jaybel wrote:I am really confused on what to do. My doctor won't change the order to lung only and my GP thinks I don't need so many scans since I had stage 1 and my node had been stable for a year. I need a new oncologist to follow me. My 2mm node was on my lung when I was diagnosed so they found it on my first scan before my surgery. Six months later I had another scan and then again at the 1 year. So now its been 18 months and my oncologist ordered another full body scan. So far the node has been stable and there is nothing new. My CEA was normal to begin with and although its gone up over the last 18 months from .3-.9 its still within normal range. And I have had it checked at other labs and it went back to .5 so it depends on the lab. I think I should of had a lung scan at 6 months, full CT at 1 year and now at 18 months a lung CT and then a full one at the 2 year. I don't want to keep getting full scans every six months. My cancer was stage 1,T2, 0/27 nodes and the guidelines for followup is not a full scan every six months. Anyone have any a good oncologist in the Southern California? Thanks for any advice or help.
, the first principle of moderm medical ethics is "Patient's Autonomy".
According to this principle, it's up to you to accept or not to accept a doctor's recommendation.
Just tell your doctor that you are not comfortable with high dose full body scan every 6 month and ask to change the requisition to low dose lungs only.
Change your doctor if she refuses to accomodate your request (or ask your GP or surgeon instead of oncologist to order low dose scan).
58 yo male at diagnosis: T1bN0M0, 0/15 nodes, low grade/moderately differentiated adenocarcinoma
03/2016 colonoscopy: 2 small polyps removed in left colon; CEA = 1.3
04/2016 colonoscopy: caecum sessile 3.5 cm polyp piecemeal removed with kind of clear margins
05/2016 "prophylactic" laparoscopic right hemicolectomy - bleeding, leak, infection
06/2017 CT scan, colonoscopy OK; CEA = 1.6
A lot of funny stuff discovered by CT scans in liver, kidney, lungs, arteries, gallbladder, lymph node, pancreas