I Was Diagnosed With Non-hugkin Lymphoma In The Liver And

Posted on Sat, 27 Jul 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 27 Jul 2019 Answered on

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Question : I was diagnosed with non-hugkin lymphoma in the liver and the spleen and took 8 rounds of chemoteraphy (R-CHOP). Can you please, explain me the following results of my recent Petscan?:
1. Interval non-visualization of previously detected large hypermetabolic right hepatic lobe and spleen masses. On CT images the corresponding hypoattenuation lesions are smaller and non-hypermetabolic favoring in-active malignant desease.
2. Interval resolution of prior bilateral FDG avid axillary lymph nodes, as well as prior left parotid gland FDG avid nodule.
3. Interval non-visualization of prior hypermetabolic left abdominopelvic peritoneal nodules.
4. No evidence of any suspicious malignant FDG avid uptake focus.
5. Interval development of an uptake focus in the midline lower pelvic cutaneous region favoring an inflammatory process or inadvertent tracer contamination.
6. Small calcification or marker in the left breast's upper outer quadrant. Recommend correlation with mammography.
7. Small R. M. L. pulmonary infiltrate. Recommend imaging follow-up.
8. Re-demonstration of a rounded cyst lesion, about 4 cm, in the right lower pelvis, presumably an ovarian cyst. Recommend correlation with ultrasound unless already performed.

Thanks for your help.

Answered by Dr. Monish De (5 hours later)

Brief Answer:

CT scan chest and bilateral mammography every 3 months

Detailed Answer:

Hi

I have gone through your reports

Since you are a patient of non hodgkins lymphoma and you have undergone 8 cycles of RCHOP chemotherapy your current scan is showing good response with previous lesions decreased in size and not seen any more.

However a tiny lesion is seen in lung and breast for which you have to follow up with a CT scan chest and bilateral mammography every 3 months

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Monish De (2 hours later)

Thanks for your fast response! Can those tiny lesions in the lung and breast be malignant? Are they new ones, like masses? Would the doctor recommend more chemo or radio cycles? What about the pelvis inflammatory process? What does inadvertent tracer contamination mean?

Answered by Dr. Monish De (24 hours later)

Brief Answer:

Fine needle aspiration cytology from lesion

Detailed Answer:

Hi

You need to do fine needle aspiration cytology from lesion in lung and breast to rule out malignancy

More chemotherapy recommended if malignancy

Pelvic inflammatory process is normal, it is just and inflammation which will resolve automatically

Inadvertent tracer contamination mean during scan some foreign material could have gone inside it mimicking an inflammatory like thing or space occupying lesion but is not malignant and is benign and very normal

Regards

Above answer was peer-reviewed by : Dr. Kampana