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Can A CT Scan Detect Peritoneal Disease?
Question: Can peritoneal disease be present on a ct scan but rafiologist does not mention on the actual ct report ?
Person with colon cancer
Person with colon cancer
Brief Answer:
Not Likely
Detailed Answer:
Ct is useful in staging malignant diseases of intrabdominal organs and in most cases it can rule out progression of colon cancer through colon wall. If there is involvement of surroundings lymph nodes,fat or peritoneum then these changes would be seen unless it is smaller than 2 mm. If these tumor deposits are smaller than 2 mm,and this is seen only in One Short period,then ct scan won't detect it and it should be repeated in 2-3 months. Or patient should do PET Scan which is able to detect all suspicious lesions.
Not Likely
Detailed Answer:
Ct is useful in staging malignant diseases of intrabdominal organs and in most cases it can rule out progression of colon cancer through colon wall. If there is involvement of surroundings lymph nodes,fat or peritoneum then these changes would be seen unless it is smaller than 2 mm. If these tumor deposits are smaller than 2 mm,and this is seen only in One Short period,then ct scan won't detect it and it should be repeated in 2-3 months. Or patient should do PET Scan which is able to detect all suspicious lesions.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Ct report does not mention peritonium but follow up letter from 1 onco does and letter from registrar does not too please see all attached
Brief Answer:
CT may have had doubtful results
Detailed Answer:
I see report. Well, oncologist is talking about possible peritoneal involvement and obviously ct couldnt be precise enough about it.The matter is, that this is very serious finding,indicating disseminated malignant disease even without presence of peritoneal infiltration. If there isnt peritoenal spreading, diseaseis probably still inoperable due to distant metastases. In this case only chemoth may be effective.
He can do PET-scan for more detailed staging and it would reveal peritoneal involvement. Secon doption is explorative laproscopy for direct visualization.
CT may have had doubtful results
Detailed Answer:
I see report. Well, oncologist is talking about possible peritoneal involvement and obviously ct couldnt be precise enough about it.The matter is, that this is very serious finding,indicating disseminated malignant disease even without presence of peritoneal infiltration. If there isnt peritoenal spreading, diseaseis probably still inoperable due to distant metastases. In this case only chemoth may be effective.
He can do PET-scan for more detailed staging and it would reveal peritoneal involvement. Secon doption is explorative laproscopy for direct visualization.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Im so confussed . But would
The radiologist not write peritoneal involvement on actual
Report? Could the aortocaval node mean peritoneal involvement?
An jnterventional rafiologist who will perform nano knife looked at ct images and could not see anything im the peritoneum? No fluid either
The radiologist not write peritoneal involvement on actual
Report? Could the aortocaval node mean peritoneal involvement?
An jnterventional rafiologist who will perform nano knife looked at ct images and could not see anything im the peritoneum? No fluid either
Brief Answer:
hi
Detailed Answer:
Aortocaval nose involvement doesn't necessary means that peritoenum is involved. It is not easy to verify is peritoneum infiltrated on ct scan since paracolic fat tissue may mimic such finding. Carcinosis of peritoneum is also commonly not detectable since small tumor nodules can't be seen if smaller than 2-3 mm.
hi
Detailed Answer:
Aortocaval nose involvement doesn't necessary means that peritoenum is involved. It is not easy to verify is peritoneum infiltrated on ct scan since paracolic fat tissue may mimic such finding. Carcinosis of peritoneum is also commonly not detectable since small tumor nodules can't be seen if smaller than 2-3 mm.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Can u please read attached. The foolowijg have been confirmed as mets:
1 liver met
1 aortocaval node
1 sub pleural nodule
All less than 2 cm
But i dont get why on letter onco has said poss peritoneal disease and no mention on ct report ?
1 liver met
1 aortocaval node
1 sub pleural nodule
All less than 2 cm
But i dont get why on letter onco has said poss peritoneal disease and no mention on ct report ?
Brief Answer:
i dont see ct report
Detailed Answer:
i dont see ct report in these attached files.
I see only oncologist report.
oncologist can interpret ct results on his way. if aortocaval nodes, liver node and subpleural are seen on ct scan,then there is high suspicion that peritoneum is involved too. also,aortocaval lymph node metastasis may infiltrate mesenterium and visceral peritoenum and it may be not easily seen on ct scan.
i dont see ct report
Detailed Answer:
i dont see ct report in these attached files.
