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Adrenal malignant neoplasm assumed to be metastasized from lung cancer
Lung Cancer | Last Active: Mar 25 4:34pm | Replies (21)Comment receiving replies
Hi @abob, sadly a few cancerous cells can escape the primary area of disease. This is why some people will have further treatments such as chemo or immunotherapy after surgery. We hope our doctors know when those additional treatments are needed and when they are not, but it can be difficult to know for sure. Some cancers are slow growing and can take years before they are detectable. Unfortunately nothing with our health is guaranteed. We continue to have scans to watch for any progression.
Adrenal nodules can be common, and not always cancerous. Are they able to biopsy the adrenal glad nodule, so they know for sure? Or will he be having a PET scan?
Replies to "Hi @abob, sadly a few cancerous cells can escape the primary area of disease. This is..."
CT SCAN: “ New mass left adrenal gland 1.8 x2.2 cm”.
PET : “ New left adrenal nodularity with increased metabolic activity concerning for adrenal metastasis. ”
MRI: “ New left adrenal nodule with restricted diffusion suggesting metastatic deposit.”
BIOPSY: “ ADRENOCORTICAL PARENCHYMA WITH MIXED CHRONIC INFLAMMATION AND FOCAL SCLEROSIS.NEGATIVE FOR MALIGNANCY OR METASTASIS.”
Surgeon: “altho radiologist said he got a good sample, it is possible cancerous mass evaded needle. Finish lung cancer chemo, if mass remains Adrenalectomy.
However, if this mass NOT lung cancer but instead adrenal cancer, then this cancer can spread while we await 6-8 weeks for last 2 chemos and more weeks for testing and surgery.
We’re in quandry bc of the biopsy which provuded no info. Sigh!
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PET Scan shows cancer.
Will have biopsy in 2 days.
Oncologist says to continue with 3 remaining chemo, then adrenalectomy.
Sigh.