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PET scan

Forums General Melanoma Community PET scan

  • Post
    Who_am_i
    Participant

      Just a little background, 3b, positive ulceration, mitosis 18, two years as NED. I am still seen every three months but no scans and I have never had a PET scan that everyone on here seems to have routinely. Do they just stop doing scans after a certain point, am I missing something?

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        jamieth29
        Participant
          I believe with any stage 3 you should have follow up physical skin and node check every 3 months. Imaging scans, ct,x-ray,mri 3-12 months depending on your case specifics. Years 3-5 physical exam 6-12 months with imaging still 3-12
            jamieth29
            Participant
              Pet scans can be up to doctor preference. Pet scans do not show small disease like a ct will. So some docs will have a ct done first then if there are areas of suspicion then order a pet. Ct is much cheaper. So im guessing some insurance company may limit the doctor to this order.
              jamieth29
              Participant
                Pet scans can be up to doctor preference. Pet scans do not show small disease like a ct will. So some docs will have a ct done first then if there are areas of suspicion then order a pet. Ct is much cheaper. So im guessing some insurance company may limit the doctor to this order.
                jamieth29
                Participant
                  Pet scans can be up to doctor preference. Pet scans do not show small disease like a ct will. So some docs will have a ct done first then if there are areas of suspicion then order a pet. Ct is much cheaper. So im guessing some insurance company may limit the doctor to this order.
                jamieth29
                Participant
                  I believe with any stage 3 you should have follow up physical skin and node check every 3 months. Imaging scans, ct,x-ray,mri 3-12 months depending on your case specifics. Years 3-5 physical exam 6-12 months with imaging still 3-12
                  jamieth29
                  Participant
                    I believe with any stage 3 you should have follow up physical skin and node check every 3 months. Imaging scans, ct,x-ray,mri 3-12 months depending on your case specifics. Years 3-5 physical exam 6-12 months with imaging still 3-12
                    CHD
                    Participant

                      BTW, that is great about 2 years NED! 

                      I would ask your doctor for their reasoning behind not doing a PET CT.  The insurance issue may have something to do with it as stated above.  As far as doing them routinely, It seems to me that when there is lymph node involvement, or when there are other high-risk factors, a whole-body PET CT is usually ordered at some point after initial diagnosis to ensure there has been no spread.  After the first scan though, there seems to be a lot of variability between doctors as to how often and what kinds of scans are ordered, with some ordering PET CT at frequent intervals and others ordering regular CTs or even x-rays.  Even the interval varies between doctors, and then there is variability about how many years they continue to order the scans and at what frequency with no evidence of disease.  I wouldn't worry but definitely worth asking.

                      CHD
                      Participant

                        BTW, that is great about 2 years NED! 

                        I would ask your doctor for their reasoning behind not doing a PET CT.  The insurance issue may have something to do with it as stated above.  As far as doing them routinely, It seems to me that when there is lymph node involvement, or when there are other high-risk factors, a whole-body PET CT is usually ordered at some point after initial diagnosis to ensure there has been no spread.  After the first scan though, there seems to be a lot of variability between doctors as to how often and what kinds of scans are ordered, with some ordering PET CT at frequent intervals and others ordering regular CTs or even x-rays.  Even the interval varies between doctors, and then there is variability about how many years they continue to order the scans and at what frequency with no evidence of disease.  I wouldn't worry but definitely worth asking.

                        CHD
                        Participant

                          BTW, that is great about 2 years NED! 

                          I would ask your doctor for their reasoning behind not doing a PET CT.  The insurance issue may have something to do with it as stated above.  As far as doing them routinely, It seems to me that when there is lymph node involvement, or when there are other high-risk factors, a whole-body PET CT is usually ordered at some point after initial diagnosis to ensure there has been no spread.  After the first scan though, there seems to be a lot of variability between doctors as to how often and what kinds of scans are ordered, with some ordering PET CT at frequent intervals and others ordering regular CTs or even x-rays.  Even the interval varies between doctors, and then there is variability about how many years they continue to order the scans and at what frequency with no evidence of disease.  I wouldn't worry but definitely worth asking.

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