Scared about "something" in my liver

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Hi everybody,

I am very concerned and have the worst thoughts going through my mind. Hoping to get some answers here or at least kind words from others who went through the same.

The DX was in October 2007, 6x Taxotere/Carboplatin/herceptin, followed by surgery to remove what was left of the tumor (which was nothing), then radiation followed by Tamoxifen. Also I took part in a study with Ibondronate. Everything has always been clear, blood work was always good, no indications whatsoever.

Last week I went to my yearly check-up with my PCP, she of course did an US of my liver and saw something she believed was an Hemangioma. Of course with my past (how I hate that!) she sent me on to have another US with contrast liquid done. This was done today and the doc once again was not absolutely sure of what that was. She also believed it to be an Hemangioma but with the solution they injected she said it reacted differently than it should have as an Hemangioma. She wants to have a CT scan and if that is not clear enough a biopsy. CT scan is planned for next week Friday.

I do not believe I need to tell you what I am going through right now. It's a disaster. I am a disaster. I am torn between wanting to know or not. 

BTW, blood work including tumor marker came back on Monday, absolutely no indication of anything there, CEA normal, 15-3 at 20, which has been normal for me ever since I have been in remission, it seems to range between 18 and 21 for me. 

Has anybody here had something similar? I would appreciate any response. Thank you!

Comments

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2014

    I can't help you but I can share anecdotal information from a friend who was Stage IV ovarian cancer...twice...and is NED after nearly 7 years now.  She told me that she's had several suspicious "things" show up on her liver, and gone through I think two biopsies...they were always clear. I'm hopeful for you because of what you've shared above. Let us know.

    Claire in AZ

  • LadyK
    LadyK Member Posts: 6
    edited March 2014

    Thank you so much for your kind words, Claire. I am totally devastated and am very grateful for hat you wrote.

    Karina

  • AnnAlive
    AnnAlive Member Posts: 450
    edited March 2014

    LadyK - I have a similar situation. A CT scan almost 2 years ago (after chemo-surgery-rads, at end of year of Herceptin) showed what the radiologist described thus:

    “There is a small hypervascular area of
    nodularity in the dome of the liver. This has an indeterminate appearance and
    could represent a small hemangioma among other things. This appears to connect
    with a vessel and could even represent a vascular malformation.”

    My MO wanted a PET scan to check further, but insurance denied coverage. I was ready to go for DIEP flap reconstruction, and because I still had a TE in place, I couldn't have an MRI, so we waited a couple of months and had an MRI of my liver (abdomen) after the TE was removed. It was diagnosed as an "atypical hemangioma" and follow-up was recommended, which my MO decided means compare when I have future scans. These hemangiomas in the liver are very common, usually benign. No liver lesion was mentioned in my early diagnostic scans (MRI, PET/CT) before treatment 3 years ago, so I wonder if it was not present then, and whether chemo could have contributed to it -- nobody will confirm that one for me.

    Last year I had a follow-up MRI and the report describes my liver lesion as
    either a benign hemangioma or benign focal vascular shunting that is stable
    since previous study, no new lesions. No follow-up indicated. 

    Finally a few months ago I had a PET/CT scan, with no evidence of recurrence, but about the liver it says the lesion "does not appear to be associated with elevated metabolic activity on the the PET scan and is compatible with the previous diagnostic considerations of transient vascular shunting or hemangioma."

    I hope your CT scan will be clear, but please don't let them hurry into a biopsy -- so invasive and I have heard it is painful and can bleed. Try to get another kind of scan (MRI or PET) before that. I wouldn't let a PCP decide this. Where is your MO -- still accessible after several years since diagnosis? But do realize that liver hemangiomas are often benign, so try your best to be "calm" while waiting for scans. If you can.

  • carpe_diem
    carpe_diem Member Posts: 1,256
    edited March 2014

    My last two CT scans showed a 1 cm spot on my liver, but nobody seems concerned about it. My mo says she'll keep an eye on it, but since it stayed the same size over three months and my blood work is normal, it's probably nothing to worry about.  Apparently these are fairly common. I hope your CT scan clears things up for  you.

  • LadyK
    LadyK Member Posts: 6
    edited March 2014

    Thank you, everybody, for the kind words. They help me tremendously!

    As I do not need to tell you, it is beyond torture to have to wait another week for anything to happen. I am a basket case.Luckily I have some Lorazepam, that seems to calm me down a little.

    AnnAlive, we moved to another continent due to my husband being in the Forces. My MO is in TX and I have not seen her in more than 3 years. Here in Germany I have not been seen in a cancer center, only by my GYN and "normal" medical docs. When we got here in 2010 I saw no need to go to a cancer center but things run differently here in Germany anyway. The GYN usually does the after-cancer-care.

    Funny thing is, the whole thing is a deja-vu experience. When I was scanned for radiation back in 2008, they found something on my liver and did several CAT and PET scans and decided it did not grow, it must be benign. If I remember correctly my radiologist talked about it being a hemangioma too but obviously I am not sure at all anymore. So many things happened back then, so many scans, so many scares - I eventually "decided" not to listen anymore but to just go ahead, fight and mostly live for my 6 kids. 

