Image of lymph node v of liver met on MRI

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mpbser
Posts: 953
Joined: Wed Apr 19, 2017 11:52 am

Image of lymph node v of liver met on MRI

Postby mpbser » Wed Jun 26, 2019 12:34 pm

Here is a question that I know will take me an inordinate amount of time to find an answer to online, so I thought I would throw it out here to the group to see if anyone may have answers:

Does an MRI image of a cancerous lymph node, e.g. periportal or portocaval (aka portacaval), have the same characteristics of cancerous tumors in organs such as the liver?

In other words, since tumors in the liver and colon have distinct characteristics, e.g. rim enhancing with diffusion restriction, on MR imaging, should we also expect to find those same characteristics when a lymph node is a met?
Wife 4/17 Dx age 45
5/17 LAR
Adenocarcinoma
low grade
1st primary T3 N2b M1a
Stage IVA
8/17 Sub-total colectomy
2nd primary 5.5 cm T1 N0
9 of 96 nodes
CEA: < 2.9
MSS
Lynch no; KRAS wild
Immunohistochemsistry Normal
Fall 2017 FOLFOX shrank the 1 met in liver
1/18 Liver left hepatectomy seg 4
5/18 CT clear
12/18 MRI 1 liver met
3/7/19 Resection & HAI
4/1/19 Folfiri & FUDR
5/13/19 HAI pump catheter dislodge, nearly bled to death
6-7 '19 5FU 4 cycles
NED

tater
Posts: 133
Joined: Wed Jul 19, 2017 5:53 pm

Re: Image of lymph node v of liver met on MRI

Postby tater » Wed Jun 26, 2019 4:28 pm

I can’t answer your post but I find it interesting. I hope someone can respond.
DH to 38 wife w/kids
Stage 3C DX 3/3/17 CEA 29
5-fu and radiation ended May 17, 2017
Stage 4 External iliac node July 17, 2017
FOLFOX + Avistan July 18 2017 CEA 2.3
Nov 9, 2017 Coloanal Anastomosis, Hysterectomy & External Nodes Removed W/ileostomy
Clear Margins NED
CEA 1.5 12/17, 2.1 2/18, 2.3 6/18, 1.1 9/18, 1.3 12/18, 1.8 3/19, 2.5 6/19
Clear CT and MRI on 2/5/2018, 9/18 Clear Scans
Reversal Surgery 6/26/18
Small Spot on right ureter surgery 10/30/19 adhered to artery
Dec. 2 start 12 rounds FOLFIRI

Pyro70
Posts: 156
Joined: Mon Jan 21, 2019 4:25 pm

Re: Image of lymph node v of liver met on MRI

Postby Pyro70 » Wed Jun 26, 2019 4:59 pm

I don’t think it will be similar lymph node. Even for liver Mets not all of them present in a standard way. My radiologists thought I had a secondary cholangiocarcinoma based on how it looked in the MRI, but biopsy confirmed it to be CRC. Radiopedia should have more info on presentation of abnormal lymph nodes.
Dx Jan 2017 stage IVB w/ PC age 35
FOLFOX
SEP 17 HIPEC 1, anastamosis leak
XELODA
MAR 18 HIPEC 2
JUN 18, ileo reversal and 2nd anastamosis leak


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