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health question. Cancer, actually.


Jason X
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Hey all. I have come to very much respect and appreciate the insight and (majority) of opinions on here.

 

As mentioned in my introductory post, I kind of "have" cancer.

 

It's a skin cancer (malignant melanoma, the one that CAN kill people...) that was excised (cut out) a bit over a year ago. I've had two ct scans since then, but my oncologist has wanted me to get a petscan since this whole thing happened. The surgery went fine, my sentinal node (the closest node to the site of the cancer- if the cancer is in there, it's bad news...) came back negative and subsequent scans have shown no new growth.

 

So, now I need to get another scan. The Ctscans are covered by my insurance, but not as sensitive as the petscans, which are quite a bit more expensive. In the past, my oncologist has pushed me towards one, but I can't really afford it, or, maybe more appropriately, I don't want to afford it. This time, after the last checkup, she suggested I do it again, but told me she can "live with" another ct since they've always come back fine and my blood values have been consistently good.

 

She thinks the petscan is a good idea. She would like for that to happen. She also thinks that it would be an acceptable solution to just get another ctscan and still keep up on it. She said if the petscan came back negative we could call it finished and be done with it (keeping on the dermatologist check ups only).

 

So, should I get the petscan and be done, or deal with another ct scan and maybe a year of checkups every couple months? I don't want to spend the money, but I'd just as soon get the all clear. I'm not terribly worried about it, because since the initial occurance there has been no signs that the cancer is back or growing. Seems to me that it might be money that I don't really need to spend. Seems like more of a peace of mind (which I already have) and a "standard procedure" thing.

 

But I digress. I'm not asking for hard and fast "do this"'s, but just a dialogue and any potential prior experience.

 

Thanks!

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I think this is a tough question and I wouldn't dare to give you a "yes" or "no" and I hope nobody else will since this is nothing one should give advice on an internet board. I don't know how sensitive a PET CT is regarding possible micro metastases. That is something you'd have to ask an oncologist or someone who's specialised in nuclear medicine.

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  • 13 years later...

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