Re: CT scan results and utterly confused :(

[Guest guest]

Not an expert but will give you the little info I know. The item of concern

is the ground glass attenuation (ggo). This increase in density can be caused

by a number of factors ranging from simple inflammation to a pre-cancer or

cancer situation. In your case the ggo is stated to be without a solid

component which is the best situation. However solid areas in the ggo can

appear over

time. In fact the ggo can decrease in size while a solid portion forms.GGO

with solid portions are highly likely to be malignant. GGO without a solid

component may or may not be malignant. If they are malignant they are normally

very early stage and have a high cure rate. References say it is difficult to

tell if the uniform non solid ggo are malignant or not. Frequent

recommendations for a biopsy if ggo exists over periods of time even if the

area is not

increasing. PET scans/biopseys are mostly recommended to see what is actually

there. On the positive side there is a good chance it is not malignant and

if it is, the ggo with non-solid components normally have slow growth rates. I

vote for the inflammation, fibrosis or some other good cause.

[Guest guest]

Deb, I agree the report seems to be so confusing. Maybe trying to

cover their butts in case they are wrong. Hmmmmm.... Does say NO

CANCER!!!!!! I Pray for Joe everyday. Love, Ingrid

>

> Ok guys and gals , got a copy of Joe's ct scans , but havent talked

to doc to discuss them as its the weekend , it says no cancer , but

then goes on to say other weird things , he had chest and abdomen

done , chest because he has been having severe chest pain from middle

of chest on left side , wrapping around and under left arm into

middle of back, along with shoulder pain.

>

> Here is what the CT chest with Contrast says

>

> Indication : Left shoulder pain, history of colon cancer

>

> Technical factors : Axial Ct images of the chest are obtained

after administration of intravenous contrast. Comparison is made with

a previous examination dated 3/23/2005

>

> Findings: The heart and pericardium appear normal. There is no

lymphadenopathy.

> There is prominent soft tissue within the anterior mediastinum

creating a somewhat ground glass appearance. This is more prominent

than on the previous examination resulting in widening of the

anterior junction line . Wether this is neoplastic in nature or

represents rebound thymic hyperplasia is uncertain. The lungs are

clear. No obvios mestastic disease is demonstrated. Osseus

structures grossly appear normal.

>

> Impression : The anterior mediastinum is increased in size from

previous examination causing further splaying of the anterior

junctional line . There is also some ground glass density within the

mediastinal fat which is increased as well. Wether this is

neoplastic in nature or representive of rebound thymic hyperplasia is

uncertain. I would favor the latter. No other abnormality is present

>

> (Ok what the heck is rebound thymic hyperplasia, why is there

ground glass density in his mediastinal fat ? Why is his anterior

junction line widening and what is that??????

>

> They suggest following up with MRI if problem persists ( which it

is , he is in so much pain he is eating ibrufen like candy , and he

DOESNT do meds at all usually )

>

>

>

> Now then his Ct of abdomen and pelvis with contrast says

>

> Indication History of colon cancer

> (one one page it says that the liver spleen , adrenal glands ,

pancras and kidneys are normal , on the next it says spleen is

slightly enlarged at 17 cm in greatest dimension unchanged from last

exam , hmm didnt know it was enlarged)

>

> There is an anastomic staple line located within the right lower

quadrant , which I believe is located within a loop of small bowel (

umm does this mean there is a staple in him ? or just scar from

staples?)

> There are no fluid collections, inflammatory changes, or

lymphadenopathy,

> Osseous structures grossly appear normal. There is a small

ventral periumbilical hernia ( hmm hernia?) within the neck that

measures approximately 3 cm ( the neck of what????) A loop of small

bowel is closely opposed to the hernia neck

>

> Impression Unremarkable Ct of the abdomen no evidence of tumor

reoccurnence / metastic disease

>

>

> ok dang it soooo no cancer or is there???? what the heck is that

in his mediastinum thats causing it to widen ???

> for those that dont know mediastinum is area between lungs ,I

only know this because thats where my moms cancer is

>

>

> HELP ME UNDERSTAND PLEASEEEEEEEEEEEEEEEEEEEEEEEEEEE

>

> Deb

>

>

> 33yrold husband Joe, was diagnosed with CC in Sept,

> resection on Sept 27th 2004

> found mets to the abdominal wall lining 3 lymph nodes involved

> open wound from infection until Jan 2005

> Ileostomy reversal Dec 7th 2004

> Chemo regiment begun Jan 2005

> 5fu/levorican/Oxaplatin/ Avastin added Feb 14 2005 (Happy

Valentines

> Calcium Magnesium added for the Tingles Feb 28 2005

> Ct Scan done March 23rd 2005 , 16 millimeter cyst like object on

liver found

> April 1 2005 PET scan done awaiting results

> April 11 PET SCAN SHOWS

NED!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

> May 9 Plateletts are low 75,000

>

>

>

>

>

> ---------------------------------

> Yahoo! Shopping

> Find Great Deals on Holiday Gifts at Yahoo! Shopping

>

>

[Guest guest]

Dear Deb,

I have read joe's results very carefully, and it says

no cancer, or linphonodes. This is more than positive.

Now a days they are very careful and relate everything

they see. How is his blood tests. If he has an

inflammation the blood tests can show.

It's so important for us to have people like Narice

and on this board. They are of such great help.

Dear Deb, I will be praying very hard, so it's only

and infammation. He has pain in his chest and I don't

think cancer gives pain at an early stage. Right?

Love,

Lydia

--- asorr55555@... wrote:

> Not an expert but will give you the little info I

> know. The item of concern

> is the ground glass attenuation (ggo). This increase

> in density can be caused

> by a number of factors ranging from simple

> inflammation to a pre-cancer or

> cancer situation. In your case the ggo is stated to

> be without a solid

> component which is the best situation. However

> solid areas in the ggo can appear over

> time. In fact the ggo can decrease in size while a

> solid portion forms.GGO

> with solid portions are highly likely to be

> malignant. GGO without a solid

> component may or may not be malignant. If they are

> malignant they are normally

> very early stage and have a high cure rate.

> References say it is difficult to

> tell if the uniform non solid ggo are malignant or

> not. Frequent

> recommendations for a biopsy if ggo exists over

> periods of time even if the area is not

> increasing. PET scans/biopseys are mostly

> recommended to see what is actually

> there. On the positive side there is a good chance

> it is not malignant and

> if it is, the ggo with non-solid components

> normally have slow growth rates. I

> vote for the inflammation, fibrosis or some other

> good cause.

>

>

>

> [Non-text portions of this message have been

> removed]

>

>

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