Hello Doctor, In April 2006 I was diagnosed with OVCA Stage IIIb, serous cell, grade 3 cell. Cancer had spread to the stomach lining, liver and there was pleural effusion in the lungs. CA125 was at 2,500. Taxol and carboplatin was administered from May 2006 to October 2006 and CA125 was then 11. I have not taken any chemo since Oct 2006 and tumour marker has climbed all the way to 520 as of now.
December 2007 CT Chest Scan reads as follows: There has been interval progression (since Oct 2007) of bilateral anterior epiphrenic lymphadenopathy, with increase in the number of epiphrenic nodes on the right and enlargement bilaterally. The largest confluent node on the right now measures 2.4 x 2.2 cm (axial image 94) compared to previous measurements of 1.6 x 1.4 cm. There is now right internal mammary chain lymphadenopathy with a 1.8 cm internal mammary chain node identified on axial image 65. Mild right anterior mediastinal lymphadenopathy is present and there is lymphadenopathy in the left superior mediastinum along the lateral aspect of the arch of the aorta and the aortopulmonary window extending along the lateral aspect of the left hilum. No pulmonary lesions are identified. There is no evidence of pleural fluid.
May 2008 Chest XRay reads as follows: The heart size is normal. There is mild, lobulated widening of the superior mediastinum. Both hila are mildly elevated. A small right pleural effusion is present. A thin linear density is seen in the right lung base. Otherwise the lungs and pleural surfaces appear unremarkable. No bony abnormality is seen. Impression: The appearance of the mediastinum is suggestive of adenopathy. A small right pleural effusion is present.
Doctor, does this mean that the nodes from December 2007 CT scan have disappeared/shrunk, or is it that they are not showing on the XRay? Doctor, THANK YOU SO MUCH!!!!