He wanted to wait 12 mths. I said NOOOOOOOOOO?

Lets be rational now: Small nodes in the mediastinum (< 1Cm) are not necessarily abnormal, so you can relax and wait to worry. If you had any chest symptoms like pain, fever or cough, then a repeat CT scan or PET scan may be justified. If there are sufficient odds of your lymphoma recurrence being a consideration, repeat imaging studies should be done in 3 to 6 months. Lung nodules of < 5-10 mm are probably benign. ...Read more

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How would lung cancer or breast cancer cause upper back pain? I have had CT chest ok/ MRI throactic no contrast ok. Missed cancer?

How would lung cancer or breast cancer cause upper back pain? I have had CT chest ok/ MRI throactic no contrast ok. Missed cancer?

Very unlikely: Those two exams should be very good at ruling out tumor in the spine. Consider seeing a physical medicine specialist for evaluation and treatment. ...Read more

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Upper back pain one year. Ct of chest in nov 12 ok. Mri spine ok. Could this be missed breast cancer? I had mammogram sept 12 ok. Not present at rest

Upper back pain one year. Ct of chest in nov 12 ok. Mri spine ok. Could this be missed breast cancer? I had mammogram sept 12 ok. Not present at rest

No, not Realy: Pain in the back with movement is usually linked to posture of the spine or ribs. Cancer at your age is usually found within the breast, and the testing you have undergone already is reassuring. Continue to be medically examined for your concern of cancer, but seek a musculoskeletal physician to help with your chest wall pain. ...Read more

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Help please. Could breast cancer show up on a cat scan of the heart or lungs?

Help please. Could breast cancer show up on a cat scan of the heart or lungs?

Maybe: If large enough, it may show up on a ct of the chest, but probably not a ct of the heart (out of the field of view). But mammography is more sensitive than ct at detecting breast cancer. You should have routine screening exams, and a diagnostic mammo asap if you feel a lump. ...Read more

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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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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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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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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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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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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

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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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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

Dr. Barry Rosen
1,380 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. Steven Griggs
1 Doctor shared a insight

Computed Tomography (Definition)

Ct uses xrays taken an 360 degrees combined with a computer to see"inside" the body. The table moves as the xray tube and detectors spin around the patient 10 times a second or more! The image shows excellent soft tissue detail, enhanced with injection of intravenous contrast or oral contrast. This way the body is shown in slices, in any plane, usually axially, but ...Read more