New here. Guess i have lung cancer looking at my PET

Posted by julie67 @julie67, May 17 5:42pm

Hi all, I started out w/ ground glass 2 yrs ago. They tried to do a biopsy and after they had shot me up and did a CT they decided they couldn't as it was too risky and the nodule had 'shrunk'. In 2 weeks??! Anyway, CT scans every 6 months for 2 years. Last one in OCT 23 it was stable Today I am just getting home from my 2nd PET (first done 6-2022) and see the results. Terrified. My mom just died and left me in a mess, I have no friends or family. I was trying to fix everything because i knew this was gonna happen and now i can't even get to my bed from dragging her stuff in. Now what do i do??! sorry, shaking and freaking out. Googled it and foound this site. SUV of above 13!!!! now what??? julie

1. Highly suspicious right apical nodule demonstrating a maximum SUV of 13.7.
This has increased in size and activity since 2022.

2. Questionable, CT occult region of increased uptake in the right suprahilar
region could represent an abnormal lymph node.

2. No evidence of disease in the left thorax, mediastinum, or below the
diaphragm.

Narrative
PET CT

REASON FOR STUDY: Lung cancer

COMPARISON: 6/24/2022 and CT of the chest 5/2/2024

RADIOPHARMACEUTICAL: 5.5 mCi F-18 FDG intravenously.

Technique: Prior to injection of the radiotracer, the patient's blood glucose is
96 mg/dL. Following injection and an approximately 66 minute distribution
interval, PET scan is performed from the skull to the midthigh. Low dose,
noncontrast CT is performed in the same anatomic distribution for attenuation
correction of the PET scan and to assist in localizing the PET findings.

FINDINGS:

HEAD AND NECK: The visualized brain demonstrates no definite focal abnormal FDG
activity. Salivary, tonsillar and laryngeal activity appears ordinary. No
hypermetabolic cervical or supraclavicular lymphadenopathy is demonstrated.

CHEST: There is a 1.5 cm spiculated, hypermetabolic right apical nodule that
demonstrates a maximum SUV of 13.7 (previously 3.9). A focal area of
hypermetabolic activity in the right suprahilar region demonstrates a maximum
SUV of 5.7. No corresponding abnormality is seen on the grayscale CT images, but
this could represent a nonenlarged but pathologic lymph node. No other abnormal
uptake is seen in the chest.

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

@cmcguire10

Hi Julie- I was in the hospital-start to finish- March 24th, day of surgery to The evening of March 26th. It should have been afternoon but paper work and shift changes made it last until evening. It will all depend on your health and how you are doing. I knew I had to get up and start walking as soon as I could. I had a catheter, and a chest tube, IV pole, etc., but with a nurse by my side, was walking the hall by the next afternoon. The chest tube is to inflate your lung until it can stay inflated on its own. It sounds worse than what it is. They will take all of that iut the following day if all is well. You’re in a liquid diet for the first day and then you can move to softer foods if all is going well. I had things prepared before I went in. I had meals prepped so they just needed reheated, I had everything at a reachable height. I had a bed table that had my drinks, tissues, book, remote, etc. so I didn't have to reach. Put your cat’s dishes on the counter and dishes so you can just feed it without reaching down or up. (I had 2 cats and a Husky at my surgery time). Preparing before hand is the beat thing you can do! If you don’t have an adjustable bed gather lots if pillows or a wedge pillow. You won’t want to be laying flat. Getting out of bed is ine if the hardest chores because it pulls on your incisions. You should be able to talk with your Doctors and the Hospital. They may have programs to help you. Medical transport, and home health services maybe? Talk with them before so they can work with you and have it set up for a smooth transition to your home. They should also be able to talk with your insurance company to help you get the things you’ll need. I hope this helps? I’m sure there are others on this connect that can also give you advice on what they know of. God Bless You! I wish I were close as I would come and help you myself, but I am in AZ.

