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#128462 01-24-2011 03:49 PM
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Cheryld Offline OP
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anyone know if any or all are better than another? I have had an MRI andf CT... I have not had a PET.. they are still in trial use here at PMH - I can get a private one done here in Mississauga for $2300 - I will pay it... if it is more comprehensive than a CT or MRI... I am just wondering if it is worth it? Any ideas?


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
Cheryld #128464 01-24-2011 04:09 PM
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PET scans are known to give false positives. It has happened to me and several other members. A CT scan is just as good. If anything questionable would show then the doc should be sending you for a PET. I know the PET scan is much more expensive than the CT scan. I am not a medical professional so Im sure there are many more differences that I am unaware of between the CT and the PET scans.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
ChristineB #128470 01-24-2011 06:49 PM
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Cheryld Offline OP
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Thanks so much!!!


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
Cheryld #128477 01-24-2011 09:16 PM
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I recently has a false positive on a PET scan.


Angelia
31 at Dx.
DX: 4/30/09, 10/21/09 SCC on floor of mouth,
T1NOMO, T2N1M0
TX: 39 IMRT, 8 cisplatin 11/30/09
PET/CT: 11/03/09: Lymph node involvement
PEG/PORT: 11/09
TX end: 02/01/10
PET Scan: 04/05/10 clear
PEG Out: 06/21/10
Biopsy: 12/23/10: fibrosis
HBO: 01/04/11 - ORN
Baby girl born 11-30-12
walknlite #128478 01-24-2011 09:27 PM
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Cheryld Offline OP
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Ok - I'm thinking I'll save my money - if they send me for pone at PMH I'll go - but otherwise I'll be happy with my CT and MRI results! Thanks!


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
Cheryld #128486 01-25-2011 02:44 AM
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klo Offline
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[quote]
What is combined PET/CT scanning?
Combined PET/CT scanning joins two imaging tests, CT and positron emission tomography (PET), into one procedure. A PET scan creates colored pictures of chemical changes (metabolic activity) in tissues. Because cancerous tumors usually are more active than normal tissue, they appear different on a PET scan.

Combining CT with PET scanning may provide a more complete picture of a tumor�s location and growth or spread than either test alone. Researchers hope that the combined procedure will improve health care professionals� ability to diagnose cancer, determine how far it has spread, and follow patients� responses to treatment. The combined PET/CT scan may also reduce the number of additional imaging tests and other procedures a patient needs. However, this new technology is currently available only at some facilities.
[/quote]

Hi Cheryl

I hate to be the one to throw a spanner into the works but your National Cancer Institute has the above to say in response to your question. The link to the site is below

http://www.cancer.gov/cancertopics/factsheet/Detection/CT





Karen
Love of Life to Alex T4N2M0 SCC Tonsil, BOT, R lymph nodes
Dx March 2010 51yrs. Unresectable. HPV+ve
Tx Chemo x 3+1 cycles(cisplatin,docetaxel,5FU)- complete May 31
Chemoradiation (IMRTx35 + weekly cisplatin)
Finish Aug 27
Return to work 2 years on
3 years out Aug 27 2013 NED smile
Still underweight
klo #128511 01-25-2011 02:30 PM
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Cheryld Offline OP
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Thanks for the info. Inwill discuss the PET with my DR. I understand the CT is pretty accurate. Hopefully its is in my case - well in all our cases!


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
Cheryld #128521 01-25-2011 04:56 PM
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I have had both of these scans and as Christine said, I had a false positive reading from the Pet not once but twice. I liked the results from the MRI and the CTScan much better. I'm sure no Dr but geez, 2 times?


Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
EzJim #128539 01-25-2011 08:32 PM
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It is impossible to advice you if to have or not to have PET scan without knowing why you need it. It can detect the presence of cancer only when it is larger than about 2 cm. However, it is not specific and any increased metabolic activity can make it positive. Your Drs should who know your situation should assist you in making the choice. To read more about the strength and weaknesses of PET and other scan look at my blog at: http://dribrook.blogspot.com/p/pet-and-ct-scans-of-cancer.html

Itzhak Brook MD

dribrook #128543 01-25-2011 10:20 PM
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klo Offline
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Dr Brook

suggest you throw your PET scanner out the window as it is in serious need of a grease and oil change. It is true that in BREAST cancer that a 2cm or larger lesion has the best chance of discovery but it is also true that 65% of lesions under this are also correctly diagnosed.

In the case of head and neck cancers PET can correctly detect malignant lesions at least half the size you are talking about and probably even smaller - although with less accuracy).



Karen
Love of Life to Alex T4N2M0 SCC Tonsil, BOT, R lymph nodes
Dx March 2010 51yrs. Unresectable. HPV+ve
Tx Chemo x 3+1 cycles(cisplatin,docetaxel,5FU)- complete May 31
Chemoradiation (IMRTx35 + weekly cisplatin)
Finish Aug 27
Return to work 2 years on
3 years out Aug 27 2013 NED smile
Still underweight
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