    Ever since the DX it's been extremely difficult for me to go and see any doctor. When they hear that I had BC, it seems as if they check double and triple. And I guess we all know: the more you check, the more you find.

  • LadyK
    LadyK Member Posts: 6
    edited March 2014

    ... and I cannot tell you how much it means to read about the experiences here with "something" on the liver. Thank you so much for telling me, it gets my hopes up so very much after my doc today shattered everything again.

    Thank you,

    Karina

  • AnnAlive
    AnnAlive Member Posts: 450
    edited March 2014

    LadyK - it was unsettling for me too, to think after I had made it through treatment that I might actually have metastasis to the liver. But my MO and radiologists were confident the lesion was likely benign, and it required time to see if it changed. It hasn't in almost 2 years, so whew, it seems I got past that one. I spent a lot of time reading these boards and other websites for more information, and liver hemangiomas seem to be a fairly common and benign, often discovered in scans done for other reasons in non-cancer patients too.

    I wish you well on an accurately-interpreted CT scan, and peace of mind while you wait. Let us know how it turns out.

  • LadyK
    LadyK Member Posts: 6
    edited March 2014

    I will let you guys know what's coming out. It will just be another week (oh, how I hat to wait like that!!!!!)

  • mammalou
    mammalou Member Posts: 823
    edited March 2014

    I have elevated liver enzymes and went thru blood tests and ultrasound. They said I had fatty liver.  Then the next week I had a breast MRI and they saw a lesion on my liver that they were unable to characterize.  Went back to ultrasound and it turns out they couldn't see that part of liver.  So, I'm having a CT scan tomorrow.  I am nervous too, but my liver doc thinks it is a cyst.

  • LadyK
    LadyK Member Posts: 6
    edited March 2014

    Mammalou, I will be thinking about you tomorrow and hope it turns out to be nothing. Let us know  what the results are.

  • clarrn
    clarrn Member Posts: 557
    edited March 2014

    Hi ladies!  I'm going to chime in and say that I really appreciate your similar stories.  My CT results today showed hypodensity in sections 5 and 6.  ? Cysts so onto ultrasound to double check.  You have all made me feel much better!   Good luck Mammalou and everyone else waiting for results!

  • sweetbean
    sweetbean Member Posts: 1,931
    edited March 2014

    I just posted on my own thread, but I will update here as well.  My onc saw a spot on my liver that was new - she didn't think it was cancer (she was quite certain) and yet, she wanted to get a second opinion.  Aargh.  So I will have to wait for that.

    She also saw a new spot of slightly increased uptake on my tibia, but she didn't think that was cancer, either.  However, again. second opinion.  I should hear next week.

    If anyone needs me, I'll be holding my breath until then.  Blech. Cancer sucks.

  • clarrn
    clarrn Member Posts: 557
    edited March 2014

    I'll be right beside you holding my breath too!  Sucks indeed!

  • mammalou
    mammalou Member Posts: 823
    edited March 2014

    I'll be turning blue over here too!  Had my CT today and I'm amazed that I am getting better at handleing this sucky cancer wait and worry.

  • clarrn
    clarrn Member Posts: 557
    edited April 2014

    I had my liver ultrasound today.   Official result is a cyst!  Happy dance :)  Hope you all get similar results!

  • wildrumara
    wildrumara Member Posts: 450
    edited April 2014

    That is such great news....clarrn!!!      Chiming in here.  I just posted something about this exact same thing last evening.   What is concerning me is my oncologist said no other imaging studies....she wants to go right into biopsy.  I asked her if it could be a hemangioma and she said "yes, it could be", but I would biopsy this lesion even if the patient didn't have a history of cancer....UGH!!!!  There must be something about this lesion that is concerning.  I don't have access to the report, but she did read it out loud to me over the phone.      I know the ROs have to cover their butts and report anything suspicious for a metastatic lesion on a previous BC patient, but why won't she order additional screening then?   It know this much, its superficial, its 1.8 cm, and in the right upper lobe, and its suspicious for metastatic lesion.....

  • Radiant13
    Radiant13 Member Posts: 2
    edited April 2014

    Hi,

    I'm new to writing but not to the discussion boards. I posted yesterday but i think i was in the wrong forum. I was diagnosed with triple negative, stage 2, no node involvement in February 2012 at the age of 43. I did neo adjuvant chemo of Taxol and CA and had a complete pathological response. I then opted for double mastectomy as my mother had breast cancer at my age too. I then did radiation. I have been feeling great and feeling optimistic. I had my 6 month checkup with my oncologist this morning and he wants to do an ultrasound on my liver as he feels it being slightly enlarged. I'm freaking out right now!!!! Has anyone experienced enlarged liver and if so, what were some of the outcomes?? I have a feeling of being full all the time and generally low on energy. Anyone.

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