Treatment FAQ

after chemo is complete and pet scan done what is the treatment if the cancer still remains

by Mr. Tito Schmeler DDS Published 3 years ago Updated 2 years ago

Because of this concern, which is greatest shortly after local treatment, people have generally recommended that PET scans not be pursued until at least 3-6 months after treatment because of the high risk for false positive results (scan shows abnormalities that aren’t really cancer), and also that any areas that appear suspicious on a PET should be confirmed as cancer with CT imaging and a biopsy before pursuing any interventions against presumed cancer.

Full Answer

Is a PET scan recommended before chemotherapy?

It is understandable that you are anxious about the unexpected phone call regarding the PET scan. However,there have been studies where PET scans have been carried out before chemotherapy in patients with NSCLC who received standard chemotherapy and then another PET scan repeated during or following a few treatment cycles.

Should a pet be done after chemo?

PET Scans for Follow-up of Patients After Surgery or Chemo/Radiation. We know PET scans can provide additional metabolic information that can be more sensitive and specific for cancer than chest x-rays and even CT scans in the initial staging of lung cancer (see prior post on introduction to PET scans ). PET scans are now nearly universally ...

Why is my doctor recommending a PET scan?

  • Lung cancer
  • Lymphoma
  • Colorectal cancer
  • Melanoma
  • Head and neck cancer
  • Breast cancer

What is the next step after a PET scan?

What happens during the scan

  • Radiotracer injection. The radiotracer is injected into a vein in your arm or hand about an hour before your scan, as it takes time for it to reach the right ...
  • The scan. During the scan, you lie on a flat bed that's moved into a large, cylindrical scanner. ...
  • After the scan. ...

What is the next step after a PET scan?

After your PET scan, a very small amount of radioactive sugar will remain in your body. So, be sure to drink plenty of water to help flush it out your system. You don't need to follow any special dietary restrictions or guidelines after your PET scan.

How do you know cancer is gone after chemo?

How Do You Know You're in Remission? Tests look for cancer cells in your blood. Scans like X-rays and MRIs show if your tumor is smaller or if it's gone after surgery and isn't growing back. To qualify as remission, your tumor either doesn't grow back or stays the same size for a month after you finish treatments.

Why do I need a biopsy after a PET scan?

Background CT-guided biopsy is an established test in the work-up of lung cancer. F-FDG PET/CT provides diagnostic information regarding the metabolic activity within a tumour, and may help to guide a biopsy procedure and reduce false negative biopsy results.

How long after last chemo should PET scan be done?

The appropriate timing of the PET/CT study for maximum accuracy is important. To avoid false-positive, results, the best time to perform a PET/CT study is 8-12 weeks after completion of chemotherapy and radiotherapy. Postoperative inflammatory changes are seen till about 12 weeks or, at times, longer.

What are the signs of cancer coming back?

Warning signs of a distant recurrence tend to involve a different body part from the original cancer site. For example, if cancer recurs in the lungs, you might experience coughing and difficulty breathing, while a recurrence of cancer in the brain can cause seizures and headaches.

Can cancer spread while on chemo?

While chemotherapy is one of the oldest and most successful ways of treating cancer, it doesn't always work. So, yes, cancer can spread during chemotherapy. Spreading could mean the tumor keeps growing, or that the original tumor shrinks, but cancer metastasizes, forming tumors in other areas of the body.

Does a PET scan show all cancers?

PET scans detect areas of activity (like cell growth) in the body. More radioactive material collects in cancer cells than normal cells and will appear brighter on the image. Not all cancers show up on a PET scan. PET scan results are often used with other imaging and lab test results.

Is no news good news after a PET scan?

If you have had a recent scan, blood test or other kind of medical investigation, the best policy to adopt is “no news is bad news”.

How many PET scans can you have in your lifetime?

But these tests can be expensive and aren't recommended by experts as the first option for long-term monitoring of cancer survivors. Medicare limits follow-up PET scans for cancer survivors to three per patient, the study authors noted.

Why do I need a PET scan after chemo?

A PET or PET-CT scan may be helpful if your doctor suspects your cancer has returned, based on your symptoms, a physical exam, or other tests. A scan may also be recommended if you were treated for advanced cancer and your doctor needs to find out if your most recent treatment was effective.

How many PET scans should you have?

"With the CMS requirement that there be no more than three PET/CT scans covered after the first line of treatment, that's looking at it in a depersonalized way that may be harmful to patients on an individualized basis," Copeland says.

Is PET scan needed after chemo?

A positron-emission tomography (PET) scan immediately after treatment with chemotherapy can identify patients who have a very good outcome without additional radiotherapy, according to a study published in the New England Journal of Medicine.

Why do we need a PET scan?

PET Scans for Follow-up of Patients After Surgery or Chemo/Radiation. We know PET scans can provide additional metabolic information that can be more sensitive and specific for cancer than chest x-rays and even CT scans in the initial staging of lung cancer (see prior post on introduction to PET scans ). PET scans are now nearly universally ...

What is PET scan?

Unlike CT scans, which are great at discerning shape and size of internal parts of the body, PET scans are metabolic studies that hold the promise of distinguishing between residual viable cancer and non-viable scar tissue after surgery or radiation.

Can PET scans improve cancer?

The concept that PET scans will improve our ability to detect curable recurrences or new cancers hasn’t yet been supported by any evidence of better survival or quality of life in patients. In the face of such a confusing situation, there’s a lot of variability in what oncologists actually do.

