Oncology (General Cancer)/Dad's Pet scan results

Advertisement


Question
My dad was diagnosed with non Hodgkin Lymphoma in 2011 done well with chemo & was doing really good until about a month ago ~shortness of breath ,chest pain radiating into his back. After CT SCAN PET scan was ordered ~ It showed Evidence of extensive tumor involvement. Active bilateral hilar & mediastinal lymph nodes with multiple hypermetabolic lung nodules in the chest with multiple bilateral pulmonary nodules too numerous to count.
At least 4 small hypermetabolic lesions in his liver.
Enlarged & hypermetabolic bilateral adrenals
a skeletal lesion at L3.
The largest lung lesion measure 2cm but most were considerably smaller.
Can you break this down ,could it be anything else than Lung cancer?

Answer
We have to consider if it is his non Hodgkin lymphoma that has come back. After all most of the tumor volume seen is in his lung hilar and mediastinal lymph nodes. And it is also more likely that his known tumor gives more problems than that a new tumor has appeared. If not a lymphoma then of course a lung cancer is one of the other possibilities that has to be considered though as far as I can understand from your description no obvious primary lung tumor is seen. A mediastinal biopsy may be possible in order to get the diagnosis. If a lymphoma extensive chemotherapy - if possible - is most probably needed.


You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH
There is no limit to the number of questions there. Please note: NEW SITE!

Donations are also always welcome! No amount is too small, no amount is too big!

Oncology (General Cancer)

All Answers


Answers by Expert:


Ask Experts

Volunteer


Claes-Gustaf Nordquist, M.D.

Expertise

Questions concerning Cancer, Oncology, radiation Therapy, Tumours, Chemotherapy, Cytotoxic Drugs, Hormonal Therapy, Radiation Protection.

Experience

I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions in the number of questions there. I also answer questions in these other categories: General History, Military History, Brain Tumors, Breast Cancer, Colon Cancer

Education/Credentials
I'm a medical doctor and specialist in medical oncology and radiation therapy

©2016 About.com. All rights reserved.