This is the 83 y/o man with the abnormal peripheral lesion. The first post generated an interesting discussion on how old is too old to receive treatment. Since then he has had a PET-CT and a bronch. The lesion looks stable (though only 2 weeks had elapsed) on the CT portion of the PET and there was no abnormal uptake. Hi bronch revealed more airway inflammation on the left bronchial tree than I expected, some Hemophilus but no malignant cells. How would follow him and what would you do next?
Suprising that it was without uptake given the way it looked on that 1st CT. Given these results, a f/u CT in 3 months to assess for change would be reasonable.
ReplyDeleteI agree--there is some relative reassurance that even though malignancy is not ruled out, it is not a "highly metabolic lesion" and more likely to be slow-growing if malignant. I think short term follow-up is warrented.
ReplyDeleteAnd, I hope everyone has a safe and happy New Year!
3 months is a consensus.
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