PET scan query

Former Member
Former Member
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Apologies if this has been asked before.  My husband was recently diagnosed as having a lung mass during a routine X-ray on neck for another unrelated issue. A follow up CT scan of full lungs was arranged and MRI.  The specialist nurse confirmed the CT showed the mass was not any larger than was originally seen and stated there was no evidence of spread including to lymph nodes.  A PET scan has now been arranged.   We are realistic to know this could be lung cancer but is it correct that the CT would have identified spread to lymph nodes or is it still possible that the PET could identify spread?

  • Although it's often called a PET scan, it's actually a PET-CT scan.  It can provide information that a CT scan doesn't.  Areas which show uptake above normal are suspicious for cancer, so it can detect things which might not show on a normal CT scan.

    It's not a diagnostic test, though,  It's often not done until after a biopsy as it's most common use is to clinically stage a cancer in order to guide treatment,

  • Former Member
    Former Member in reply to Lolie

    Thanks - i thought they would have done a biopsy first but I guess, like so many others, we just have to try and stay patient and await results 

  • Hi Hopeful51

    I'm in the same position as your husband my PET scan is tomorrow. They were going to do a biopsy using navigational bronchoscopy but at the MDT my team decided that it’s too tricky to get to and a waste of GA so they’re checking to see if I’ve a spread with the PET before operating 

    They gave me a choice. 
    watch and wait. ,SABR targeted radiotherapy or operate  I chose the operation if it’s contained I want it in the bin 

    Good luck 

    Ann
     ‍Art

  • I've had it done both ways.  Biopsy followed by PET-CT and PET-CT followed by biopsy.

    There is a risk of pneumothorax with a biopsy, so having a better idea of whether it's localised can help decide on whether that risk is warranted.

  • Former Member
    Former Member in reply to Artsie

    Thanks for explaining- hope it all goes well for you both too Fingers crossed

  • Former Member
    Former Member in reply to Lolie

    Thanks for explanation - just have to learn a bit of patience

  • That’s the tough part being a patient patient. It’s definitely not easy x

    Ann
     ‍Art

  • Hi PET scan complete. Twas walk in the park. As I had to stop food at ten thirty I had a lovely take away a real treat after which was 7pm so although I was radio active I still managed a night out 

    Ann
     ‍Art

  • Former Member
    Former Member in reply to Artsie

    Glad it went ok for you and you can get the op soon and begin your recovery

  • Former Member
    Former Member in reply to Lolie

    Hi, 

    I had the PET scan first to see what glows. They are going to do the biopsy next to confirm that my glowing mass in my lung is indeed cancer.