[ 會員#14208 ] jobylww
PET的報告，癌腫是不是有轉移？
家人剛拿了PET報告，我看到的comment是如下：
1. Previous right hemicolectomy is seen
2. Extensive peritoneal tumour deposits are seen at the right sub hepatic space. The tumour abuts on the wall of the duodenum with apparent wall thickening of the duodenum at its junction of 2nd to 3rd part. A porta hepatic lymph node metastasis is seen.
謝謝！
3. Multiple scattered peritoneal tumour deposits are seen in abdomen and pelvis.
4. Right common iliac nodal metastases are noted. Mesenteric nodal metastases are also seen.
5. Two hypermetabolic masses are seen in right lobe of liver, suggestive of liver metastases.
6. Mulitple small nodular opacities are seen both lungs, which are non-specific in nature, but are suspicious of metastatic lung lesions.
7. Mild FDG uptake of subcentimeter right hilar and pretracheal lymph node at mediastinum suggestive of reactive lymph nodes.
8. A right cortical renal cyst is seen
9. Right hydronephrosis with dilated right renal and upper ureter down to L5 level is seen, probably obstruction by a metastatic right common iliac node.
10. No abnormal mass or focal FDG uptake to suggest metastasis in bone can be seen.
1. Previous right hemicolectomy is seen
2. Extensive peritoneal tumour deposits are seen at the right sub hepatic space. The tumour abuts on the wall of the duodenum with apparent wall thickening of the duodenum at its junction of 2nd to 3rd part. A porta hepatic lymph node metastasis is seen.
謝謝！
3. Multiple scattered peritoneal tumour deposits are seen in abdomen and pelvis.
4. Right common iliac nodal metastases are noted. Mesenteric nodal metastases are also seen.
5. Two hypermetabolic masses are seen in right lobe of liver, suggestive of liver metastases.
6. Mulitple small nodular opacities are seen both lungs, which are non-specific in nature, but are suspicious of metastatic lung lesions.
7. Mild FDG uptake of subcentimeter right hilar and pretracheal lymph node at mediastinum suggestive of reactive lymph nodes.
8. A right cortical renal cyst is seen
9. Right hydronephrosis with dilated right renal and upper ureter down to L5 level is seen, probably obstruction by a metastatic right common iliac node.
10. No abnormal mass or focal FDG uptake to suggest metastasis in bone can be seen.
潘智文醫生回覆: [ 11/9/2015 ]
對，癌症有轉移至腹膜，肝狀和淋巴的跡象。
Jst : 腮腺癌會轉移到耳背骨嗎
腮腺癌會轉移到耳背後中間淋巴嗎？.......tse : PET scan report
病患者女 - 65歲 醫生你好，家人為三陰性乳癌，去年底手術切去右胸及右手三分之二淋巴。以下為Pet S.......Cathy : 免疫治療
病患者女 - 70歲 我媽媽兩年前發現有胃癌，做咗手術後，發現覆膜有很微少的癌細胞，那些癌細胞很細少得照.......San Cheung : 左頸腫瘤
病患者女 - 28歲 幾天前發現左頸鎖骨上位置有一個腫瘤約3隻手指大小，無痛感，應該點睇？普通科診所？.......Rick : 乳癌HER2 positive
病患者女 - 50歲 乳癌HER2+, 正進行雙標靶+化療, 但係LVEF指數低於50%, 想了解另一.......Toby : 吸入化療藥物 會影響胎兒嗎？
病患者女 - 31歲 吸入化療藥物 會影響胎兒嗎？ 我係腫瘤科中心工作 負責開化療藥物 我剛懷孕5.......Grace : 原位乳癌用放射治療可行嗎？
病患者女 - 50歲 乳癌原位癌0期，除了切掉治療外，放射治療有效嗎？.......Yuen Chi Wah : Lipoma at right forehead
病患者男 - 63歲 右额头有脂肪瘤，约1.5cm. Have seen few family doc.......Andy : 鼻咽癌的免疫治療藥
病患者男 鼻咽癌的免疫治療藥是否只有Pembrolizumab 和 Nivolumab?兩者的療效及副作.......Andy : 鼻咽癌已擴,進行carboplatin及Gemzar化療,停藥半年後出現惡化的情況，請問現在還可以用什麼藥物控制腫瘤？
家人鼻咽癌已擴散，服用Xeloda後出現嚴重副作用,故停用,四個月後進行carboplatin及Gemzar化.......
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