※ 引述《havesomefun (Handsome)》之铭言：
: 已经做了六次的化疗(AVD+标靶)，并做了期中的正子摄影
: 可以帮我先看看病理报告吗？ 之后就要回诊了，好紧张
: PROCEDURE for FDG Before whole body survey, the patient was required to fast
: for at least 4 hours. Blood sugar level was measured 88 mg/dl. Then, 9.32 mC
i
: of 18F-FDG was injected intravenously. The patient was put into the scanner
: in the ”arm-up” position, and the scan from vertex to mid thighs was
: performed at 68 min. There was no immediately complication during the
: procedure. The scan was adequate for interpretation.
: ** SCAN FINDINGS
: The level and distribution of radioactivity for lymphoma response:
: 1. Nodal regions Head/neck: no more enlarged node (score 0) Axilla: (score 0
)
: Thorax: no more enlarged node (score 0) Abdomen/pelvis: (score 0)
: 2. Extranodal/organ involvement: Lungs (SUV 4.1, score 2)
: 3. other pertinent findings: Upper right back muscles (score 1) Bilateral ri
b
: fractures (score 1) Impression: Hodgkin lymphoma initial stage IV with lung
: involvement post 3 chemotherapy cycles, tiny focal uptake at LUL residual lu
ng
: opacity, could be residual disease or post-treatment inflammation. Other
: lesions all distinguished, overall good metabolic response. * Deauville scor
e:
: 2-3 (note that the timing is not at 2 cycles)
: Comment:
: 1. FDG-PET scan might result in a false negative
: finding if tumor size below 0.6 cm or tumors not FDG-avid.
: 2. Score 0 = normal; Score 1 = benign lesion; Score 2 = equivocal lesion;
: Score 3 = possible malignancy; Score 4 = high probability of malignancy
延续一下之前自己问的问题
背景说明：
何杰金四期(颈部+肺部)
六个疗程AVD+标靶 共12次
2/27做的期中正子医生说已无照到癌细胞，后续仍把剩下的疗程做完，五月初完成治疗，
并于7/27做了正子造影，详细结果如最下方
医生说肺部有一小亮点，但因为位置太过里面，所以无法做切片(除非去外科麻醉切除化
验)，就安排我一个月后再回去追踪照X光(上一次4/23照X光是正常)
医生有询问最近是否有出现像之前确诊何杰金时的症状，如咳嗽、有痰、发烧、皮肤痒等
等，我是都没有
也有询问照正子的前两天有运动(重训)是否有影响到检查结果，医生是说没影响
想请问这样的结果是覆发的机率高吗？现在最适当的选择就是等追踪了吗？
医生说一般何杰金不太会覆发，但因为是四期，所以也难说，唉… 又要开始担心了
** 正子造影检查结果：
** SCAN FINDINGS The level and distribution of radioactivity for 85A lymphoma
staging:
1. Nodal regions Head/neck: not found (score 0) Axillary: not found (score 0)
Thorax: not found (score 0) Abdominopelvis: not found (score 0)
2. Extranodal/organ involvement: Lungs: bilateral small lung nodules (SUV 5.5,
score 4), new as compared with previous study on 2024/2/27. liver (score 0),
spleen (score 0), GI tract (score 1), bone marrow (score 0)
3. other pertinent findings: not found (score 0) Impression: New bilateral sma
ll lung nodules, lymphoma relapse should be watched out.
* Deauville score: 4
Suggestion: Please correlate with clinical and other imaging findings.
Comment: 1. FDG-PET scan might result in a false negative finding if tumor siz
e below 0.6 cm or tumors not FDG-avid. 2. Score 0 = normal; Score 1 = benign l
esion; Score 2 = equivocal lesion; Score 3 = possible malignancy; Score 4 = hi
gh probability of malignancy.