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What Does The Liver Scan Report Indicate?

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Posted on Mon, 10 Nov 2014
Question: Can I have advice re the attached report . I am confussed as my fathers dr says there is 1 liver met and 1 node .

So what can this other new lesion be with no fdg uptake. ?this lesion also was not on any previous scans

My dad does have liver cysts but they were on previous scans .
doctor
Answered by Dr. Ivo Ditah (14 minutes later)
Brief Answer:
Please, attach the report!

Detailed Answer:
Hi and thanks for using HCM.

Could you please attach the report for interpretation as it is not attached?

I hope to hear from you. I wish your father well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (18 minutes later)
Did y receive the report ?
doctor
Answered by Dr. Ivo Ditah (7 minutes later)
Brief Answer:
Received the report but of poor quality!

Detailed Answer:
Hi and thanks for uploading.

Unfortunately, I cannot read this report. I will suggest you upload a better copy so that I can be able to read and answer your query fully.

Thanks and sorry for the inconveniences!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (6 hours later)
My dad has 2 new liver lesions on pet scan. 1 is a metastases as had high uptake of 5.4 . The other had no fdg uptake.

What could this new lesion be ? Both were not present on any previous scans .

My dad does have liver cysts but they have been seen on previous scans .

He wax on xeloda but only had 4 cycles as the cea started rising and a pet scan was done
doctor
Answered by Dr. Ivo Ditah (15 minutes later)
Brief Answer:
If it is not active it is unlikely to be a mets!

Detailed Answer:
Hi and thanks for this follow up information.

If the lesion was FDG negative on PET scan, then it is very unlikely to be a metastases as metastases as always active. Not all cysts may be previously identified by imaging studies. Others may be identified progressively. I will recommend that you rather monitor this other lesion in future that was FDG negative in future for comparison and conclusions.

I hope this helps. I wish your dad well.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (5 hours later)
They wana do systemic chemo first . Why would that be? Why would they not ablate the met and node or surgically remove n then to chemo ?
doctor
Answered by Dr. Ivo Ditah (7 hours later)
Brief Answer:
Please, talk to the oncologist about that!

Detailed Answer:
Hi and thanks for this follow up question.

I will suggest that you ask the oncologist what are the reasons for him to recommend systemic chemo over ablation. In any case, systemic chemo cannot be avoided entirely because he has mets. Ablation would be helpful just for this single met that was singled out on PET scan but remember that there may be smaller niches of cancerous cells that were not picked and systemic chemo would equally address that. However, his treating physician should have all the facts to say why the choice to him.

I wish him well and let me know if this addresses your query fully.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (8 minutes later)
What is systemic chemo ?

Was xeloda systemic ? He had it for 4 cycles
Only . Does this mean xeloda did not work ?

Could it be that other non fdg lesion was a met but died via
Xeloda ?

They said they want to try target the cells and that chemo
May even kill this single
Met.

doctor
Answered by Dr. Ivo Ditah (10 hours later)
Brief Answer:
Sytemic means targets the whole body!

Detailed Answer:
Hi and thanks for following up with me.

Systemic means the drug goes to all the parts of the body. This is true for drugs that are absorbed into blood from the intestines, skin or directly through an intravenous /intramuscular injection.

Xeloda is a systemic agent. remember that chemotherapy is not always a success and success with xeloda is not 100%. The fact that he already took xeloda and still developed this mets shows that xeloda was not effective at stopping the progression of this cancer. even if it were not effective at completely stopping it, I am pretty sure that Xeloda slowed down the rate of progression of the cancer spread. It could have XXXXXXX the case with the other lesion that was FDG negative.

I hope this helps. I wish you well. I wish your dad well and the best of all possible outcomes.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (53 minutes later)
So would iv form he better as he did start it 12 weeks after surgery . Surgery was march n he started XXXXXXX as he did not want chemo and we had to force him

He tolerated it well

Is xeloda one of the stronger ones ?

Could another chemo wipe out the met and lymph node met ?
doctor
Answered by Dr. Ivo Ditah (19 hours later)
Brief Answer:
Chemo would be difficukt to wipe all!

Detailed Answer:
Thanks for following up with me.

Xeloda is a strong drug. If he had taken treatment shortly after treatment, I a sure the extend of this mets would have been greatly reduced, tampered and maybe suppressed.

As of now, suppressing it total is impossible. Only slowing it down is the best left option light now. Chemo goal would not be to eradicate the cells but to reduce he number and fast growth.

I wish you add well. Courage to you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (20 hours later)
So with 1 small liver met and 1 node he can't b cured ?
doctor
Answered by Dr. Ivo Ditah (4 hours later)
Brief Answer:
It would be very difficult!

Detailed Answer:
Hi and thanks for following up.

It would be difficult to completely eradicate this cancer with chemotherapy at this point. However, we remain optimistic an hope for the best. I wish him the best of possible outcome as you get treated for this again.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3984 Questions

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What Does The Liver Scan Report Indicate?

Brief Answer: Please, attach the report! Detailed Answer: Hi and thanks for using HCM. Could you please attach the report for interpretation as it is not attached? I hope to hear from you. I wish your father well.