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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This PET Scan Specify For A Person With Stomach Cancer?

My mother in law was recently treated for stomach cancer. After 4 chemo the pet scan has an observation as follows ; quote minimally FDG avid and FDG non avid subpleural fibrotic strands with pleural thickening in bilateral lung fields un quote. She is a an asthma patient also and is taking medicines for asthma for over a decade now. What does thus observation imply?
Wed, 3 May 2023
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General & Family Physician 's  Response
Hi,

The PET scan report suggests that there are subpleural fibrotic strands with pleural thickening in the bilateral lung fields. These findings are minimally FDG-avid and FDG-non-avid. FDG (Fluorodeoxyglucose) is a radioactive tracer that is injected into the body before a PET scan. Cancer cells take up more glucose than normal cells, and as a result, FDG accumulates in cancer cells. The uptake of FDG can be used to detect and locate cancer cells in the body.

In this case, the PET scan report suggests that the fibrotic strands and pleural thickening in the lungs are not actively taking up FDG. This means that they are unlikely to be cancerous. However, the report does not provide any information about the status of the stomach cancer or whether it has responded to the chemotherapy.

Discuss the PET scan results with the treating physician to understand the findings and the treatment. The fact that the patient has asthma and has been taking medication for it for over a decade is also relevant and should be taken into consideration when developing a treatment plan.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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What Does This PET Scan Specify For A Person With Stomach Cancer?

Hi, The PET scan report suggests that there are subpleural fibrotic strands with pleural thickening in the bilateral lung fields. These findings are minimally FDG-avid and FDG-non-avid. FDG (Fluorodeoxyglucose) is a radioactive tracer that is injected into the body before a PET scan. Cancer cells take up more glucose than normal cells, and as a result, FDG accumulates in cancer cells. The uptake of FDG can be used to detect and locate cancer cells in the body. In this case, the PET scan report suggests that the fibrotic strands and pleural thickening in the lungs are not actively taking up FDG. This means that they are unlikely to be cancerous. However, the report does not provide any information about the status of the stomach cancer or whether it has responded to the chemotherapy. Discuss the PET scan results with the treating physician to understand the findings and the treatment. The fact that the patient has asthma and has been taking medication for it for over a decade is also relevant and should be taken into consideration when developing a treatment plan. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician