Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Well, here's what I learned today. That the PET scan shows any 'hot spots' and further testing is now necessary, including lymphnode removal and ultrasound. 3/6 & 3/7 those will be done,the surgeon consult,not the surgery yet,and the ultasound. They didnt get the full range of what a PET does because I am allergic to the iodine injection most people get. I copied the test results from the oncologist and if you have any insight into deciphering, please go right ahead! I am ok though, so dont worry. Atleast they see there are definately some things going on and hopefully these next few procedures will help figure out exactly what. I will keep you informed as I learn anything new. Thank you again for your love and support and of course your prayers! Love, Lynne ********************************************************************* ** Nuclear Medicine Positron Emission Tomography Scan 2/21/06 PET/WB Lymphoma Initial Staging Tomography Scan Clinical Information: Lymphoma. 39 yr.old female with history of fatigue,splenomegaly,autoimmune disease,celiac disease, hashimotos thyroiditis, sjogrens,pancreatitis,status post liver biopsy 2/7/06. Techinique: 20 millicuries of f-l8 fdg (flurodeoxyglucose)was given intravenously. The patient was allowed to equilibrate for approximately one hour. Subsequent emission images were reviewed soft copy from the malar arch through the proximal thighs. These images are attenuation corrected using ct scans obtained during the examination. Standardized uptake values are calculated using a lean body mass algorithm. Intracranial,heart,and lower extremity evaluation was not obtained. 30 ml. of gastro was available. CT scans obtained are primarily for the purposes of attenuation correction and anatomic localization. Images are of limited diagnostic quality. Comparison: dictated report,Linville, Adcook and Dexter, ll/02/05 Negative CT scan chest. Ll/02/05 CT scan abdomen and pelvis with reported splenomegaly. Ll/l8/05 MRI Brain with reported inflammatory change in the paranasal sinuses. 2/8/06 MRI of the neck with reported multiple lymph nodes of the neck involving the carotid spaces,submandibular spaces and chronic left maxillary sinus disease. Findings: There is moderate tonsillar pillar and adenoidal tissue activity with suv up to 6. Mandibular activity is present with suv of up to 7. There is also premandiubular submental soft tissue uptake. Nonspecific activity at the bilateral neck lymph nodes. PET sensitivity is best for lcm size nodule and high-grade malignancy. Visceral activity is present in the kidneys and bladder. There is asymmetric uptake at the left pelvis, probably related to the left ovary. SUV is in the range of 6 to 7. Suggest pelvic ultrasound evaluation. Impression: l. Tonsillar pillar and adenoidal soft tissue uptake with SUV in the 6 range. 2. Mandibular and premandibular and submental soft tissue activity that may be infectious,inflammatory or dental etiology. 3. Nonspecific activity at the bilateral neck lymph nodes. 4. Left adnexal activity with SUV of 6 to 7. 5. Pelvic ultrasound evaluation. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Hi Lynne, I forwarded your message to Dr. Andrade. will let you know what he has to say about all of this. Lynne <momof6incfl@...> wrote: Well, here's what I learned today. That the PET scan shows any 'hot spots' and further testing is now necessary, including lymphnode removal and ultrasound. 3/6 & 3/7 those will be done,the surgeon consult,not the surgery yet,and the ultasound. They didnt get the full range of what a PET does because I am allergic to the iodine injection most people get. I copied the test results from the oncologist and if you have any insight into deciphering, please go right ahead! I am ok though, so dont worry. Atleast they see there are definately some things going on and hopefully these next few procedures will help figure out exactly what. I will keep you informed as I learn anything new. Thank you again for your love and support and of course your prayers! Love, Lynne ********************************************************************* ** Nuclear Medicine Positron Emission Tomography Scan 2/21/06 PET/WB Lymphoma Initial Staging Tomography Scan Clinical Information: Lymphoma. 39 yr.old female with history of fatigue,splenomegaly,autoimmune disease,celiac disease, hashimotos thyroiditis, sjogrens,pancreatitis,status post liver biopsy 2/7/06. Techinique: 20 millicuries of f-l8 fdg (flurodeoxyglucose)was given intravenously. The patient was allowed to equilibrate for approximately one hour. Subsequent emission images were reviewed soft copy from the malar arch through the proximal thighs. These images are attenuation corrected using ct scans obtained during the examination. Standardized uptake values are calculated using a lean body mass algorithm. Intracranial,heart,and lower extremity evaluation was not obtained. 30 ml. of gastro was available. CT scans obtained are primarily for the purposes of attenuation correction and anatomic localization. Images are of limited diagnostic quality. Comparison: dictated report,Linville, Adcook and Dexter, ll/02/05 Negative CT scan chest. Ll/02/05 CT scan abdomen and pelvis with reported splenomegaly. Ll/l8/05 MRI Brain with reported inflammatory change in the paranasal sinuses. 2/8/06 MRI of the neck with reported multiple lymph nodes of the neck involving the carotid spaces,submandibular spaces and chronic left maxillary sinus disease. Findings: There is moderate tonsillar pillar and adenoidal tissue activity with suv up to 6. Mandibular activity is present with suv of up to 7. There is also premandiubular submental soft tissue uptake. Nonspecific activity at the bilateral neck lymph nodes. PET sensitivity is best for lcm size nodule and high-grade malignancy. Visceral activity is present in the kidneys and bladder. There is asymmetric uptake at the left pelvis, probably related to the left ovary. SUV is in the range of 6 to 7. Suggest pelvic ultrasound evaluation. Impression: l. Tonsillar pillar and adenoidal soft tissue uptake with SUV in the 6 range. 2. Mandibular and premandibular and submental soft tissue activity that may be infectious,inflammatory or dental etiology. 3. Nonspecific activity at the bilateral neck lymph nodes. 4. Left adnexal activity with SUV of 6 to 7. 5. Pelvic ultrasound evaluation. Visit http://cures for cancer.ws. Quote Link to comment Share on other sites More sharing options...
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