After many CT scans showing nothing, but a high CEA, DH finally had a PET scan. Results just got posted. Main findings:
+ New hypermetabolic focal nodular wall thickening in the left posterior upper rectum concerning for underlying neoplasm or polyp. Recommend colonoscopy for further evaluation.
+ Large right L4 lytic lesion status post instrumentation and fusion at L3-L5. This is overall similar in appearance to prior CT exams, however there is associated peripheral nodular FDG uptake for which residual or recurrent disease is not excluded.
+ No other abnormal areas of FDG uptake or evidence of metastatic disease.
Meeting with onc scheduled for the 22nd. I guess we'll see what he's got to say - probably not much until DH has a colonoscopy and they know exactly what we're dealing with. While I of course wished for a completely clear scan, I was also worried it may be a lot worse. Hopefully DH isn't too upset by these findings and manages to relax during the holidays. Never a dull moment...
Wife of Dx 04/18 (51 yo). MSS, KRAS G12A
No primary (involuted?)
Lytic tumor L4 vertebrae, EBRT 04/18, SBRT 02/19
Resect small intestine 05/18 (no cancer - Crohn's)
Failed adjuvant Xelox
Folfiri + Avastin 03/19 to 01/20
6.7 cm left adrenal mass 03/19, successful resection 02/20
CEA since 03/19: high 81.1, low 3.2, now 51
Scan 03/19: Multiple small lung nodules, now gone/calcified
L3-L4-L5 fusion surgery and partial corpectomy 05/20
PET 12/17/2021: uptake in upper rectum, colonoscopy next