What is the best way to proceed in anal cancer surveillance if PET avidity of the primary is reduced, but still avid at time point <6 months s/p chemo-RT?

Patient is 4 months s/p CRT with resolution of avid lymph nodes and no evidence of disease on anoscopy. PET avidity is currently <10 SUV from 30 SUV pre treatment.

Answer from: Radiation Oncologist at Community Practice

I would do serial physical exams every month or two and trust that more than PET-CT. If it continues to regress, then continue to follow. If after 6 months it has stopped regressing and you can feel something, can biopsy.

Comments

Radiation Oncologist at Gadsden Regional Medical Center
Agree. Trust the exam. There are other phenomena ...

Radiation Oncologist at MD Anderson Cancer Center and The University of Texas Medical Branch
Agreed! The concern is why are we in the situation...

Please select the option that best describes you:

What is the best way to proceed in anal cancer surveillance if PET avidity of the primary is reduced, but still avid at time point <6 months s/p chemo-RT?

Related Questions