[MOL] Tracy [13209] Medicine On Line


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[MOL] Tracy



Tracy...  Yes you did get good response...meaning quick and I get him a hand for that...
 
I think I would go on for a third opinion...  My oncologist is in Cincinnati and he wanted to give me chemo, but I turned it down.  He was my third opinion and I decided that I was the most comfortable with him, even though we differed on the chemo.
 
As far as the CT scans and the PET scans..Here is the information that I have:
 
Indications for Positron Emission Tomography in Oncology
General indications for positron emission tomography in oncologis patients includes detections of regional or systemic metastases initially (staging) and at appropriate follow-up intervals, and determining cancer response to therapy.  Such indications directly influence optimal patient management. Specific indications for the major tumor types are listed here:
 
1) Squamous cell or Adenocarcinoma of the lung
Assesment of Solitary pulmonary nodules (routinely found on chest x-rays). Peripheral mass lesion or lesions without central or hilar masses.
 
Clearance for surgery definitive chemotherapy when adrenal metastases suspect from anatomical imaging or bone scintigraphy.
 
Assessment or detect hilar or mediastional adenopathy in biopsy proven lung cancer.
 
Oncology
Lung Cancer Staging
- CT is 58% accurate  
- PET is 93% accurate 
- PET whole body exam is possible,eliminating need for CT of abdomen and bone scans  
 
PET also for:
2) Small cell carcinoma of the lung
3)Gastrointestinal adenocarcinoma
4)Breast carcinoma
5)Prostrate carcinoma
6)Lymphoma
7)Melanoma
8)female reproductive
9)Sarcoma
10)Brain Tumors
 
Lung cancer:
                                                                                     SENS  SPEC   ACC
1 - Lung cancer17 studies/7years: 600 patients    96%   88%   94%
Mets: 11 studies/5 years 250 patients:                    88%   91%   91%
Recurrence: 3 studies/3years 80 patients:              97%   77%   91%
Altered patient Management:
      4 studies/5 years 160 patients:       41% changed management
 
I would first ask if there is a PET center in your town.  There are not an abundancy of them as of right now, but the number is growing.  Second I would like to tell you that we often can only discuss what we are exposed to and work with... If he doesn't have the experience of using the PET, then he probably is negative.  I have found that those who use it like my surgeon.. truly believe in it and its abilities...
 
Good luck Tracy... Still glad to see you in control!!  :-)  With love, Carla