› Forums › General Melanoma Community › PETScan Results and more
- This topic has 15 replies, 4 voices, and was last updated 8 years, 11 months ago by
Aloha14.
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- January 4, 2017 at 11:50 pm
The good news is No Melanoma seen.
This is what the PET says about the groin lumps:
Along the lateral aspect of the left lower extremity there is linear
increased FDG activity along the surgical margin compatible with ongoing
healing from recent surgery. SUV max for this site is 3.0.Within the left inguinal region there is postoperative changes and
low-grade FDG activity surrounding a seroma as well as at the surgical
incision margin best identified on image 281 with FDG SUV max of 2.6. There
is also a large fluid collection suggestive of seroma versus lymphocele
best seen on image 287 measuring 4.5 x 5 cm.This is what the ultrasunds say about the groin lumps:
In the ventral left superior/proximal thigh subcutaneous soft tissues, the
subcutaneous fat appears heterogeneous, compatible with diffuse
subcutaneous edema. Color-flow evaluation demonstrates several scattered
small foci of vascularity, without significant hypervascularity to suggest
cellulitis, but please correlate clinically.In the edematous left superior/proximal thigh tissues, corresponding to the
apparent multilobular fluid collection seen on the non-contrast
attenuation-correction CT of the same-day PET-CT, there are 3 main
avascular fluid collections seen (measured by the sonographer as follows):1. The most medial collection is the smallest collection, measuring 2.8 x
1.0 x 1.5 cm. On video image 12, there are a few subtle internal linear
echoes which may represent internal fibrin strands in a seroma.2. Next most medial and largest collection also appears more
multilobulated, extending more superiorly/cranially and more superficially
(as superficial as 0.3 cm deep to the skin surface), measuring 3.8 x 4.1 x
3.0 cm. On initial video images, there are more numerous internal linear
and low-level echoes, compatible with an evolving hematoma/seroma.3. The most lateral and second largest collection is associated with
echogenic surgical clips and has rounder shape, and also extends more
superiorly/cranially, measuring 3.6 x 2.5 x 2.9 cm. This collection appears
more echolucent than the largest collection, compatible with a more
liquefied seroma.Anyone understand the reports?
I scheduled an app't next with the surgeon not the resident to find out if she still thinksthese will just get absorbed on their own.
One more thing,
The Ctscan portion (non contrast enhanced) only and picked up a 4mm middle lobe pulmonary nodule on my lung.This is really causing big anxiety for me. I've never had a scan of my lungs however this seems to close to when I got the melanoma. I'm thinking I should have a CTscan to check this out. What do you think? Do lung nodules turn into Melanoma?
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- January 5, 2017 at 12:06 am
Spots in lungs are the most common things found in scans for any person. I had lung spots show up over the summer, they were gone within a few months. My onc said you could scan 100 healthy people and half or more would show lung spots that are nothing and usually go away. Not something to worry about. The way it works is they have it noted now, then after your next scan in a few months they will check the same area again, it might still be there or it might be gone. If it gets larger, then they would investigate further, but it's not something that will be worrisome to the doctor right now so try not to let it worry you too.
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- January 5, 2017 at 12:06 am
Spots in lungs are the most common things found in scans for any person. I had lung spots show up over the summer, they were gone within a few months. My onc said you could scan 100 healthy people and half or more would show lung spots that are nothing and usually go away. Not something to worry about. The way it works is they have it noted now, then after your next scan in a few months they will check the same area again, it might still be there or it might be gone. If it gets larger, then they would investigate further, but it's not something that will be worrisome to the doctor right now so try not to let it worry you too.
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- January 5, 2017 at 12:06 am
Spots in lungs are the most common things found in scans for any person. I had lung spots show up over the summer, they were gone within a few months. My onc said you could scan 100 healthy people and half or more would show lung spots that are nothing and usually go away. Not something to worry about. The way it works is they have it noted now, then after your next scan in a few months they will check the same area again, it might still be there or it might be gone. If it gets larger, then they would investigate further, but it's not something that will be worrisome to the doctor right now so try not to let it worry you too.
