Pet Scan results

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mlssa33438
Posts: 2
Joined: Wed Jul 25, 2018 12:59 pm
Facebook Username: melissa moran

Pet Scan results

Postby mlssa33438 » Wed Jul 25, 2018 1:05 pm

My Dad was diagnosed with stage 3 stomach cancer last month, the Dr.'s have removed the tumor from his stomach. After surgery a CT scan was done and nothing was showing up, however he just completed a pet scan and one part of the report states "Diffuse rectoanal activity with an SUV max of 13.8 can anyone explain what that means?

CLD
Posts: 206
Joined: Fri Mar 27, 2015 7:16 pm

Re: Pet Scan results

Postby CLD » Wed Jul 25, 2018 2:37 pm

My husband just had a PET scan so this info is fresh on my mind. A PET scan will *light up* or show areas of increased metabolic activity, the reasons for which can include cancer. An SUV score over 2 is suspicious for cancer. Infection and inflammation are among things that can cause an an SUV over 2. I imagine the next step would be further testing, including a biopsy.
Wife to DH/ Father of 6 (age 42 at dx) diagnosed Jan 2015 stage IIIC
Tumor deposit in mesentery 13/24 lymph nodes +
CEA at dx: 5
MSS
Low Grade/Mod. Diff.
FOLFOX 6 months
N.E.D until June 2018
PET Scan 6/18
Biopsy confirms cancer in 3 Paraaortic lymph nodes
Folfiri + Avastin (6tx) and Xeloda during radiation
Cancer all over both lungs dx Jan 2019
FOLFIRI +AVASTIN presently

mlssa33438
Posts: 2
Joined: Wed Jul 25, 2018 12:59 pm
Facebook Username: melissa moran

Re: Pet Scan results

Postby mlssa33438 » Wed Jul 25, 2018 2:49 pm

Thank you for your response, I will keep your family in my prayers

e_enyedy
Posts: 29
Joined: Sat Nov 25, 2017 5:28 pm

Re: Pet Scan results

Postby e_enyedy » Thu Jul 26, 2018 7:46 pm

Maybe the following website can help to clarify some ideas:

https://www.sciencedirect.com/topics/me ... take-value
The SUV is a pretty complex concept as you can see.
I would suggest that you discuss it with your Oncologist.

All the best

E
77 yrs male (73 at Dx)
2/13 Dx Carcinoma, Sigmoid Colon
3/13 Sigmoid Colon Hemicolectomy,( 12"+)
3/13 Pathology Staging: T1N0M0; no follow-up chemo
5/15 Recurrence: in pre-sacral space -no other mets detected (Instantly became Stage IV)
5/15 Started 8 sessions of Folfox + Avastin
11/15 Finished chemo, PET/CT: NED
11/15 Started Xeloda+ Avastin every 3 weeks. Still Doing it.
Still NED -(Hope treatment keeps working)

planner
Posts: 1
Joined: Mon Jul 30, 2018 10:45 pm

Re: Pet Scan results

Postby planner » Mon Jul 30, 2018 10:56 pm

mlssa33438 wrote:My Dad was diagnosed with stage 3 stomach cancer last month, the Dr.'s have removed the tumor from his stomach. After surgery a CT scan was done and nothing was showing up, however he just completed a pet scan and one part of the report states "Diffuse rectoanal activity with an SUV max of 13.8 can anyone explain what that means?


As mentioned by the previous poster SUV appears to be very complicated.

This article (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2563015/), though NOT about the PET SUV measurements in the stomach or rectum, (rather, it is for lung lesions) talks about cutoffs for PET SUV values based on the size of the lesions. The authors use pathology of the lesion (benign/malignant) after operation or biopsy to identify proper PET SUV cutoffs.

My take away from Table 2 is that it can be very difficult to determine a good cutoff for a PET Scan given the mean and standard deviations of the malignant and benign tumors.

So, what does this mean? Please do consult a good radiologist (and an oncologist) take a look at the reports.

Hope your dad gets a good read on the scan.

boxhill
Posts: 789
Joined: Fri Apr 06, 2018 11:40 am

Re: Pet Scan results

Postby boxhill » Tue Jul 31, 2018 7:58 am

Is it possible that this could be related to post-surgical inflammation? My doctors ruled out a PET scan after surgery for that reason.
F, 64 at DX CRC Stage IV
3/17/18 blockage, r hemi
11 of 25 LN,5 mesentery nodes
5mm liver met
pT3 pN2b pM1
BRAF wild, KRAS G12D
dMMR, MSI-H
5/18 FOLFOX
7/18 and 11/18 CT NED
12/18 MRI 5mm liver mass, 2 LNs in porta hepatis
12/31/18 Keytruda
6/19 Multiphasic CT LNs normal, Liver stable
6/28/19 Pause Key, predisone for joint pain
7/31/19 Restart Key
9/19 CT stable
Pain: all fails but Celebrex
12/23/19 CT stable
5/20 MRI stable/NED
6/20 Stop Key
All MRIs NED


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