Good evening, My husband completed extensive chemo and radiation to treat his stage IV BOT cancer with local mets, down the neck, but not crossing collar bone.. On his original pre-tx PET, he had a small low grade hot spot in the hillar region, though to be a nick from breathing tube during biopsy. Post tx PET at 14 weeks showed no evidence of original cancer (excellent news), however his chest lit up big time (SUV 19) in the chest,(SUV 7) in the abdomen. Whatever is going on in his chest is extensive, spread out, like a shotgun pattern. Radiologist believes it's either reoccurance, lymphoma or sarcoidosis. Husband feels perfectly fine, not ill, working and travelling full time. Med Onc, Rad Onc & ENT are all scratching their heads, unusual case, but leaning towards sarcoidosis.
1. Have you see SUV's that high in chemo induced sarcoidosis case?
2. They tried to get biopsy same day as hubby had not eating, but no anest. available. Now it seems it won't happen until after the holiday. If sarcoidosis, no problem, if either of the other 2 options, this lost time scares me...if this is cancer, it's very agressive, very active. Do you think it's ok to wait or should I press harder for an earlier biopsy?