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What Does The Liver Lesion On PET Scan Indicate?

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Posted on Mon, 16 Feb 2015
Question: A new liver lesion on a pet scan of suv XXXXXXX uptake of 2.8, would this b a killed met from the xeloda which was taken after surgery ?

Please see attached report.

Colon surgery was removed last yr, no distant spread, but the pet scan in september last year showed a liver met and
Node.
doctor
Answered by Dr. Monish De (1 hour later)
Brief Answer:
Pet scan after 3 months

Detailed Answer:
Hi

I have gone through the report.

Standardized Uptake Value( suv max) for liver lesions to be metastatic should be greater than 3.

The new liver lesion on pet scan with suv XXXXXXX 2.8 is a killed metastatic lesion after taking xeloda and you should not worry.

I would advise you to keep the patient under close observation and repeat a PET scan after 3 months.

Regards

DR DE
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Monish De (40 minutes later)
PleaSe can you see the 2 ct reports . I am
Confussed as to what is new and what not. Radiologost mentions new adrenal nodule but an adrenal nodule
Was also on previous report . Plus this report mentions upper lobe nodule unchanged and previous report mentions no nodule
doctor
Answered by Dr. Monish De (37 minutes later)
Brief Answer:
The Adrenal Nodule is probably not a Metastasis

Detailed Answer:
Hi

Yes i can see the 2 ct reports.

The new adrenal nodule is a normal physiological phenomenon and is not a metastasis.

There is no change in the size of upper lobe nodule and the disease is under control and only follow up is required at this moment.

If you have no more clarifications then please rate the answer and close the thread.

Regards

DR DE
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Monish De (30 minutes later)
Sorry last quesion . There seems to be a new lower lobe nodule . We got told
Its 0.5 cm. it mentions a upper lobe one unchanged but if u see the previous ct has no mention of upper lobe anywhere. Could that b a mistake ? Ive attached both ct reports
doctor
Answered by Dr. Monish De (17 minutes later)
Brief Answer:
blood for CEA test after 1 month

Detailed Answer:
Hi

The upper lobe nodule is a mistake.

I will advise you to do a blood for CEA test after 1 month followed by a pet scan afte 3 months.

You do not need to worry.

Regards

DR DE
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

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What Does The Liver Lesion On PET Scan Indicate?

Brief Answer: Pet scan after 3 months Detailed Answer: Hi I have gone through the report. Standardized Uptake Value( suv max) for liver lesions to be metastatic should be greater than 3. The new liver lesion on pet scan with suv XXXXXXX 2.8 is a killed metastatic lesion after taking xeloda and you should not worry. I would advise you to keep the patient under close observation and repeat a PET scan after 3 months. Regards DR DE