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Sorry, I have arthritis in my typing thumb so I hit the wrong letters sometimes. 🥹

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@cmcguire10

Hi Julie- I was in the hospital-start to finish- March 24th, day of surgery to The evening of March 26th. It should have been afternoon but paper work and shift changes made it last until evening. It will all depend on your health and how you are doing. I knew I had to get up and start walking as soon as I could. I had a catheter, and a chest tube, IV pole, etc., but with a nurse by my side, was walking the hall by the next afternoon. The chest tube is to inflate your lung until it can stay inflated on its own. It sounds worse than what it is. They will take all of that iut the following day if all is well. You’re in a liquid diet for the first day and then you can move to softer foods if all is going well. I had things prepared before I went in. I had meals prepped so they just needed reheated, I had everything at a reachable height. I had a bed table that had my drinks, tissues, book, remote, etc. so I didn't have to reach. Put your cat’s dishes on the counter and dishes so you can just feed it without reaching down or up. (I had 2 cats and a Husky at my surgery time). Preparing before hand is the beat thing you can do! If you don’t have an adjustable bed gather lots if pillows or a wedge pillow. You won’t want to be laying flat. Getting out of bed is ine if the hardest chores because it pulls on your incisions. You should be able to talk with your Doctors and the Hospital. They may have programs to help you. Medical transport, and home health services maybe? Talk with them before so they can work with you and have it set up for a smooth transition to your home. They should also be able to talk with your insurance company to help you get the things you’ll need. I hope this helps? I’m sure there are others on this connect that can also give you advice on what they know of. God Bless You! I wish I were close as I would come and help you myself, but I am in AZ.

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Thanks so much! I was wondering how long all of you spent in the hospital. Guess each is different. Which surgery did you have? I read this horrible article today about me being on a vent for a day o4 2 in ICU and all kinds of horrible things! I think it was this one: https://www.healthgrades.com/right-care/lung-removal-surgery/lung-resection I don't know which they are planning yet but I also just bought my life-long dream house 4 hours away. Supposed to close the 30th and that will have me in the hospital most likely. Man, this is some kind of punishmet for whatever i did in life to lose mom, become a probate lawyer basically, go through all that, then buy my lake house and get cancer the same week. Just hoping i can GET to my lakehouse soon after surgery but not soundlng like it. And if I had an emergency, well, i'm 4 hours away. I'm rambling. Been spending all week just trying to clean my house before surgery. Just well, just want what we all want. So how long did it take for you to fully recover and can you do things you did before? I do intense work around here. Like chaiinsawing trees, etc. Today I was ripping up a subfloor. No money so I have become resourceful. Thanks for all the support and advice. Just not knowing if i will be ok/same kinnda makes me want to just live a few months at the new house and able-bodied than live for years and miserable if it goes wrong. Not be tired for yrs but energetic for months or however long until it does whatever it does...cuts off my air? spreads and? i haven't gotten answers except remove it first if my lung capacity is good enough.ok, i am truly rambling. Exhausted from pushing myself to fix/clean this house. thankyou so much and hugs!! such a sweetie to say you'd help!!! I do have one cousin here but he left me at the hospital with no ride. oh, yes, i did have a lung tube for 2 days...july 2-4 after my lung collapsed during biopsy. Not sure i can take that again.....They had to take me down in the basmeent because of my screaming and profanity....lol...the pain! lol julie

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@cmcguire10

Hi Julie- Hey, it is normal to be freaked out! I think every one of us who hear the word Cancer, has freaked out. I had it in my upper left lung. Adenocarcinoma, stage 1a. They caught it earlier (9 years) at another hospital but “dropped the ball” and never told me or my primary! I had a full body CT due to a car accident. Anyway, in March of 2023 I had a “trisegmentectomy”. I am doing fine. (They took pieces of the left lobe instead of the entire lobe). Surgery to get the cancer out is the Best option, usually. Every one wonders if they’ll be able to breathe afterwards and if they’ll be able to do the things they could before. It’s all normal thinking. I wish you well! By the way I walk about 20+ miles a week and do yard work and have a job. I go for weekend getaways with my husband, dance, etc. You must stay confident and positive!
Cindy

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So is yours all gone after surgery or did they do chemo to get any 'stray' cells the way they are talkking on me if they take the tumor out of my right lung? Curious if you are in 'remission' what tests you have and how often to make sure it doesn't come back? julie

