In Hospital Still.... Just Got MRI Results

idlehunters
idlehunters Member Posts: 1,787 Member
edited March 2014 in Colorectal Cancer #1
Well.... primary care doc came in with results. There is a spot on the MRI. Om my right buttock area. They are not sure yet what it is. It is either a fracture in my pelvic bone... could be a mestatic area.... or could be swelling. Test did not confirm any of the above. Doc said since I was just DX remission Dec. 1st she is not leaning towards cancer. BUT... she of course can't swear to that without further testing. I feel no pain in my lower back. All pain IS in my right cheek...does your pelvic go into the back of your right cheek...that don't seem right....I thought your pelvic area was in front??? Bone doc said the other day that an injury from the same fall in that area is very likely. That just leaves me with swelling.... I am not feeling that. If it is fractures.... we are talking surgery... they all ready pulled me off chemo....why? as a precaution Onc said...he has not seen MRI yet. Now I am really confused. To make matters worse. I got my CEA from yesterday back. I was at 2.8 last time..... now it is 4.9...that concerns me. Onc's office said it is still within normal limits...what??? huh uh! But at any rate they said the CEA is going to fluctuate because of the injury...the pain...and the new drugs...meaning the pain patch... especially the Dulauded and the valium. Also.... now they have to put me on blood pressure meds cause since I have started taking this dilauded my pressure has gone to 165/95. I always run 120/80 area. Come on.... I need opinions...what you all think? Don't hold back on me

Jen

Comments

  • AnneCan
    AnneCan Member Posts: 3,673 Member
    #2
    Sorry to hear that you have
    Sorry to hear that you have to deal with this. I don't have knowledge in this area, but I want you to know I am thinking of you. Take good care!
  • Sundanceh
    Sundanceh Member Posts: 4,392 Member
    #3
    BP Patch
    Jennie

    There is a blood pressure patch called Catapres, I believe - you stick it on and it will lower your blood pressure - I used it one time when I was in the hospital many moons ago.

    And 0-6 for CEA, is within limits - 0 to 3 for non smoker and 3-6 for smoker, so even if you don't smoke, you are still in range - I know you are anxious, but just watch it.

    I hope things can get better for you - from Arlington to the hospital in 2 short weeks, unbelievable.

    I'm waiting to hear from you how things go.

    -Craig :)
  • dianetavegia
    dianetavegia Member Posts: 1,942 Member
    #4
    Jenny, found this
    Jenny, found this encouraging info:

    Isolated pelvic hot spots at PET/CT imaging in an oncological population are not common and usually benign; physiological endometrial or ovarian uptake is the single commonest cause. (Hormones or period, etc.)

    Irrespective of the considerations above, one clear result of our study is that solitary pelvic hot spots appear unlikely to represent metastatic disease. We had only one case (1/8, 12.5%) of malignant disease in our series, but not related to metastases. This is an important result that may provide reassurance to an anxious patient and allow for a more conservative approach to the work-up of such a finding. It is also worth noting that an isolated pelvic hot spot might give rise to greater concern in community practice, where PET/CT studies are often performed without intravenous iodinated contrast.

    Click for whole article

    It actually says even leaked urine can cause a 'hot spot'. Meanwhile, I'm praying, my friend. The devil is trying to steal your joy!
  • Buzzard
    Buzzard Member Posts: 3,043 Member
    #5
    dianetavegia said:

    Jenny, found this
    Jenny, found this encouraging info:

    Isolated pelvic hot spots at PET/CT imaging in an oncological population are not common and usually benign; physiological endometrial or ovarian uptake is the single commonest cause. (Hormones or period, etc.)

    Irrespective of the considerations above, one clear result of our study is that solitary pelvic hot spots appear unlikely to represent metastatic disease. We had only one case (1/8, 12.5%) of malignant disease in our series, but not related to metastases. This is an important result that may provide reassurance to an anxious patient and allow for a more conservative approach to the work-up of such a finding. It is also worth noting that an isolated pelvic hot spot might give rise to greater concern in community practice, where PET/CT studies are often performed without intravenous iodinated contrast.

    Click for whole article

    It actually says even leaked urine can cause a 'hot spot'. Meanwhile, I'm praying, my friend. The devil is trying to steal your joy!

    CEA........no concern right now
    My onc after questioning him of the same question..My CEA was less than 0 the first time (don't ask me how), the 2nd time it was 1.4 and this time it was a 1.9 I ask if it was rising for a reason. He said that they do not worry in the least if it seems to be a good indicator for us until it jumps double or triples or skyrockets . He said there were to many variables that play into it to worry about minute' changes such as those so I would not give that a second thought young lady..Love and Hope, Buzz
  • pokismom
    pokismom Member Posts: 153
    #6
    Hang in there!
    Hang in there Jenny, I hope all goes well! Sending you good vibes from Hawaii!
    Much love
    Donna
  • idlehunters
    idlehunters Member Posts: 1,787 Member
    #7
    pokismom said:

    Hang in there!
    Hang in there Jenny, I hope all goes well! Sending you good vibes from Hawaii!
    Much love
    Donna

    Here is MRI Report
    They would not let me have it....just read it.... so I took pic's of document so I could forward to you all. What u think?
    Impression:
    1. Abnormal signal of the right sacral ala with associated enhancement. This could represent an insufficiency fracture. Alternatively, a metastatic lesion with or without pathologic fracture is another possibility. Recommend pelvic CT scan to evaluate for subtle fracture. A whole body bone scan may also be useful to evaluate other potential sites of osseous metastasis.

    2. Mild lumbar spondylosis without significant spinal canal or foraminal stenosis

    On October 26, 2009 I was in the hospital with horrible back pain and at that time findings:
    Lumbar spinal alignment and curvature is normal. There are no compression fractures or spondylolisthesis. No suspicious marrow replacement is identified. There is very minimal disc desiccation diffusely without significant loss of disk heighth, stable. Fatty marrow signal parallels the superior end plate anteriorly at nearly all lumbar levels and is associated with some small anterior osteophytes. No discrete enhancing lesions are noticed within the lumbar spine.


    I don't know if anyone can make heads or tails out of this but PLEASE...feel free to explain it to me if you do. Thanks sooooooooooooo much

    Jen
  • sfmarie
    sfmarie Member Posts: 602
    #8
    I'm thinking
    It is just swelling and that your CEA is indeed within normal. You keep up the positive vibes. It all sounds good.

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