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What Does "new Peripheral 15 Mm Low Attenuation Area On Liver" Mean?
Question: What can this mean ..,,, new peripheral 15 mm low attenuation area on liver ?
This was following a ct scan as my father had surgery for colon cancer in march
This was following a ct scan as my father had surgery for colon cancer in march
Brief Answer:
it may be metastatic lesion from colon cancer
Detailed Answer:
Hi,
I can understand your concern regarding your health. you have colon cancer in the past. So there is high chance of metastatic lesion in the liver from your old cancer. Because liver is the most common site for metastasis from colon cancer. So you need to investigate that lesion. You should go for CEA level and if needed fnac (Fine-needle aspiration cytology) of that lesion.so that we can know the exact nature of that lesion. So just go for further investigation of that lesion. Also send me report of fnac of that lesion.
Hope I have answered your question, if you have any doubts or further question then you can ask me. I will be happy to answer.
Thanks for using health care magic.
wish you a very good health.
it may be metastatic lesion from colon cancer
Detailed Answer:
Hi,
I can understand your concern regarding your health. you have colon cancer in the past. So there is high chance of metastatic lesion in the liver from your old cancer. Because liver is the most common site for metastasis from colon cancer. So you need to investigate that lesion. You should go for CEA level and if needed fnac (Fine-needle aspiration cytology) of that lesion.so that we can know the exact nature of that lesion. So just go for further investigation of that lesion. Also send me report of fnac of that lesion.
Hope I have answered your question, if you have any doubts or further question then you can ask me. I will be happy to answer.
Thanks for using health care magic.
wish you a very good health.
Above answer was peer-reviewed by :
Dr. Raju A.T
It's for my dad. He has surgery in march but his ct scans in past and in April were all fine . He was a dukes c1
This one shows a new lesion .
Cea was as follows
May 3 XXXXXXX 4
July 6
August 8
He is on xeloda
This one shows a new lesion .
Cea was as follows
May 3 XXXXXXX 4
July 6
August 8
He is on xeloda
Brief Answer:
yes, still it can be metastatic
Detailed Answer:
Hi, dear.yes your father has colon cancer in past and he is on treatment, the new peripheral attenuation is concerning. There is chance that some occult carcinoma focus is there and spread to the liver. It may be something other than cancer too. FNAC of the lesion help us identify the caus
if you still have any doubts or questions then feel free to ask me. I will be happy to answer.
Thanks for using health care magic.
wish you a very good health.
yes, still it can be metastatic
Detailed Answer:
Hi, dear.yes your father has colon cancer in past and he is on treatment, the new peripheral attenuation is concerning. There is chance that some occult carcinoma focus is there and spread to the liver. It may be something other than cancer too. FNAC of the lesion help us identify the caus
if you still have any doubts or questions then feel free to ask me. I will be happy to answer.
Thanks for using health care magic.
wish you a very good health.
Above answer was peer-reviewed by :
Dr. Prasad
But if was something other than cancer. , the radiologist would be able to tell right. ?
Brief Answer:
yes, radiologist could say
Detailed Answer:
Hi dear,
yes, definitely you are right. Radiologist would be able to say what is that lesion. But many limitations are there. Because many a times different lesions have same radiological picture. In that case, radiologist may not be able to differentiate between them. In that case, pathological findings like FNAC and biopsy are the only way to reach the correct diagnosis. So if your radiologist is able to say confidently that it is metastatic lesion or some other lesion then its ok. You can go with his opinion and take treatment. If not then go for FNAC.
hope i have cleared your doubt.
if you still have any doubts then feel free to ask me. I will happy to answer you again and will try to clear all your doubts.
thanks for using health care magic.
wish you a very good health.
yes, radiologist could say
Detailed Answer:
Hi dear,
yes, definitely you are right. Radiologist would be able to say what is that lesion. But many limitations are there. Because many a times different lesions have same radiological picture. In that case, radiologist may not be able to differentiate between them. In that case, pathological findings like FNAC and biopsy are the only way to reach the correct diagnosis. So if your radiologist is able to say confidently that it is metastatic lesion or some other lesion then its ok. You can go with his opinion and take treatment. If not then go for FNAC.
hope i have cleared your doubt.
if you still have any doubts then feel free to ask me. I will happy to answer you again and will try to clear all your doubts.
thanks for using health care magic.
wish you a very good health.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Brief Answer:
Surgical resection is the treatment
Detailed Answer:
Hi,
if there is single focus of metastatic lesion in the liver then there is definite chance of developing more foci. Generally liver metastasis are multifocal. Treatment depends on the location & size of lesion as well as general overall condition of the patient. Many options are available. Surgical resection, Intraarterial chemotherapy, transarterial chemotherapy, systematic chemotherapy, symptomatic treatment are the options. However the best results are seen with surgical resection if single focus is there. So you should investigate first for your lesion, whether it is metastatic or not. Then take treatment accordingly.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
Wish you a very good health.
