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PET SCAN Report
HEAD&NECK:
Brain parenchyma is normal. (Please note: FDG PET-CT may have low sensitivity for
brain lesions).
.FDG avid (SUV max. 34.7) enlarged right levelI and ll cervical nodal lesions
seen, largest one measures (TRA) 3.3 x (AP) 3.6 x (cc) 5.2 cm, the lesions
cause compression of right IJV.
Thyroid gland appears normal.
THORAX:
Linear atelectatic bands seen in left lower lobe of lung. No pulmonary nodules seen.
.No pleural or pericardial abnormality seen.
No significantly enlarged mediastinal lymphnodes seen.
Mild diffuse increased FDG activity (SUV max. 3.5) seen in thymus -
likely
physiological for age.
Subcentimeter sized non-FDG-avid right axillary node seen. IMPRESSION:
FDG avid enlarged right level II and ll cervical nodal lesions seen -
likely represent lymphomatous lymphadenopathy. Suggested HPE correlation. No significant metabolically active disease seen elsewhere in the body.
Answers (4)
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Should get a excisional biopsy from the largest cervical Lymph node and IHC . It looks like early stage lymphoma.
Next Steps
consult a clinical hematologist or oncologist, surgeon and do cbc, pbs, LDH, LFT, RFT, biopsy and IHC.
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Be calm, watch for fever, weight loss, sweating etc
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Will need complete excision of the lymph node followed by histopathological examination along with IHC if needed.
Kindly show to a oncosurgeon to ensure complete excision without any spill.
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Do have any symptoms of fever, night sweat, weight loss, ear ache, difficulty in swallowing, voice change, ulcer in oral cavity.
Next Steps
excision of lagest cervical lymph node
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Dr. Shubham Jain
Surgical Oncologist
20 yrs exp
Delhi
Need a biopsy of the neck node to decide further management. Please consult for further advise.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.