Please anyone explain the PET CT resul... - Breast Cancer India

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Please anyone explain the PET CT results below

Prasath_sas profile image
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The post is bit long, please excuse

My mom intially diagnosed with Breast cancer in 2011 august, we done surgery at that time and had 6 doses of chemo. After that she had a recurrence(Jan 2017) in same area and we did a PET scan which showed lytic lesion in 2nd and 4th ribs(Max Suv - 4.2), and uptake in left sterni manubrium(suv -3), So went for 30 doses of 3DRT radiation to chest wall and 4 mild doses of chemotherapy.Again we took a PET scan(July 2017) for response assessment which showed results as there is uptake only in left sterni manubrium(max suv -6). As she is ER/PR+ and HER- our oncologist suggested for Hormonal therapy. So for the past one year she was under hormonal therapy and every blood test , xray and usg came fine. Last week (May 10,2018) we went for a PET scan which showed results as " No metabolically active disease present anywhere in whole body survey). I am posting both of pet scan impressions below. could you please tell us whether she is cancer free now.

PET SCAN Impression(July 06, 2107)

Intensely hypermetabolic screlotic lesions in manibrium sterni on the left side(Suv of Max 6) and there is an interval resolution in rib uptake. No definite evidence of metabolically active disease anywhere in whole body survey.

PET SCAN Impression(May 10, 2018)

Skeletal Area :

No Pathological focus of FDG uptake noted in extremities and musculo-skeletal area

Ametabolic Screlotic lesion noted in manibrium sterni on the left side

Final Impression :

No definite evidence of metabolically active disease anywhere in whole body survey

There is an Interval resolution of metabolism in sternum uptake.Suggesting complete metabolic response to therapy.

I am a bit worried, because the lesion is still but there is no uptake which means the cancer on the area is gone. Please explain

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Prasath_sas
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roxboxfox profile image
roxboxfoxRadiationOncologist

Dear Prasath,

You mother has done well with her cancer and appears under control.

Continue with the Hormone therapy treatment. Let her enjoy life.

And perhaps let your doctors worry if there is any problem. It's pointless to worry when she has done well.

Only time will tell what happens in the next 2 -3 years.

All.the best to your Mom.

Happy Mother's day to her.

Please take her out for a meal and take a break and take her for a holiday.

God bless your family.

Prasath_sas profile image
Prasath_sas in reply to roxboxfox

Hello Doctor, Thanks for your help and your wishes. I hope everything will be ok in future days as well.

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