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- January 5, 2017 at 2:04 am
I agree with Jenn here. My mom has been monitored for years with her lung nodules, but even when she had the PET scan after being diagnosed with melanoma, they never showed up as anything and have been the same size for 6+ years. Other family members are similar. Some nodules have appeared, stayed for 5 years and poof they went away. It would be a good idea to get the CT scan so you can start a “record” so to speak…that way you can monitor 6 months to a year down the road if there were any changes. Would be better to be safe than just assume.Hope all turns out well for you with the scans!
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- January 5, 2017 at 2:04 am
I agree with Jenn here. My mom has been monitored for years with her lung nodules, but even when she had the PET scan after being diagnosed with melanoma, they never showed up as anything and have been the same size for 6+ years. Other family members are similar. Some nodules have appeared, stayed for 5 years and poof they went away. It would be a good idea to get the CT scan so you can start a “record” so to speak…that way you can monitor 6 months to a year down the road if there were any changes. Would be better to be safe than just assume.Hope all turns out well for you with the scans!
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- January 5, 2017 at 2:04 am
I agree with Jenn here. My mom has been monitored for years with her lung nodules, but even when she had the PET scan after being diagnosed with melanoma, they never showed up as anything and have been the same size for 6+ years. Other family members are similar. Some nodules have appeared, stayed for 5 years and poof they went away. It would be a good idea to get the CT scan so you can start a “record” so to speak…that way you can monitor 6 months to a year down the road if there were any changes. Would be better to be safe than just assume.Hope all turns out well for you with the scans!
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- January 5, 2017 at 10:29 am
Hi Aloha,
The scans give you information about the hard tissue and the likely source of the fluid filled lumps.
They think they are likely to be seromas- the body tends to hate a void – ie where your lymph nodes were removed and it has filled the space with serous fluid. The one they say is seroma /haematoma has had some blood within it.
The healing tissue has an above average blood flow to it ( you know when you damage something it is often warm and red whilst healing ) and they have suggested that your wound shound be checked in clinic to make sure it looks ok and no signs of infection. The suggested fibrin strands- indicate ongoing healing processes as your body starts to reorganise and heal. The second biggest fluid collection has not yet started to show evidence of becoming less liquid- but give it time.
As for the small lung nodule- these seem to be very common- my sister in law had a couple show up on x ray and scan- but they resolved by the next scan. If your docs aren't overly concerned I would take my lead from them.
The scan results are good news….
Deb
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- January 5, 2017 at 10:29 am
Hi Aloha,
The scans give you information about the hard tissue and the likely source of the fluid filled lumps.
They think they are likely to be seromas- the body tends to hate a void – ie where your lymph nodes were removed and it has filled the space with serous fluid. The one they say is seroma /haematoma has had some blood within it.
The healing tissue has an above average blood flow to it ( you know when you damage something it is often warm and red whilst healing ) and they have suggested that your wound shound be checked in clinic to make sure it looks ok and no signs of infection. The suggested fibrin strands- indicate ongoing healing processes as your body starts to reorganise and heal. The second biggest fluid collection has not yet started to show evidence of becoming less liquid- but give it time.
As for the small lung nodule- these seem to be very common- my sister in law had a couple show up on x ray and scan- but they resolved by the next scan. If your docs aren't overly concerned I would take my lead from them.
The scan results are good news….
Deb
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- January 5, 2017 at 10:29 am
Hi Aloha,
The scans give you information about the hard tissue and the likely source of the fluid filled lumps.
They think they are likely to be seromas- the body tends to hate a void – ie where your lymph nodes were removed and it has filled the space with serous fluid. The one they say is seroma /haematoma has had some blood within it.
The healing tissue has an above average blood flow to it ( you know when you damage something it is often warm and red whilst healing ) and they have suggested that your wound shound be checked in clinic to make sure it looks ok and no signs of infection. The suggested fibrin strands- indicate ongoing healing processes as your body starts to reorganise and heal. The second biggest fluid collection has not yet started to show evidence of becoming less liquid- but give it time.
As for the small lung nodule- these seem to be very common- my sister in law had a couple show up on x ray and scan- but they resolved by the next scan. If your docs aren't overly concerned I would take my lead from them.
The scan results are good news….
Deb
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Tagged: cutaneous melanoma
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