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PET results alarming


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Just received the most recent PET results for my wife and they are alarming . Impressions were:

1.    New and more conspicious bony foci seen in the right femur and scapula favoring worsening burden or bonby metastasis.

2.    Mixed changes with regards to burden of adenopathy in the chest as described; slightly worsenng pilmonary malignancy with the right infrahilar lung mass showing increased size and intensity.

3.    Questionable focus seen just anterior to the gallbladder fossa in the liver along with slightly increased bilateral adrenal uptake, all warrant attention on follow-up as new istes of malignancy are possible.  The pancreatic body focus was essentailly stable.

These findings are in stark contrast to those from her previous scan which was 3 months after starting Tabrecta.  We meet with the oncologist on Tuesday and I assume will be looking at second line treatment.  I assume that will be a combination of chemo and immunotherapy.  

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In reviewing the PET results you provided, I did not see any indications of SUV or Standard Uptake Value. This value characterizes the extent of metastatic activity and is the key element in the PET scan. Here is information I wrote several years ago explaining the PET and what it shows and why.

When you meet with the oncologist, ensure you obtain SUV values for the areas reported.

Stay the course.


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