[ 會員#25873 ] karry tse
化療一年後PET SCAN跟進
醫生你好。母親65歲，2019年10月確診三陰性乳癌，12月切除右邊腋下淋巴及全個右邊乳房。2020年2月起開始化療至5月底中斷（打了四針紅針及一針紫杉醇，5月底因感染入ICU後醫生指不適宜繼續化療。其後在8月-9月電療。之後持續跟進。
以下為剛於2022年6月做的PET SCAN報告，請問有否異常？謝謝﹗
Procedure: WB Breast Ca FDG
Pharmaceutica l: F18-fluorodeoxyglucose 11.91 mCi
Clinical information (from referring clinician):
triple negative breast cancer in remission. PE ICT done as FU. last PET in 11/2020 noted mildly
hpermetabolic GGO at anterior Rt lung ? post RT changes
Diagnosis (from referring clinician):
ca breast
Report:
F18-FDG ONCOLOGY PETICT SCAN REPORT
PROCEDURE
Patient fasting
F18-FDG was then injected intravenously.
PET imaging from head to upper thigh was taken after 60 minutes.
Plain CT for attenuation correction and localization.
PET/CT FINDINGS
Blood glucose level 5.5 mmol/l at the time of FDG injection.
Comparison with prior study dated 25-11-2020.
No gross hypermetabolic brain mass. The ventricles are not dilated. No midline shift.
(Please note that FDG PET is not sensitive in detecting small brain lesions.)
NP, tonsils, para-nasal sinuses and larynx are unremarkable.
Hypermetabolic left upper jugular node (SUVmax 7.5, 5mm) can represent reactive
lymphadenopathy, less likely DDx metastatic node.
No hypermetabolic enlarged SCF node.
Status post right modified radical mastectomy with mild FDG activity over right anterior chest wall
and axilla probably due to post-treatment changes.
No gross FDG-avid left breast mass seen.
Similar small left axillary nodes with mild FDG activity (6mm, SUVmax 1.7), likely reactive in nature.
Concerned mildly hypermetabolic streaky opacity at right lung apex is stable in appearance and
uptake (ım92, 18mm, SUVmax 1.7; previous 20mm, SUVmax 2.1).
Mildly hypermetabolic ground glass opacities at sudpleural anterior right lung are seen, likely due to
post-RT changes
Mild bronchiectasis over medial RML noted.
No enlarged hypermetabolic mediastinal lymphadenopathy.
No pleura or pericardial effusion.
No hypermetabolic mass over adrenals, liver, spleen, pancreas and kidneys.
Gallstone noted.
No enlarged hypermetabolic lymphadenopathy seen in abdomen and pelvis.
The bowel uptake is unremarkable.
No abnormal FDG focus over uterus.
No ascites.
No hypermetabolic bone secondary is seen within the scanning range.
A small mildly FDG avid subcutaneous nodule at left proximal arm (SUVmax 1.6, 2mm, Im 69) is
non-specific, may represent inflammatory nodule.
(Lymph nodes are measured in short axis.)
IMPRESSION:
1. Status post right modified radical mastectomy. No gross hypermetabolic right chest wall mass to
suggest local recurrence.
2. Concerned streaky opacity at right lung apex with non-specific mild FDG activity is stable in
morphological appearance and FDG uptake
3. Hypermetabolic left upper jugular node can represent reactive lymphadenopathy, less likely DDx
metastatic node.
以下為剛於2022年6月做的PET SCAN報告，請問有否異常？謝謝﹗
Procedure: WB Breast Ca FDG
Pharmaceutica l: F18-fluorodeoxyglucose 11.91 mCi
Clinical information (from referring clinician):
triple negative breast cancer in remission. PE ICT done as FU. last PET in 11/2020 noted mildly
hpermetabolic GGO at anterior Rt lung ? post RT changes
Diagnosis (from referring clinician):
ca breast
Report:
F18-FDG ONCOLOGY PETICT SCAN REPORT
PROCEDURE
Patient fasting
F18-FDG was then injected intravenously.