Surgical resection is the treatment
Detailed Answer:
Hi,
if there is single focus of metastatic lesion in the liver then there is definite chance of developing more foci. Generally liver metastasis are multifocal. Treatment depends on the location & size of lesion as well as general overall condition of the patient. Many options are available. Surgical resection, Intraarterial chemotherapy, transarterial chemotherapy, systematic chemotherapy, symptomatic treatment are the options. However the best results are seen with surgical resection if single focus is there. So you should investigate first for your lesion, whether it is metastatic or not. Then take treatment accordingly.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
What do u mean by multifocal lesions?
Does this mean there could be more to small to
Be seen yet?
Does this mean there could be more to small to
Be seen yet?
Brief Answer:
It means more than one foci.
Detailed Answer:
Hi,
Multifocal lesion means there are more than foci of lesion. You have single focus of lesion right now. If it is metastatic then there is definite chance of developing more lesions.
Hope I have answered your question. If you have any further questions then feel free to ask me. I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
It means more than one foci.
Detailed Answer:
Hi,
Multifocal lesion means there are more than foci of lesion. You have single focus of lesion right now. If it is metastatic then there is definite chance of developing more lesions.
Hope I have answered your question. If you have any further questions then feel free to ask me. I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks ..... But can 1 lesion still mean mets? Are they not usually multiple ?
Also my father has no weight loss or appetite loss?
Also my father has no weight loss or appetite loss?
Brief Answer:
Metastatic lesions are usually multiple.
Detailed Answer:
Hi,
You are right dear. Metastatic lesions are usually multiple. But we can't take risk. Because in some early cases it can be single. Your father has history of carcinoma colon thats why we are thinking in that way. Otherwise in routine cases we don't think in that way.
Hope I have answered your all queries. If you still have any questions then feel free to ask me. I will be happy to answer you again.
Thanks for using health care magic.
Wish you a very good health.
Metastatic lesions are usually multiple.
Detailed Answer:
Hi,
You are right dear. Metastatic lesions are usually multiple. But we can't take risk. Because in some early cases it can be single. Your father has history of carcinoma colon thats why we are thinking in that way. Otherwise in routine cases we don't think in that way.
Hope I have answered your all queries. If you still have any questions then feel free to ask me. I will be happy to answer you again.
Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
The cea has been as follows -
May 3 XXXXXXX 4
July 6
August 8
It is rising right due to this met in liver ?
May 3 XXXXXXX 4
July 6
August 8
It is rising right due to this met in liver ?
Brief Answer:
Rising CEA may be due to metastasis.
Detailed Answer:
Hi,
CEA is the marker for Gastrointestinal tract malignancy. It increases in either recurrent carcinoma or from metastasis. So it can be due to metastatic lesion in liver. However we can't say surely from CEA only.
Hope I have answered your all queries.
If you have still any doubts then you can ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Rising CEA may be due to metastasis.
Detailed Answer:
Hi,
CEA is the marker for Gastrointestinal tract malignancy. It increases in either recurrent carcinoma or from metastasis. So it can be due to metastatic lesion in liver. However we can't say surely from CEA only.
Hope I have answered your all queries.
If you have still any doubts then you can ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
But is the following considered a Rise for mets -
May 3 XXXXXXX 4
July 6
August 8?
The rafiologist on report has stated : appearances keeping with disease progression.?
May 3 XXXXXXX 4
July 6
August 8?
The rafiologist on report has stated : appearances keeping with disease progression.?
Brief Answer:
Yes it is considered as rise.
Detailed Answer:
Hi,
It is considered as rising but not surely we can say that it is due to metastatic lesion. So definitive diagnosis is made only by FNAC or biopsy.
Hope I have answered your all queries. If you have any further questions then you can ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Yes it is considered as rise.
Detailed Answer:
Hi,
It is considered as rising but not surely we can say that it is due to metastatic lesion. So definitive diagnosis is made only by FNAC or biopsy.
Hope I have answered your all queries. If you have any further questions then you can ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
The rAdiologist on report has stated that : appearances keeping with disease progression.
Does this mean another way that liver has a met?
Does this mean another way that liver has a met?
Brief Answer:
He wants to say its likely to be metastatic.
Detailed Answer:
Hi,
Your radioloy report says its likely to be metastatic. In correlation with all findings like rising CEA with history of carcinoma colon its looks like metastatic lesion and suggest disease progression. However it is probable. No any surity is there. It can be someother lesion also.
Hope now I have answered your all queries. If you still have any doubts then you can ask me.
I will be happy to answer you again and again till you satisfied. Thanks for using health care magic.
Wish you a very good health.
He wants to say its likely to be metastatic.
Detailed Answer:
Hi,
Your radioloy report says its likely to be metastatic. In correlation with all findings like rising CEA with history of carcinoma colon its looks like metastatic lesion and suggest disease progression. However it is probable. No any surity is there. It can be someother lesion also.
Hope now I have answered your all queries. If you still have any doubts then you can ask me.
