Neulasta and PET scans

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October 20, 2014 at 10:58 am  #1266578    

drcarl

Non-Hodgkins lymphoma on R-CHOP +Neulasta, q3w, 3 down, 3 to go

My Neulasta pain starts about 6 days after treatment. The last bout was the day before my second PET scan. Can the painful side effects of Neulasta adversely affect the results of the PET scan?

October 20, 2014 at 11:18 am  #1266579    
JimC Forum Moderator
JimC Forum Moderator

Hi drcarl,

It can be possible for the effects of the Neulasta to appear as diffuse activity on the PET, but let the PET technician know that you recently had Neulasta, and there shouldn’t be a problem mistaking it for the effects of cancer.

JimC
Forum moderator


Jul 2008 Wife Liz (51/never smoker) Dx Stage IV NSCLC EGFR exon 19
4 cycles Carbo/alimta, 65% shrinkage
Tarceva maintenance
Mar 2010 progression, added Alimta, stable
Sep 2010 multiple brain mets, WBR
Oct 2010 large pericardial effusion, tamponade
Jan 2011 progression, start abraxane
Jun 2011-New liver, brain mets, add Tarceva
Oct 2011-Dx Leptomeningeal carcinomatosis; pulsed Tarceva
At rest Nov 4 2011
Since then: http://cancergrace.org/blog/jim-and-lisa

October 20, 2014 at 6:41 pm  #1266588    
Dr West
Dr West

Exactly. You can see the effect of neulasta on the bone marrow (independent of the pain) on a PET scan, but it is not uncommon and typically recognized as such.

Many people have observed that a daily Claritin in the days after Neulasta can help with the pain. Of course, regular pain medication, ranging from ibuprofen or tylenol to an opioid like oxycodone.

Good luck.

-Dr. West

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