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Post Colectomy In 2015 Followed By 5 Cycle Chemotherapy In
Question: Post Colectomy in 2015 followed by 5 cycle chemotherapy in 2016.
At 65 yrs, in 2015 diagnosed Ca Colon. APR to EEA done.. Histopath: Grade2 Mod diff adeno ca-Intestinal variant. Duke stage C. TNM: PT3.PN1.PMX
Post Chemo CT: No residual lesion in colon or lN or peripheral deposits.. Diffuse grosss osteoporosis with D10 vertebral body fracture and Ant wedging
Now Follow Up with Fresh complaint: Back pain
Recently started complaining of back pain. Review CT scan done on XXXXXXX 9th 2021 showed no evidence of residual mass lesion in large colon. D8 vertebral body sclerosis with ant wedge compresssion collapse and thin strip of paravertebral soft tissue component. suspicious of free osseous secondaries. D10 ant wedge compresssion fracture with associated D9/D10 iVD degeneration. Mod cardiomegaly with predominant LV chamber enlargement. Faint ground glass in Rt LL lat basal segment CORADS 3.
On 20 XXXXXXX PET Scan was followed and report attached.
My Question:
1 What does uploaded report of PET suggest
2) There is a back pain. Is it disc changes or secondaries?
3) If secondaries, what is the next best treatment
4) One ONcO says, there is no significant uptake... the person should be given sx treatment with zolendronic acid etc. THe Rad ONCO says, a stereotactic radio surgery is needed followed by chemo.
Please help.
At 65 yrs, in 2015 diagnosed Ca Colon. APR to EEA done.. Histopath: Grade2 Mod diff adeno ca-Intestinal variant. Duke stage C. TNM: PT3.PN1.PMX
Post Chemo CT: No residual lesion in colon or lN or peripheral deposits.. Diffuse grosss osteoporosis with D10 vertebral body fracture and Ant wedging
Now Follow Up with Fresh complaint: Back pain
Recently started complaining of back pain. Review CT scan done on XXXXXXX 9th 2021 showed no evidence of residual mass lesion in large colon. D8 vertebral body sclerosis with ant wedge compresssion collapse and thin strip of paravertebral soft tissue component. suspicious of free osseous secondaries. D10 ant wedge compresssion fracture with associated D9/D10 iVD degeneration. Mod cardiomegaly with predominant LV chamber enlargement. Faint ground glass in Rt LL lat basal segment CORADS 3.
On 20 XXXXXXX PET Scan was followed and report attached.
My Question:
1 What does uploaded report of PET suggest
2) There is a back pain. Is it disc changes or secondaries?
3) If secondaries, what is the next best treatment
4) One ONcO says, there is no significant uptake... the person should be given sx treatment with zolendronic acid etc. THe Rad ONCO says, a stereotactic radio surgery is needed followed by chemo.
Please help.
Brief Answer:
Colon cancer
Detailed Answer:
Hello and thank you for asking
I have been carefully through your PET CT.
They don’t specify If the lesion in D8 it’s metastatic or not
If the lesion is metastatic I will agree with the second opinion, Stereotactic Radiosurgery, and then chemotherapy.It's important to have a genetic profile of your tumor, for further treatment
Best regards
Colon cancer
Detailed Answer:
Hello and thank you for asking
I have been carefully through your PET CT.
They don’t specify If the lesion in D8 it’s metastatic or not
If the lesion is metastatic I will agree with the second opinion, Stereotactic Radiosurgery, and then chemotherapy.It's important to have a genetic profile of your tumor, for further treatment
Best regards
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Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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