I will be happy to answer you again and again till you satisfied. Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
What is prognosis like for a early liver met ?
Brief Answer:
5 year survival rate is 50% with surgery.
Detailed Answer:
Hi,
Prognosis depends on many factors like patients overall general condition, other comorbid conditions, size and number of liver metastasis, treatment with surgical resection or with chemotherapy etc.
In 1 to 3 liver metastatic lesions of less than 5 cm, If treated with surgical resection of liver with chemotherapy then overall 5 year survival rate is 30 to 50%. In your case you have probably one lesion of 15 mm. So you have high chance of survival with liver resection and chemotherapy.
So if it is metastatic lesion then you should go for surgical resection of liver with chemotherapy according to your doctor's advice.
Hope I have answered your all queries.
If you still have any questions then feel free to ask me. I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
5 year survival rate is 50% with surgery.
Detailed Answer:
Hi,
Prognosis depends on many factors like patients overall general condition, other comorbid conditions, size and number of liver metastasis, treatment with surgical resection or with chemotherapy etc.
In 1 to 3 liver metastatic lesions of less than 5 cm, If treated with surgical resection of liver with chemotherapy then overall 5 year survival rate is 30 to 50%. In your case you have probably one lesion of 15 mm. So you have high chance of survival with liver resection and chemotherapy.
So if it is metastatic lesion then you should go for surgical resection of liver with chemotherapy according to your doctor's advice.
Hope I have answered your all queries.
If you still have any questions then feel free to ask me. I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
But will surgical resection be harsh as my father is 66 and had history if minor attack and pulmonary embolism ?
He had the bowel surgery in march which went well
He had the bowel surgery in march which went well
Brief Answer:
Anaesthetist and your surgeon's call.
Detailed Answer:
Hi,
Yes, if he has history of minor attack and pulmonary embolism, then surgery has some risks. But as you say his bowel surgery went well, then the risks may not be as significant. However final decision depends on risk benefit ratio depends on anaesthetist evaluation and your surgeon. As my expertise are limited towards ananesthesia and surgical treatment, I shall leave this to your doctor to decide whether or not surgery is feasible.
Hop I have answered your all queries.
If you still have any questions then feel free to ask me. I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Anaesthetist and your surgeon's call.
Detailed Answer:
Hi,
Yes, if he has history of minor attack and pulmonary embolism, then surgery has some risks. But as you say his bowel surgery went well, then the risks may not be as significant. However final decision depends on risk benefit ratio depends on anaesthetist evaluation and your surgeon. As my expertise are limited towards ananesthesia and surgical treatment, I shall leave this to your doctor to decide whether or not surgery is feasible.
Hop I have answered your all queries.
If you still have any questions then feel free to ask me. I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by :
Dr. Prasad
My dad saw onco today . They now want to do a pet scan . Why wod this be ?
Brief Answer:
To screen for any other metastatic lesion.
Detailed Answer:
Hi,
You should go for pet scan. Because you have history of carcinoma colon with rising CEA and new lesion in liver. So you need complete investigation to check whether any other lesion outside the liver is there or not. Pet scan is helpful in detecting any other metastatic lesion or growth at primary site. You should go for pet scan according to your oncologist advise.
Hope I have answered your question. If you still have any doubts then you can ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
To screen for any other metastatic lesion.
Detailed Answer:
Hi,
You should go for pet scan. Because you have history of carcinoma colon with rising CEA and new lesion in liver. So you need complete investigation to check whether any other lesion outside the liver is there or not. Pet scan is helpful in detecting any other metastatic lesion or growth at primary site. You should go for pet scan according to your oncologist advise.
Hope I have answered your question. If you still have any doubts then you can ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
You have been very helpfull . The said they are not sure if it's a met. But the rafiologist clearly says in the report there is disease progression .
Why would they not be sure? Surely from a ct they can see the lesion appearance.
Why would they not be sure? Surely from a ct they can see the lesion appearance.
Brief Answer:
Radiologist can see the lesion appearance.
Detailed Answer:
Hi,
Radiologist are able to say from lesion appearance by ct scan. In most of the cases they are right. But in some cases they have limitations. Some benign lesions may look like metastatic. They are saying disease progression so most probably they are right. But final confirmation can be given by pathologist only. Even after surgery also the ultimate diagnosis depends on histopathology only. Otherwise most probably they are sure and they are right.
Hope I have answered your question.
If you still have any doubts then feel free to ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Radiologist can see the lesion appearance.
Detailed Answer:
Hi,
Radiologist are able to say from lesion appearance by ct scan. In most of the cases they are right. But in some cases they have limitations. Some benign lesions may look like metastatic. They are saying disease progression so most probably they are right. But final confirmation can be given by pathologist only. Even after surgery also the ultimate diagnosis depends on histopathology only. Otherwise most probably they are sure and they are right.
Hope I have answered your question.
If you still have any doubts then feel free to ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
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Above answer was peer-reviewed by :
Dr. Yogesh D
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