› Forums › General Melanoma Community › PET scan
- This topic has 9 replies, 2 voices, and was last updated 8 years, 11 months ago by CHD.
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- July 7, 2015 at 12:03 am
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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- July 7, 2015 at 3:52 am
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-
- July 7, 2015 at 3:59 am
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. -
- July 7, 2015 at 3:59 am
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. -
- July 7, 2015 at 3:59 am
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.
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- July 7, 2015 at 5:17 pm
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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- July 7, 2015 at 5:17 pm
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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- July 7, 2015 at 5:17 pm
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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