You are reading a FDG PET/CT scan of a prostate cancer patient who have undergone prostatectomy. And you note a focal FDG accumulation in the liver. CBC shows hemoglobin of 15.5 mg/dL and white blood cell (WBC) count of 5900 /mm3(neutrophil 44.9%, lymphocyte 37.7%, eosionophil 11.8 %, monocyte 5.1%). What is the next step?
A. Chemotherapy; it is because of liver metastasis
B. Chemotherapy; even though the serum PSA is negative
C. Wedge resection; because the lesion is a hepatocellular carcinoma
D. Observation; because it is a benign lesions that show variable FDG uptake
Answer:A
You are reading a FDG PET/CT scan of a prostate cancer patient who have undergone prostatectomy. And you note a focal FDG accumulation in the liver. CBC shows hemoglobin of 15.5 mg/dL and white blood cell (WBC) count of 5900 /mm3(neutrophil 44.9%, lymphocyte 37.7%, eosionophil 11.8 %, monocyte 5.1%). What is the next step?
A. Chemotherapy; it is because of liver metastasis B. Chemotherapy; even though the serum PSA is negative C. Wedge resection; because the lesion is a hepatocellular carcinoma D. Observation; because it is a benign lesions that show variable FDG uptake