Cat Scan-- Second opinion?

[KateKett]

Hello All! Not sure if some of you remember me or not as I haven't been around in nearly six months.  I was diagnosed with stage IIc OvCa a year ago.  I've been following up with Ca125s and/or CT Scans every 3 months since then. I recently had my 3 month check up and asked for the actual report of my CT Scan (done in Oct).  Back in Oct, my gyn/onc called me and told me that it was "fine".  However, reading the results has freaked me out a bit.  I plan on speaking with him next week when he's back in the office but until then I was looking for some advice.  
Most things were "normal" but some were not...Here's the "abnormals"....
1. Sm. left thyroid nodule (not visualized on prior exam due to being below plane of thyroid) measures 1x0.7cm
2. Left subclavian vein stenosis or occlusion
3. punctate subcapsular liver lesion probably stable and too sm. to characterize.
4.subcentimeter probable simple cysts in the right kidney are stable.
5. small inguinal lymph nodes are stable.
6. ill defined soft tissure in the right adnexa is again noted and too ill defined for measurement currently.  Can't localize a discrete mass. area does not appear to have changed since prior examination.
Impression-----Stable Exam.

Now, I understand you are not doctors but I assume many of us have read many radiology reports.  What I am wondering is if my gyn/onc says this is "fine" when I call to ask questions....do you think I should go see someone else to double check or just trust him?!   Also, is there anything that you have read above that you'd raise an eyebrow to?
Thanks so much!  Hope this post finds everyone doing well...
Kate

[kcd86]

Kate
Having this dreadful disease understandably make you anxious when you hear or see anything abnormal. 1- The left thyroid nodule needs to be evaluated you should have your blood drawn for thyroid function tests(TSH). The next test you should have for that is a sonogram of the thyroid and surrounding neck. In this instance a sonogram is the more precise study for evaluating thyroid nodules. Depending on the reuslts of the sonogram/TSH and unlike ovarian cancer a fine needle aspiration is the dx test of choice.
2- Left subclavian vein stenosis or occlusion can be a result of trauma to your clavicale region, or having any invasive procedure to your left subclavin ie; central line...
3,4&6- need to be addressed I would either be asking for a PET scan or a MRI, to properly evaluate these areas. Renal cysts are almost always benign but need to be evaluated.
5- since they are small they will need to be watched. It is probably all from the original cause.
Getting all your tests results is imperative as you have found out, you need to be an educated patient. You need to be your own advocate and unfortunately be agressive.
Plkease post with any other questions you may have.
All the best
Kevin

[dian07]

Hey there.  I agree with Jane; I would ask about the thyroid nodule, but, I would also like to know what's up with "subclavian vein stenosis or occlusion"...what's up with that?  All in all it sounds like things are pretty much unchanged in the opinion of the radiologist who read the pictures.  In his opinion, and your onc's opinion this is a good report.....that's a nice way to start the New Year !
Peace.
dian

[Jane39]

Hi Kate, I am just going to tell you from what I have been told from my recent PET/CT scans, prior all my PET/C scans always said the same thing, until the last one in October, where the same thing, they had all these (to me) weird new things, but alot where (as you noted above) are actual things that have been seen on your prior scans, and have remains unchanged (stable, remain unchanged, etc).  The tyroid nodule, to me, would be new, but for whatever reason to your doctor is not concerning (but warrants a question).  I questioned my doctor and they gave me immediate answers.

Good Luck, let us know.