PET imaging from head to upper thigh was taken after 60 minutes.
Plain CT for attenuation correction and localization.
PET/CT FINDINGS
Blood glucose level 5.5 mmol/l at the time of FDG injection.
Comparison with prior study dated 25-11-2020.
No gross hypermetabolic brain mass. The ventricles are not dilated. No midline shift.
(Please note that FDG PET is not sensitive in detecting small brain lesions.)
NP, tonsils, para-nasal sinuses and larynx are unremarkable.
Hypermetabolic left upper jugular node (SUVmax 7.5, 5mm) can represent reactive
lymphadenopathy, less likely DDx metastatic node.
No hypermetabolic enlarged SCF node.
Status post right modified radical mastectomy with mild FDG activity over right anterior chest wall
and axilla probably due to post-treatment changes.
No gross FDG-avid left breast mass seen.
Similar small left axillary nodes with mild FDG activity (6mm, SUVmax 1.7), likely reactive in nature.
Concerned mildly hypermetabolic streaky opacity at right lung apex is stable in appearance and
uptake (ım92, 18mm, SUVmax 1.7; previous 20mm, SUVmax 2.1).
Mildly hypermetabolic ground glass opacities at sudpleural anterior right lung are seen, likely due to
post-RT changes
Mild bronchiectasis over medial RML noted.
No enlarged hypermetabolic mediastinal lymphadenopathy.
No pleura or pericardial effusion.
No hypermetabolic mass over adrenals, liver, spleen, pancreas and kidneys.
Gallstone noted.
No enlarged hypermetabolic lymphadenopathy seen in abdomen and pelvis.
The bowel uptake is unremarkable.
No abnormal FDG focus over uterus.
No ascites.
No hypermetabolic bone secondary is seen within the scanning range.
A small mildly FDG avid subcutaneous nodule at left proximal arm (SUVmax 1.6, 2mm, Im 69) is
non-specific, may represent inflammatory nodule.
(Lymph nodes are measured in short axis.)
IMPRESSION:
1. Status post right modified radical mastectomy. No gross hypermetabolic right chest wall mass to
suggest local recurrence.
2. Concerned streaky opacity at right lung apex with non-specific mild FDG activity is stable in
morphological appearance and FDG uptake
3. Hypermetabolic left upper jugular node can represent reactive lymphadenopathy, less likely DDx
metastatic node.
潘智文醫生回覆:
6/14/2021
6/14/2021
單憑正電子掃描報告來判斷，並沒又復發的跡象，但這不能作準，因為醫生一定要同步看影像才能作最終的建議
以上資料只供參考，不能作診症用途，
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
WH : 乳房有水囊可否做激光脫毛
病患者女 - 29歲 本人被診斷左右乳房各有2粒0.4及0.6 cm的水囊, 請問可以做腋下激光脫毛嗎?.......kitty : Pet mri result
病患者女 - 27歲 照左pet mri 有一到寫住 mild 18 FDG Avid right .......Nikice : 大腸癌症狀92歲 男病人
Doctor你好, 我父親今年92歲, 剛診斷為大腸癌症狀, 現時每天肚越來越大, 越來越實加上年.......Koeiii : 爸爸膀胱癌三期急問
病患者男 - 62歲 本人爸爸是膀胱癌三期，政府醫院建議化療加切除膀胱，請問咩人適合做人工膀胱？因為我爸.......cheung mei52 : 標靶藥
病患者女 - 70歲 媽媽肺癌骨轉移，現服用標靶藥約1個月多，但副作用肚瀉很厲害，有時食完飯就痾4次，全.......Llau : 手背腫塊
患者年70，手背上有隆起物超過一年，不規則形狀，皮膚色，起初小小的，後來變大了。 ....... 發出提問使用細則
致潘智文醫生 提問