I see only oncologist report.
oncologist can interpret ct results on his way. if aortocaval nodes, liver node and subpleural are seen on ct scan,then there is high suspicion that peritoneum is involved too. also,aortocaval lymph node metastasis may infiltrate mesenterium and visceral peritoenum and it may be not easily seen on ct scan.
Above answer was peer-reviewed by :
Dr. Raju A.T
Hi heres the ct. Would radiologist miss such a imp finding ?
If peritoneal was involved then report would say right?
If peritoneal was involved then report would say right?
Brief Answer:
Yes,
Detailed Answer:
Hi,
He woudnt miss some sign of peritoneal involvement such as ascites, larger nodes or infiltration of parietal peritoenum. But,small nodes cant be detected by ct so radiologist would not mention it. In every case, you should believe radiologist ore than oncologist, and it there wee those big signs of peritoneal secudarism , then it would be mentioned. but,the point of this story is that disease is unfortunately progressed,these multiple metastases are sign of disseminated disease and peritoenum involvement isnt changing treatment modality or prognosis. PET scan can be done for more detailed staging but presence of peritoneal involvement isnt representing any factor for disease progression now when other metastases are detected.
Regards,
Yes,
Detailed Answer:
Hi,
He woudnt miss some sign of peritoneal involvement such as ascites, larger nodes or infiltration of parietal peritoenum. But,small nodes cant be detected by ct so radiologist would not mention it. In every case, you should believe radiologist ore than oncologist, and it there wee those big signs of peritoneal secudarism , then it would be mentioned. but,the point of this story is that disease is unfortunately progressed,these multiple metastases are sign of disseminated disease and peritoenum involvement isnt changing treatment modality or prognosis. PET scan can be done for more detailed staging but presence of peritoneal involvement isnt representing any factor for disease progression now when other metastases are detected.
Regards,
Above answer was peer-reviewed by :
Dr. Raju A.T
Thx so much
We spoke to a interventional radiologist n he has been approvef for nano knife for the liver met ehich is 1.6 cm, the aortocaval node and sub pleural nodule whoch is 1 cm.
Should we go for it?
Then we r also seeing a onco for a second opinion who will do tumor testing first to see which chemo can work.
We spoke to a interventional radiologist n he has been approvef for nano knife for the liver met ehich is 1.6 cm, the aortocaval node and sub pleural nodule whoch is 1 cm.
Should we go for it?
Then we r also seeing a onco for a second opinion who will do tumor testing first to see which chemo can work.
Brief Answer:
NanoKnife is novel method for metastatic liver lesions
Detailed Answer:
The NanoKnife is novel method for metastatic liver lesions which cant be surgically managed. Also it is used to treat metastatic disease lymph nodes.
So this is reasonable option in this particular case. If patient has good motivation and enough strength to continue fighting that nanoknife with chemo will be beneficial when talking about life prolongation.
Chances for complete cure are negligible,but this treatment can slow down disease progression definitely.
NanoKnife is novel method for metastatic liver lesions
Detailed Answer:
The NanoKnife is novel method for metastatic liver lesions which cant be surgically managed. Also it is used to treat metastatic disease lymph nodes.
So this is reasonable option in this particular case. If patient has good motivation and enough strength to continue fighting that nanoknife with chemo will be beneficial when talking about life prolongation.
Chances for complete cure are negligible,but this treatment can slow down disease progression definitely.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Ok thanks . So last query, this would nt be regarded terminal right? And how many years approx survuval would you say?
We r getting XXXXXXX knife done in 3 weeks
We r getting XXXXXXX knife done in 3 weeks
Brief Answer:
hard to predict
Detailed Answer:
It is very hard to predict lifetime.
Metastases are definitely not good sign, especially those aortocalav and subpleural. It is hard to predict progression of these lesions and response on nanoknife and chemo and everything will depend on it.
Without any treatment,average survival would be 4-6 months. With good response on therapy it may be higher, but it is hard to expect many years survival. 2 years would be success...
hard to predict
Detailed Answer:
It is very hard to predict lifetime.
Metastases are definitely not good sign, especially those aortocalav and subpleural. It is hard to predict progression of these lesions and response on nanoknife and chemo and everything will depend on it.
Without any treatment,average survival would be 4-6 months. With good response on therapy it may be higher, but it is hard to expect many years survival. 2 years would be success...
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
I see . Even with tiny mets survival would b less ?
Brief Answer:
hi
Detailed Answer:
yes. life expectancy isnt depending musch on size of metastases, but more on number and localization of it.
hi
Detailed Answer:
yes. life expectancy isnt depending musch on size of metastases, but more on number and localization of it.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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