Stage 3C - Should I have annual PET/CT?
Basically, my subject line says it all. I had a PET initially last June after my diagnosis and nothing since then. I am FREAKING OUT now. I feel like I should have one every year to check for mets.
Is anyone this stage and not have scans?
How should I argue this with my oncologist?
Thanks,
Melody
Comments
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Most oncs only scan upon symptoms. Do you have any symptoms that are freaking you out?
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it's a hard call! your peace of mind is worth a lot! on the other hand there is the negative impact of the radiation exposure from the scans. i went to a lecture that talked about how much radiation we incur when scanned...the scans themselves can be carcinogenic! mri is safer but pricey and insurance won't approve it in the absence of some specific symptom. i'm with you, i would love to be scanned from head to toe every year, just to know i'm all good. but then i think about 'saving' up my scans for when i really need them. the whole thing is awful and nervewracking for sure.
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Same here....Only with Symtoms
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Thank you both for the reply. The only "symptom" I currently have is some back/hip pain, which I believe is from falling about a month ago. I did have a bone scan in March and that showed a small area of activity that my oncologist felt was probably due to just having finished rads.
The problem for me is that if I wait until I have a symptom to scan, I think I will go crazy thinking every little thing is a symptom. I'm prone to headaches and would never have thought twice about getting them before being diagnosed. Now, my first thought is brain mets. It's all so scary, and I hate it. I don't want my life to be like this and be constantly worried.
I just don't want to be too far gone if they find something in the future. I mean, if I'm waiting for symptoms, won't I be pretty bad off if I have mets to my liver, etc?
I really hate this "new normal." It's not fun.
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I wanted the same thing. Doc said they only do them when you have symptoms. SUCKS!!!
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some docs do them every year....and some just wait until there is something going on. often times; they just do a localized scan..to look at a specific area. i have had probably only 3 PET/CT scans in 8 years. sometimes just an x ray..or regular ct scan works. i know it is hard when you are feeling things; but they also look at blood work and tunor markers. remember;, it is a combination of tests often times that warrant a PET
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My onc is a scans only with symptoms guy. I believe the feeling is whether through initial scans or scans because of symptoms makes no difference to tx or outcomes. So why go through the anxiety (and expense) of scans?
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I heard a doc on TV saying that a person shouldn't have more then three ct scans in a lifetime if possible. Remember that radiation does not leave the body, just as it doesn't leave soil, or an area, for many years. PT scans involve radioactive dye, as do bone scans. I would have them initially, but look at your treatment - you've got a "good" kind of cancer, I assume they're controlling it with the tamox, plus you've had the added benefit of the chemo and looks like you had avastin too. :0) I'm considering that also. You've got a LOT of layers of protection there!
A PT or CT won't show everything either; you can still have mets and they won't show up. So I would say the risk outweighs the benefits. Of course we all want to "know" for 100 percent sure, but there just isn't a way to do that; I'm coming to that conclusion of the past month of panic.
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oops-sorry; replied to the wrong message!
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thinking that you will have long term survival....another consideration is that the contrast ...dye..they inject for MRI, PET and CT scan..over a period of time...can harm your kidney's. so, for me, i dont really want a lot of scans done..and i am 8 years out and plan on another 30 years.
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Wow, I didn't even think about the kidneys, Diana. I may not want the scans then since I currently have kidney damage from the Avastin trial I'm on. Good point!
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My onc also will do scans only with symptoms. Last week at my regular checkup I mentioned have some lightheadedness and she immediately ordered a ct of the brain. All was ok. It turned out I was just not drinking enough.Make sure you are not dehydrated as this can cause this problem. I think we will always feel everything is related to the cancer but then again I think thats ok. I will just always let her know when something is not right and let her take it from there. The onc said we will have symptoms before it will show on the scans.
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I worry about the scans to but have had so many multiple symptoms I don't see a way around them right now. Still waiting on chest CT results from Monday for the pain I've been having from my breast area up though my collar bone and into my neck and shoulder. BLAH, this stinks!
Take care all,
Sharon -
just ask for the first one.
good luck
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In the past month I had lighehadness( turned out from Rads) gone now-vison problems (thought I had brain mets) turned out my vision improved and needed new perscription and lower back pain that I KNEW I pulled a muscle while working out I could even remember it happening but still thought it was bone mets. (that pain went away too)
Totally sucks but part of our new normal. I was told it gets better the farther out you are!
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