Lung nodules??

Sometimes it does bypass the liver.  I would not wait six months (neither would your oncologist if it was him/her in the same situation).  Push for a pet scan.  Insist they rescan in two to three months.

Chelsea

Since you have concerns, how about getting a second opinion from a pulmonary specialist? 

I personally would not feel comfortable waiting 6 months...3 perhaps...in order to see if there is growth especially since your cc is more aggressive.

Bottom line is, when in doubt about what one doc says...get another opinion.  The more info you have, the better.

Marie who loves kitties

Hi Cathy,

In my personal opinion...I'd be making an appointment with a new oncologist by tomorrow morning since signet ring requires a more aggressive treatment strategy than other types of colon cancer.

All my best,

Cynthia

I am currentlynina similar situation. My last scan showed some lung nodes. It looks like five. They are all smaller than 5mm. However, I had some really small spots on a previous scan which indicates that they are likely mets. I was told that the typical standard of care when there are suspicious nodes is to wait three months from their appearance and scan again. This is to remove the possibility that the spots are related to something other than cancer, for example inflammation from a cold or allergies. I would not wait six months. I would also ask to see your ct reports to see if they were previously noted and have grown, rather than just appeared. 

I sought a second opinion and a surgical opinion. My case also went to the tumor board of my hospital. The consensus was that there are too many and too small to deal with surgery or cyberknife. So, it's off to chemo I go in hopes of it stabilizing things and perhaps some of the really tiny ones will magically disappear. The hope is to get to surgery. 

Advocate for yourself. Push for an earlier scan and a second opinion. 

I have been in "watch and wait" mode for a couple of years now.  I was being given PET/CT scans every three months; because the PETS are so sensitive if something showed that didn't have a very high SUV (indicating rate of cellular activity), we would wait for the next scan to see what was going on.  When something got big enough to show up on the CT part of the scan (backed up by the PET findings), then it was off to surgery.

The PET would indeed help to indicate whether or not these little things are actually cancer.

If it was me, I would want a PET, and a rescan with both PET and CT in 3 months.

Just be forewarned, the PETs are pricy and many insurance companies balk at doing them.  I had to threaten mine with legal action before they would pay for it (and this was after it had been definitively proven that the CT was unable to pick up my tumors until things were very advanced).

If you can get an onc on your side to help push for this approach, it may help.

Good luck!  And keep us posted on how things go.

AA

Glad to hear you are getting a second opinion.  I would be uncomfortable waiting for 6 months to be rescanned.  We were on a wait and see on lung nodules but my last CT scan in May showed abdominal nodes.  Against my better judgement I had a PET scan.  I had wanted to go straight to surgery on the abdomin but I agreed on the PET. I just didn't think a PET, another scan was necessary and  I was right.  The PET showed the exact nodes lighting up in my chest and abdomin that the CT did so we went with a Bronchoscopic biopsy tosee for sure if the lung nodes were cancer or not.  Luckily the nodes in my chest were not cancer!  I had the abdominal surgery and the two nodes that lit up were cancer.  While the surgeon was in there he looked around and found 4 other cancer nodes that didn't show up on either the CT or PET. We think we got them all now.  On anothter note.....my CEA since diagnoses has always stayed a 3 which for the test they do is in the normal range. My last CEA was a .56.  My sick mind is allowing me to think all of the cancer is gone now.  It keeps me in my happy place.