Doctor insights on:
Pet Ct Esophageal Cancer Initial Staging
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
Sort of...: The pet scan non-specifically show very metabolically active (consuming lots of energy), and lung cancer and its metastasis fit that category. It is not specific. Benign conditions like sarcoid can also make pet studies glow very brightly as well. Slow growing lung cancer, broncheoalveolar may not be pt avid. ...Read moreSee 2 more doctor answers
Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?
Yes: Chemotherapy regimens based on the drug Fluorouracil (5-fu) have been part of the treatment for high-risk stage ii or stage iii colon cancer. Many clinical trials have shown that these regimens improve overall survival primarily by reducing the high risk of recurrence within the first two years after surgery. ...Read more
Unreliable: Specialized cts that are designed to identify colon cancers (ct colonography) are available, but require a specific bowel prep and regimen to be effective. Routine ct scans will miss many small colon cancers that colonoscopy will find--colonoscopy remains the gold-standard. ...Read moreSee 2 more doctor answers
Not entirely: Ct imaging is useful, but pancreatic cancer can be very difficult to visualize on ct. In fact, even in patients with known pancreatic cancer it's not unheard of for the tumor itself to be poorly or incompletely seen. If there's high suspicion, endoscopy and ultrasound are useful tests. ...Read more
Sometime: Unfortunately the exam you mention only discloses larger tumors. A "Vitrual colonoscopy" is a more sensitive test. It involves a preparation of the bowel . The "gold standard" is, of course a colonoscopy by a Gastroenterologist, you are too young to require this on a "routine basis" Do you have symptoms???? Hope this helps Dr Z ...Read moreSee 2 more doctor answers
Depending: on the technical factors of the scan, highly sensitive for detecting lung cancer, less so so for esophageal cancers. Small esophageal cancers may be undetectable on CT, endoscopy is the best way to evaluate for that possibility(also biopsy can be performed at the time of endoscopy). ...Read more
No: A CAT scan is used to visually define the extent of metastatic colon cancer in the liver should metastasis be present. Liver failure is a condition measured by functional abnormalities that occur within the liver usually due to parenchymal damage such as inflammation from hepatitis . Here one measures serum enzymes and the presence of elevated alkaline phosphatase and bilirubin in serum. ...Read moreSee 1 more doctor answer
What are the chances an ultrasound, Mri/mrcp, ercp, and ct scans or imaging miss advanced liver cancer?
If it is tailored: For liver mass, and technically adequate(i.e. no artifacts that might obscure anatomy), it would be nearly impossible to miss a large liver tumor. ...Read more
Would advanced colon cancer show up on a CT scan of my abdomen ? Reg CT scan not virtual colonoscopy.
Imaging/biopsy: The imaging modality of ct scan could show findings that would be concerning for cancer, mass around your colon, enlarged lymph nodes in the same area. However, the diagnosis is made at biopsy, a piece of the mass under the microscope of a pathologist. Often the ct scan leads to the biopsy. Good luck, it is important to get the evaluation completed. ...Read moreSee 3 more doctor answers
How sensitive is pet scan in detecting metastatic clear cell renal cancer, irrespective of screening guidelines (uiss/nccn) , side effects, cost?
Many diseases have specific treatments based on their severity. A disease can have certain criteria to determine their severity and applying this criteria to determine how advanced the disease state is called staging. Most commonly this is applied to cancer, and be determining how far the cancer has spread locally and/or to distant sites a stage of cancer can be ...Read more
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
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