MadMed wrote:I had a chest + Pelvis CT this morning. While there was no evidence of metastatic disease (awesome!) There was no mention of the organ itself. No mention of the rectum at all.
Why the hell not ? Presumably this was a restaging. Did that happen to anybody ?
In June 2021, MadMed wrote:... If all goes well, i'll know in september/october what my surgery options are...
Rock_Robster wrote:All good responses above. The only other comment I’d make is that CT is not a particularly good modality for imaging the rectum itself - generally the most that might be visible in the case of recurrent local disease could be a bit of wall-thickening (which can be quite nonspecific, particularly at the anastomosis site after surgery). So it’s very likely there was nothing of note to report in the rectum (which some radiologists will still mention, others don’t).
So if this was truly a “restaging” process then you might expect either a PET-CT or MRI be included to stage the rectum properly. In my experience however, checking on the rectum has been done through a combination of PET and annual colonoscopies.
Also… while there’s no reason you couldn’t do a Chest+Pelvis CT, my experience is they’re usually Chest+Abdo+Pelvis (CAP), to include the liver, abdominal nodes, etc (not to mention that the abdomen is in the middle of the scan anyway!).
JJH wrote:In June 2021, MadMed wrote:... If all goes well, i'll know in september/october what my surgery options are...
So, do you know what your options are going to be for your upcoming January 2022 surgery?
The only other comment I’d make is that CT is not a particularly good modality for imaging the rectum itself
MadMed wrote:... I have an upcoming MRI and sigmoidoscopy that should help clear some things up...
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