1. < Pancreatic Cancer

Can cancer spread from EUS-FNA (Fine Needle Aspiration)?

Posted by rabbit22 @rabbit22, Jan 2 11:13am

I’m scheduled for an EUS and am told that my IPMN cyst 12mm may be poked with a needle for a better diagnosis as to whether the cyst is malignant. I’m afraid this may cause what they call “seeding” or spreading cancer. Can the EYS without the FNA show enough info to delay? Is this a real concern? Should I let my GI do this with certain qualitative permissions?

Interested in more discussions like this? Go to the Pancreatic Cancer Support Group.

mayoconnectuser1 | @mayoconnectuser1 | Jan 7 8:27am
In reply to @mnewland99 "StageIV survivor, Thank u for your most informative response. After 4.5 of completing my chemo treatment..." + (show)
@mnewland99

StageIV survivor,
Thank u for your most informative response. After 4.5 of completing my chemo treatment I received a recurrence i my liver. The recurrence started early November (from 6 to a 23 for my CA19-9)) and as of this week my CA19-9 is 3,840. I had a very difficult time to get any treatment or 2nd opinions outside of my HMO network and had to wait until January 1 of this year. My first 2nd opinion was with Cedars Sinai - "Center of Excellence". I found the oncologist to be extremely jaded. He knew my oncologist from Hoag. When I told him how many 5FU treatments you had and you were a survivor he almost literally called me a liar and said no dr. would ever approve that many treatments. He discouraged me from going to Mayo Clinic saying he wouldn't and from going to HD Anderson even though they specialize in doing surgeries for cancer around the hepatic artery. He told me my dr at Hoag was on the right course. My last endoscopy (about 2-3 weeks ago) showed lesions under 1 cm on my liver. With my CA19-9 being at over 3800, I'm thinking this beast as spread beyond my liver. Long background before my question: Have you read that "chemo is more effective and faster on treating small amounts of cells then a clustered tumor"? Is this something your dr. told you? I started the gemabraxinecine chemo this week to be followed by viewtherapy radiation. I do have another 2nd opinion from UCLA this Monday, but I decided to start the chemo with my current oncologist at Hoag in the meantime in order to avoid further spread (if possible).

Jump to this post

Question - is Hoag considered a pancan center of excellence?

IMO - based on your summary, I would fire the entire team and quickly go somewhere else. I would also consider reporting the oncologist - perhaps even a formal complaint.

REPLY
1 reply
marienewland | @mnewland99 | Jan 7 8:56am
In reply to @mayoconnectuser1 "Question - is Hoag considered a pancan center of excellence? IMO - based on your summary,..." + (show)
@mayoconnectuser1

Question - is Hoag considered a pancan center of excellence?

IMO - based on your summary, I would fire the entire team and quickly go somewhere else. I would also consider reporting the oncologist - perhaps even a formal complaint.

Jump to this post

Hoag is not a Center of Excellence - located in one of the wealthiest counties in the nation, and not one formally listed "Center of Excellence"!
Yes, my son took me to the appointment at Cedars and we were both very shocked at the responses from the oncologist there; disappointing for me because I was so looking forward to the appointment and treatment from a new, fresh perspective.
Thank you for your reply!

Marie

REPLY
gardenlady1116 | @gardenlady1116 | Jan 7 11:53am
In reply to @mnewland99 "StageIV survivor, Thank u for your most informative response. After 4.5 of completing my chemo treatment..." + (show)
@mnewland99

StageIV survivor,
Thank u for your most informative response. After 4.5 of completing my chemo treatment I received a recurrence i my liver. The recurrence started early November (from 6 to a 23 for my CA19-9)) and as of this week my CA19-9 is 3,840. I had a very difficult time to get any treatment or 2nd opinions outside of my HMO network and had to wait until January 1 of this year. My first 2nd opinion was with Cedars Sinai - "Center of Excellence". I found the oncologist to be extremely jaded. He knew my oncologist from Hoag. When I told him how many 5FU treatments you had and you were a survivor he almost literally called me a liar and said no dr. would ever approve that many treatments. He discouraged me from going to Mayo Clinic saying he wouldn't and from going to HD Anderson even though they specialize in doing surgeries for cancer around the hepatic artery. He told me my dr at Hoag was on the right course. My last endoscopy (about 2-3 weeks ago) showed lesions under 1 cm on my liver. With my CA19-9 being at over 3800, I'm thinking this beast as spread beyond my liver. Long background before my question: Have you read that "chemo is more effective and faster on treating small amounts of cells then a clustered tumor"? Is this something your dr. told you? I started the gemabraxinecine chemo this week to be followed by viewtherapy radiation. I do have another 2nd opinion from UCLA this Monday, but I decided to start the chemo with my current oncologist at Hoag in the meantime in order to avoid further spread (if possible).

Jump to this post

I agree with getting going with a treatment locally. Your oncologist at Cedars Sinai sounds to be exceptionally insensitive to your concerns. You definitely need doctors who appreciate and address your concerns. Pancreatic cancer is an aggressive cancer. I am glad you will be going to a higher level of care for more assistance.=========

REPLY
View MoreView Less
Please sign in or register to post a reply.