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What does high uptake in lymph nodes near spleen,pancreas and liver indicate?

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Posted on Sat, 7 Jun 2014
Question: Hi. I have been diagnosed with dermatomyositis and ILD recently. I had a PET scan a few months ago which showed high uptake in lymph nodes near my spleen, pancreas, and liver. Dr. could only obtain a needle biopsy of nodes at the spleen which were benign. My CEA level at that time was 16 and has not been retested also my vitamin d is a 9 and my platelets are currently 360. Also at the time of PET was diagnosed with IGM Kappa MGUS. My question is, I fear we are missing a cancer but Rheumatologist says no and will not order another PET scan, should I get a second opinion?
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Answered by Dr. Dr. Shruti Rijhwani (14 hours later)
Brief Answer:
Follows.

Detailed Answer:
Dear Madam,

Thank you for posting your query on HCM.

Well looking into your problem I would like to tell you that I agree with your doctor, since your PET scan is not showing anything much significant we can wait and watch , may be it can be repeated after 1 year or so . In a situation like yours periodic check up is required but at regular intervals of an year or when you develop any kind of symptoms.

Take care.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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What does high uptake in lymph nodes near spleen,pancreas and liver indicate?

Brief Answer: Follows. Detailed Answer: Dear Madam, Thank you for posting your query on HCM. Well looking into your problem I would like to tell you that I agree with your doctor, since your PET scan is not showing anything much significant we can wait and watch , may be it can be repeated after 1 year or so . In a situation like yours periodic check up is required but at regular intervals of an year or when you develop any kind of symptoms. Take care. Dr. Shruti