Liver spot seen on CT...Should I be concerned??

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Bina
Posts: 7
Joined: Mon Oct 09, 2017 3:31 pm

Re: Liver spot seen on CT...Should I be concerned??

Postby Bina » Wed Oct 11, 2017 1:25 pm

This whole thing about liver lesions is really confusing to me. My previous liver MRI said the following:

MRI done on 1/16:
Hepatic segment 5 simple cyst measuring 0.5
cm. Hepatic segment 8 cyst measuring 0.4 cm. No suspicious hepatic lesions
identified. No biliary ductal dilatation.

If they identified them as cysts, that means that they were pretty sure right?

and then my CT scan from 9/16:
HEPATOBILIARY: Now apparent mild hepatic steatosis. Unchanged
too small to characterize subcentimeter hypodense liver lesion, probably
cyst.

and the most recent CT scan from 10/17:
HEPATOBILIARY: Fatty liver. Tiny low-density too small to characterize in segment 8 is unchanged. A tiny low density in segment 7 is not visible on prior cross sectional imaging.

How come the other spots were deemed cysts, but they didn't write anything about this new one? I guess they have to watch it over a few months to be able to say it's a cyst (if in fact it is a cyst)?

mpbser
Posts: 281
Joined: Wed Apr 19, 2017 11:52 am

Re: Liver spot seen on CT...Should I be concerned??

Postby mpbser » Wed Oct 11, 2017 3:16 pm

Because we know one of the two masses are definitely cancerous, the plan is for resection after 4 rounds of chemo. The surgeon says that they could shrink enough to be candidates for ablation but husband and I actually just spoke about that today as may not be a great idea if we want to know the histopathology of the tumor #2.
Wife 4/17 Dx age 45
5/17 - Lap left hemi
Adenocarcinoma
5 x 4 x 1 cm
low grade
T3 N2b M1a
Stage IV A
lymph nodes: 9 of 54
8/17 Sub-total colectomy
2nd tumor 5.5 cm width T1 N0
CEA: 1.4 Pre-op; 2.1 2 days Post-op
MSS/MSI-L
Lynch no; KRAS wild
Immunohistochemsistry: Normal expression of MLH1, MSH2, MSH6, and PMS2
Tumor DNA variants: MTOR, APC, TP53

mpbser
Posts: 281
Joined: Wed Apr 19, 2017 11:52 am

Re: Liver spot seen on CT...Should I be concerned??

Postby mpbser » Wed Oct 11, 2017 3:39 pm

Bina,

I think that whether a mass is cyst compared to a tumor, etc., depends on different properties that they show on the images. It gets pretty technical, from what I have read, and whether the "impression" of the radiologist is accurate or not depends on their level of skill and experience. I encourage anyone who has questions about their scan results to get a second opinion from Mass General Hospital. You don't have to go to Boston for this. see http://www.massgeneral.org/imaging/serv ... inion.aspx
Wife 4/17 Dx age 45
5/17 - Lap left hemi
Adenocarcinoma
5 x 4 x 1 cm
low grade
T3 N2b M1a
Stage IV A
lymph nodes: 9 of 54
8/17 Sub-total colectomy
2nd tumor 5.5 cm width T1 N0
CEA: 1.4 Pre-op; 2.1 2 days Post-op
MSS/MSI-L
Lynch no; KRAS wild
Immunohistochemsistry: Normal expression of MLH1, MSH2, MSH6, and PMS2
Tumor DNA variants: MTOR, APC, TP53

User avatar
CRguy
Posts: 9230
Joined: Sun Feb 10, 2008 6:00 pm

Re: Liver spot seen on CT...Should I be concerned??

Postby CRguy » Wed Oct 11, 2017 7:38 pm

mpbser wrote:Bina,
I think that whether a mass is cyst compared to a tumor, etc., depends on different properties that they show on the images. It gets pretty technical, from what I have read, and whether the "impression" of the radiologist is accurate or not depends on their level of skill and experience. I encourage anyone who has questions about their scan results to get a second opinion from Mass General Hospital. You don't have to go to Boston for this. see http://www.massgeneral.org/imaging/serv ... inion.aspx

AND just to add on here :
It also has 100% to do with the RIGHT folks, choosing the RIGHT imaging modality ...
in order to get the RIGHT results for your individual situation !!!!!

experience and pro-activity are REQUIRED
BUTT ...... getting the RIGHT information, upon which the Docs base their decisions is = ABSOLUTE !

More imaging and more "eyes on my SitRep" = why I am here now !

WORD... !!!!! :mrgreen:
Best wishes
CRguy

(( addendum :
I have been taking and reviewing xrays, ultrasounds, CTs, PET scans and MRIs for my patients for the past 36 years ....
AS well as being a patient having all of those ...done on ME :shock: for the past 10+ years
EVERY imaging modality has its strengths and weaknesses
the RIGHT Docs will choose the best imaging and then proceed. IF there are inconsistencies or irregularities, they need to get more info.
IF they do NOT ..... get another Doc. ))
Caregiver x 3
Stage IV A rectal cancer/lung met
10 Year survivor
my life is an ongoing NONrandomized UNcontrolled experiment with N=1 !
Review of my Journey so far


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