No need for pet scan
Comments
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Staging
Hi WA,
You might want to read up further as there is ample information on how staging works but in very brief terms the T is related to the Primary 'T'umor and it's number relates to the size where a T1 has a size of 2cm or less. The N is related to Regional Tumor (ie to the lymph 'N'odes) and N1 is mets to one node (maybe more) generally where the tumor hasn't extended into surrounding tissue (good). The M is related to Distant 'M'etastasis, where M 0 mean no distant mets are detected (good) so there is no apparent cancer spread to other parts of the body.
There are 2 categories of Stage II (IIA & IIB). Yours would be IIA as you have the lower numbers in the T,N & M's (good).
The staging method is not a perfect science but the best available and now used & internationally accepted as a standard so Doctors and research people can compare results with people who have the same staging and hence they can make better comparisons and also know what the best course of treatment to apply for a particular stage (a bit like a Doctors recipe book for treatment).
Hope this clears it up a bit.
I would keep a close eye on your chest condition. Could be a pulled/ strained muscle, back or rib slightly out, infection or something more sinister. We need to be fairly vigilant for any signals. The tough part is a small thing can set off alarm bells unnecessarily as the saying goes 'Cancer survivors don't get headaches, we get brain tumors' i.e. we worry at every little twinge. Finding the right balance and reaction is a personal decision but dont leave a continuing problem for any length of time. Get it checked.
Regds
Scam0 -
way to go!
I am so happy that the dr doesn't think you need another PET scan...that tells me he thinks you are doing great! and stage 2...that is also great news! I would probably see my doctor, but you might just have a cold...there is a doozy of one going around, and it leves your chest tight. congrats again!0 -
Sounds good...
Sounds like you are doing great!! I had to laugh when I read that you had just now asked your doctor about the staging because I thought I was the only one who felt this way I think I was about 6 or 8 months post treatment when I finally asked my rad onc what stages my cancers were at. I think it was mostly fear but then I realized that part of my fear was of the unknown and I did feel a little better after talking with him. The lung cancer was stage 1a and the laryngeal cancer was T3N0M0, which is actually pretty good from what I understand. I know it means stage 3 with no lymph involvement and it had not metastasized.
I'm glad Scam explained all of this because while I sort of understand the staging I don't explain it as clearly as he does.
I have not had the chest tightness but if it continues and you are still concerned I think you should see your doctor, it is probably nothing but there's no sense taking chances, especially this time of year.
Congrats on your great check up!! Stay well and enjoy your holidays!!
Glenna0 -
PET
Glad to hear your news...
I'm kind of partial to having the follow-up PET, if nothing else as a confidence builder. I'm just wondering if it's an Insurance decision.
I can't think of many on here that haven't been followed up with a post PET. Not saying there hasn't, I don't know. But I know that there have been many that have had it.
Best,
John0 -
Thanks JohnSkiffin16 said:PET
Glad to hear your news...
I'm kind of partial to having the follow-up PET, if nothing else as a confidence builder. I'm just wondering if it's an Insurance decision.
I can't think of many on here that haven't been followed up with a post PET. Not saying there hasn't, I don't know. But I know that there have been many that have had it.
Best,
John
Hi John, thanks for the follow up, in Australia we don't have the Insurance problem that you guys have, it is all paid for by the Government, very good medical support over this part of the world. I can't believe how many problems you have with fighting with the Insurance companys it must be frustrating. We just have treatment and it's all free, no bills, no invoices, just go home. In regards to follow up, I can have a scan if I want one, and one part of me says DO IT and the other part of me says, enough radiation. Bit stuck on that one. I know that having a scan would give peace of mind, but, strangely enough I have peace of mind at the moment.
Cheers Jen0 -
Understandpascotty said:Thanks John
Hi John, thanks for the follow up, in Australia we don't have the Insurance problem that you guys have, it is all paid for by the Government, very good medical support over this part of the world. I can't believe how many problems you have with fighting with the Insurance companys it must be frustrating. We just have treatment and it's all free, no bills, no invoices, just go home. In regards to follow up, I can have a scan if I want one, and one part of me says DO IT and the other part of me says, enough radiation. Bit stuck on that one. I know that having a scan would give peace of mind, but, strangely enough I have peace of mind at the moment.
Cheers Jen
I'm lucky in that my employer has very good insurance...
I can understand your thoughts and feelings on added exposures...
Best and Happy Holidays.
John0 -
Jen, I've not had anotherHondo said:Hi Jen
That sounds pretty good just make sure to keep your visits with your ENT when they come due, take care and keep doing great.
Jen, I've not had another PET since the first one to try and find my primary. (which showed nothing but my tumor that metastisised to my lymph node/ salivary gland.) My RO said it's a risk vs benefits thing. He decided enough radiation for me too. As far as CT scans go, I am also allergic to diagnostic dyes. Yes, part of me wishes that I would get to meet NED. Have someone check me out and not see anything.0
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