Is a PET scan considered a stage IV?

PET scans are now nearly universally employed in the initial workup, at least of patients who have NSCLC and aren’t already known to have stage IV disease.

Can PET scans be sensitive?

My general philosophy is that PET scans can be so sensitive but non-specific, especially after chemoradiation with or without surgery for stage III NSCLC, that changes in the absence of CT findings can too often be an anxiety-laden wild goose chase.

What is the life after chemo?

Life After Chemo. Life after chemo may be filled with challenges along the way – you may find yourself having to adjust to a new normal. Whatever the case may be, it’s important to try and maintain a sense of positivity. Your biggest battle has been fought and won – now you get to look forward to life after treatment.

How does chemo affect your life?

First and foremost, you may be noticing some physical changes in your life after chemo. Chemotherapy works by destroying cancer cells that grow and divide quickly – unfortunately, this sometimes results in fast-growing, healthy cells also being affected.

How to know if you have neuropathy after chemo?

Up to 70 percent of cancer survivors may experience some form of peripheral neuropathy after chemotherapy is finished. We’ve written extensively about this topic on another blog post because many people desire to know how to reverse neuropathy from chemo. Typically developing in the feet, hands, and legs, neuropathy is a common condition that comes with some very identifiable symptoms, including: 1 Numbness 2 Shooting or stabbing pain 3 Burning 4 Tingling 5 Muscle weakness 6 Inability to keep your balance 7 Sensitivity to cold or heat

How many cancer survivors will be there in 2026?

As cancer treatments are further refined and innovated throughout the course of time, more and more people find themselves cancer-free. As of 2016, there were an estimated 15.5 million cancer survivors in the United States – this number is expected to grow to 20.3 million by 2026. Of course, many survivors may be asking themselves ...

How long does skin change after chemo?

Your skin changes may last for a few months, but could last longer depending on your treatment. Fortunately, many can be easily detected and, eventually, mitigated.

How long does it take for cancer to return to normal?

In most cases though, your energy levels should return to normal within six months of completing treatment .

Is Camwell hand to heal cream toxic?

CamWell Hand to Heal Cream is the perfect solution for skin conditions such as Hand Foot syndrome you may be coping with – users have even said that it’s helped calm their symptoms of peripheral neuropathy! Every bottle of Hand to Heal Cream is non-toxic, hypoallergenic, and contains no harsh chemicals.

What to do after cancer treatment?

Cancer survivors: Care for your body after treatment. Simple steps can improve your sense of well-being and your quality of life after cancer treatment. Find out what you can do. By Mayo Clinic Staff. After your cancer treatment, as a cancer survivor you're eager to return to good health. But beyond your initial recovery, ...

How to help cancer patients recover faster?

Regular exercise increases your sense of well-being after cancer treatment and can speed your recovery. Cancer survivors who exercise may experience: Adding physical activity to your daily routine doesn't take a lot of extra work. Focus on small steps to make your life more active.

How to prevent cancer from recurring?

Opt for healthy sources of carbohydrates, such as whole grains, legumes, and fruits and vegetables. This combination of foods will ensure that you're eating plenty of the vitamins and nutrients you need to help make your body strong. It's not known if a certain diet or certain nutrients can keep cancer from recurring.

Why do people with cancer sleep so much?

Sleep problems are more common in people with cancer, even survivors. This can be due to physical changes, side effects of treatment, stress or other reasons. But getting enough sleep is an important part of your recovery.

How to get over cancer?

With your doctor's approval, start slowly and work your way up. The American Cancer Society recommends adult cancer survivors exercise for at least 150 minutes a week, including strength training at least two days a week. As you recover and adjust, you might find that more exercise makes you feel even better.

How to improve long term health after cancer?

The recommendations for cancer survivors are no different from the recommendations for anyone who wants to improve his or her health: Exercise, eat a balanced diet, maintain a healthy weight, get good sleep, ...

What to eat when you have cancer?

Vary your diet to include lots of fruits and vegetables, as well as whole grains. When it comes to selecting your entrees, the American Cancer Society recommends that cancer survivors:

What happens after cancer treatment?

A: We hear from many patients that the time after completing active cancer treatment is a time when they feel ‘unsettled’ and worry about an uncertain future. Some may even feel anxious about the possibility that the cancer could return and worry they may not be doing enough to catch any signs early enough. It is also important to note that many patients still have unpleasant symptoms related to their treatment for months or even years after treatment ends. Unfortunately, it is common for patients to experience fatigue, difficulty sleeping, problems with memory, persistent pain or tingling from neuropathy, and emotional distress.

How to deal with cancer fears?

Information and education are essential to regain some control. Sharing one’s fears and worries with loved ones, a support group, or seeking professional help can and will bring relief. It is normal to have many concerns after completing treatment for cancer and important to feel supported and accompanied in this journey.

Do cancer survivors want to give back?

Many cancer survivors want to give back, and you will find them volunteering or acting as advocates at cancer clinics and philanthropic organizations. It's also important to recognize that many cancer survivors face an uncertain future and feel unsettled.

Does cancer affect the family?

A: Cancer affects not just the individual who received the diagnosis, but the entire family unit . Caregivers and well-wishers help support a patient during cancer treatment, and their love, support, and worry will continue after treatment as well. This means they may also need their own emotional support during this time.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9