I had a PET and CT 2/07. Showed a hot spot in chest between the breast and the lungs. They call it the chest area. I had breast cancer in 5/06 with double mast in 7/06 so I had no real breast tissue at the time of the scan. I had a bad infection in 11/06 that required 4 weeks of IV meds. They called the hot spot a scar or infection left over from the 11/06.
I found a lump on my implant in 7/07 and had it removed. Cancer again. This time it was ER+ they call it a new cancer. Had 8 rounds of ACT and just ended. Had a PET/CT scan again last week 1/08. The hot spot was still there but now smaller. My onc. said not to worry and he will get another PET/CT following my 6 weeks of radiation. I meet with my radiation doctor next week and would like to ask him more but not sure what to ask and want to be prepared.
To sum: I have a hot spot that has been hot for almost a year but is now smaller following chemo.
1- What questions should I be asking my radiation doctor about this spot? I didn't ask my onc. about this because I must of been shock or he said not to worry he will take care of me and keep an eye on it and I trust him. However, now I am worried and scared and want to know more. Could this be cancer?
2- Can a scar or infection still show hot for years?
3- Can a scar or infection get smaller?
4- What other tests should I have?
Early detection of recurrence is clinically important and can improve the prognosis and survival of patients with cancer. 18F-FDG PET is an effective whole-body imaging technique that detects metabolic changes preceding structural findings. PET/CT provides fused images that demonstrate the complementary roles of functional and anatomic assessments in the diagnosis of cancer recurrence through the precise localization of suspected 18F-FDG foci and their characterization as malignant or benign.
A persistent hot spot post mastectomy may indicate a recurrent mitotic etiology and requires further confirmation on histopathology, follow up post Radiotherapy.
Scar tissue shouldnt show uptake while infection shouldnt have persisted so long, so further evalaution is recommended.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.