Suggest treatment for testicular cancer
In the CT scan report after the chemo, the metastases decreased but strangely there was no change in the pancreatic cyst. It still showed 1.6x1.4 cm in the report. Later i was recommened to get my lympnode surgery done. We informed the surgeon about the cyst. He too said that its ok and normal to find about such cysts incident to scans for other reasons. During the surgery, after doing the lymp node surgery, docter had done fine needle aspiratation from the cyst and below is the Macroscopic description "Cohesive papillary clusters and singly dispersed epithelial cells with round to oval nuclei with moderate cytoplasm. Stormal fragments are seen" and the Impression states" pancreatic cyst shows epithelial cell clusters with papillary feautures and mild Atypia". The docter assured us that its nothing to worry and its normal to have small cysts which are shown up incedently while doing scans.
During the various followup after surgery, had 3 CT scans which showed that there was a lesion of the same size in the body of the pancreas and also multiple tiny and small mesentric lymnodes (largest .7x1cm). This was consistent and didnt change for all three CT reports.
My docter asked me to do a PET scan this January and report has an uptake of SUVmax 9 on the pancreatic cyst. The impression in the report states "Hypermetabolic lesion is seen at the distal part of the pancreatic body needs correlation with contrast enhanced CT scan"
What does SUVmax 9 mean? Could this be a cancerous cell considering my history? I am yet to do my CT at the moment. Should i be concerned about the multiple small lymph nodes? Will the docter suggest to remove part of the pancreas?
I just dont want to be taken by a XXXXXXX Iam a level headed guy and i just want to know what iam up for what ever it is.
Hello and thank you for asking .
SUVmax and CA19-9 are effective in distinguishing between benign and malignant pancreatic tumors.
The combination of the two methods improved the sensitivity and accuracy in the diagnosis of malignant tumors
A high SUVmax value indicates malignancy,but it is not absolutely diagnostic.
Your doctor will give the right decision for this situation.
PET -CT is a very safe examination.I will suggest you Ca 19-9.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
My oncologist already sent my blood samples for CA 19.9. I thought i will jot down some of my questions to be more clearer.
1. Is SUVmax 9 relatively high?
2. With reference to my history, the lesion was present before i took chemo and after chemo with no chamges in size. So is it likely for this lesion to become malignant?
3. Should this be diagnosed as malignant, would this have to be removed i.e. half of my pancreas?
4. Is this connected to my earlier testicular cancer?
5. What is the significance of the multiple small pulmonary nodes? (However there was no uptake in PET scan)
6. Please explain the fine needle aspiration report of the lesion (its mentioned in my history above). What does it mean in lay mans terms?
7. Will i need to take chemo?
8. Would this be charecterised as pancreatic cancer?
9. What is the normal range for CA 19.9?
I appreciate an open and honest answer from you. My intension is to be prepared and not be taken by any surprises. Thank you very much!
1-Your SUVmax it is relatively high
2-The lesion was not changed because the therapy it is not related with the pancreas
3-The lesion seems not malignant,if it was the surgery is indicated
4-It is not connected with your earlier testicular cancer
5-The multiple small pulmonary nodes are not alweys malignant,the fact that there was not uptake in PET scan is psitive
6-The FNA reprts show one pancreatic cyst
7-if it was cancer therapy would be necessary
8-You must wait ct and other tests,CA 19-9 resaults
9-CA 19-9 antigens are foreign substances released by pancreatic tumor cells. The normal range of CA 19-9 in the blood of a healthy individual is 0-37 U/ml (Units per milliliter). CA 19-9 associated antigen levels are elevated in many patients with pancreatic cancer.
Please take me up date for your general resaults tests
So what does this indicate considering my uptake in the PET scan. Would it be a concern?
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