[ 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。
Candy : 用化療醫治較好?還是直接採用Pembrolizumab或Nivolumab作免疫治療較好?
病患者女 - 68歲 家人鼻咽癌四期,已擴散到肝,用化療醫治較好?還是直接採用Pembrolizumab.......peter : 高速螺旋放射治療
病患者男 - 70歲 鼻咽癌已擴散至骨及肝,是否可以進行高速螺旋放射治療來縮小或清除肝臟的腫瘤?.......Yip Ming : 爸爸確診鼻咽癌4期
病患者男 - 72歲 本人爸爸因為左頸腫起左去左睇急症, 前日被確診為鼻咽癌4期, 癌細胞已經擴散到顱底.......MAY : 哪種化療藥較好?應如何選擇用哪些化療藥?
病患者女 - 65歲 鼻咽癌轉移到骨,除口服化療藥外,鼻咽癌的化療藥是否只有Docetaxel,Gemc.......peter : 除了『PD1或PD L1免疫治療』外，香港的診所或醫院可以進行『細胞免疫治療』嗎?
病患者男 - 70歲 除了可以進行PD1或PD L1的免疫治療外，香港的診所或醫院可以進行『細胞免疫治療.......Andy : 香港的診所或醫院可以進行細胞免疫治療嗎?
病患者女 - 67歲 本人媽媽鼻咽癌已擴散至骨及肝,化療令她出現嚴重的口腔黏膜炎,因此已終止化療了。 .......Sam : 舌癌其他治療化
病患者男 - 89歲 本人父親剛做了pet ct scan and mri 確診舌癌,位置於舌根, 較近.......Funny : 會影響IgG4的指數升高嗎？
發現肺部有腫瘤，都會影響IgG4的指數升高嗎？.......Lei : 頸部紅腫並有破潰滲液
病患者男 - 66歲 患者10月中旬突然頸部右側開始紅腫, 約一日時間腫脹程度嚴重增大, 左側也開始有腫.......jobylww : 甲狀腺鈣化是不是代表有會變癌？
病患者女 - 67歲 最近家母因甲狀腺腫脹，因而去了化驗所照超聲波，並得出以下結果，其間發現有鈣化，是不.......
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