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Before Seeing My Wife's Oncologist I Was Wondering How Bad
Question: Before seeing my wife's oncologist I was wondering how bad this is. she has esophageal cancer that went into remission after chemo and radiation. it returned to the liver and a lymph node and she has been on chemo. This is the result:
PET CT: 9/23/2020.
CLINICAL HISTORY: Metastatic disease evaluation.
TECHNIQUE: Approximately 1 hour after the intravenous administration of 13.61 mCi of F18 labeled FDG in the left hand vein, an attenuation PET CT was performed from the skull base to the thighs. Attenuation correction was performed using low-dose CT technique.
COMPARISON: 6/5/2020
FINDINGS: There has been interval placement of an esophageal stent. There is uptake along the course of the esophagus most consistent with inflammatory changes. There has been interval resolution of abnormal activity within a AP window node. There has been interval development of a hypermetabolic 2.5 cm left lower lobe nodule with a maximum SUV of 2.7.
There is been interval resolution of abnormal activity in the liver. There is also been interval resolution of activity within retroperitoneal lymph nodes.
There is physiologic activity of the spleen and bowel. There is bilateral renal excretion.
A right-sided port is reidentified. There is mild cardiomegaly. There is a stable small pericardial effusion. There are coronary artery calcifications there is a pessary in place. There are degenerative changes the spine.
PET CT: 9/23/2020.
CLINICAL HISTORY: Metastatic disease evaluation.
TECHNIQUE: Approximately 1 hour after the intravenous administration of 13.61 mCi of F18 labeled FDG in the left hand vein, an attenuation PET CT was performed from the skull base to the thighs. Attenuation correction was performed using low-dose CT technique.
COMPARISON: 6/5/2020
FINDINGS: There has been interval placement of an esophageal stent. There is uptake along the course of the esophagus most consistent with inflammatory changes. There has been interval resolution of abnormal activity within a AP window node. There has been interval development of a hypermetabolic 2.5 cm left lower lobe nodule with a maximum SUV of 2.7.
There is been interval resolution of abnormal activity in the liver. There is also been interval resolution of activity within retroperitoneal lymph nodes.
There is physiologic activity of the spleen and bowel. There is bilateral renal excretion.
A right-sided port is reidentified. There is mild cardiomegaly. There is a stable small pericardial effusion. There are coronary artery calcifications there is a pessary in place. There are degenerative changes the spine.
Brief Answer:
Esophageal cancer
Detailed Answer:
DEar XXXXXXX
I am sorry that your Mrs has an advanced form of esophageal Cancer. She is already stented for palliation. Radiotherapy and chemotherapy had controlled the local disease but it has not prevented the metastatic spread.
Further radiation or chemotherapy may not help much. You need to give her moral support.
Chemotherapy is also not very helpful but only a placebo. Kindly bear it and continue to give her good service.
Truly
Esophageal cancer
Detailed Answer:
DEar XXXXXXX
I am sorry that your Mrs has an advanced form of esophageal Cancer. She is already stented for palliation. Radiotherapy and chemotherapy had controlled the local disease but it has not prevented the metastatic spread.
Further radiation or chemotherapy may not help much. You need to give her moral support.
Chemotherapy is also not very helpful but only a placebo. Kindly bear it and continue to give her good service.
Truly
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Above answer was peer-reviewed by :
Dr. Prasad
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