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Hey there! I am doing good! I think I’m back to normal…I feel like it. The only thing now though is that you’re always hoping it doesn't come back. I have had 2 CT’s so far. Still clear, Thank God! I have only had the VATS surgery. No chemo or radiation. The first week after was okay. Then just better and stronger little by little. Got tired if I pushed too hard, and you will surely feel it if you lift too much, reach too far, etc. They gave me Lyrica after surgery, as well as Hydromorphone, 800 mg Ibuprofen, Robaxin and Gabapentin and Tylenol. I stopped everything but the Lyrica and Ibuprofen after a few days of being home. Lyrica was about 3 weeks because you have to wean off not just stop it. Walking is your best friend before and definitely after surgery. You have to start out little by little afterward, but I walked around the house, then around the drive way and then a block and back and then Few more blocks, etc. I worked right back to where I was and now I walk about 5 miles a day. I can breathe, ride a bike, dig holes lift cases of water, 5 gallon water jugs… you get my point. I also used a lung exerciser before my surgery to strengthen my lungs. The one swimmers use. Amazon has them for a few dollars. Very simple and easy to use. Keep in touch!

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@julie67

Thanks so much! I was wondering how long all of you spent in the hospital. Guess each is different. Which surgery did you have? I read this horrible article today about me being on a vent for a day o4 2 in ICU and all kinds of horrible things! I think it was this one: https://www.healthgrades.com/right-care/lung-removal-surgery/lung-resection I don't know which they are planning yet but I also just bought my life-long dream house 4 hours away. Supposed to close the 30th and that will have me in the hospital most likely. Man, this is some kind of punishmet for whatever i did in life to lose mom, become a probate lawyer basically, go through all that, then buy my lake house and get cancer the same week. Just hoping i can GET to my lakehouse soon after surgery but not soundlng like it. And if I had an emergency, well, i'm 4 hours away. I'm rambling. Been spending all week just trying to clean my house before surgery. Just well, just want what we all want. So how long did it take for you to fully recover and can you do things you did before? I do intense work around here. Like chaiinsawing trees, etc. Today I was ripping up a subfloor. No money so I have become resourceful. Thanks for all the support and advice. Just not knowing if i will be ok/same kinnda makes me want to just live a few months at the new house and able-bodied than live for years and miserable if it goes wrong. Not be tired for yrs but energetic for months or however long until it does whatever it does...cuts off my air? spreads and? i haven't gotten answers except remove it first if my lung capacity is good enough.ok, i am truly rambling. Exhausted from pushing myself to fix/clean this house. thankyou so much and hugs!! such a sweetie to say you'd help!!! I do have one cousin here but he left me at the hospital with no ride. oh, yes, i did have a lung tube for 2 days...july 2-4 after my lung collapsed during biopsy. Not sure i can take that again.....They had to take me down in the basmeent because of my screaming and profanity....lol...the pain! lol julie

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Oh @julie67, you have a lot going on! Cancer doesn't let us schedule when it needs our attention, it doesn't wait for a good time to fit it into our lives. That certainly adds to the stress. At some point you are going to need to take a breath, pause, and take time for your health. It sounds like that won't be easy, but pushing too much to fast won't be good for you either.
We all question our treatment choices at some point, quality of life vs quantity. You sound very physically fit and motivated, and there's no reason that you can't continue with that after taking time to heal. Speak with your surgeon's or oncologist's office, they likely have social workers with recommendations for help with rides and post-surgical support.
Are you working with a realtor? You may be able to sign all of the closing paperwork early.

REPLY
@cmcguire10

Hey there! I am doing good! I think I’m back to normal…I feel like it. The only thing now though is that you’re always hoping it doesn't come back. I have had 2 CT’s so far. Still clear, Thank God! I have only had the VATS surgery. No chemo or radiation. The first week after was okay. Then just better and stronger little by little. Got tired if I pushed too hard, and you will surely feel it if you lift too much, reach too far, etc. They gave me Lyrica after surgery, as well as Hydromorphone, 800 mg Ibuprofen, Robaxin and Gabapentin and Tylenol. I stopped everything but the Lyrica and Ibuprofen after a few days of being home. Lyrica was about 3 weeks because you have to wean off not just stop it. Walking is your best friend before and definitely after surgery. You have to start out little by little afterward, but I walked around the house, then around the drive way and then a block and back and then Few more blocks, etc. I worked right back to where I was and now I walk about 5 miles a day. I can breathe, ride a bike, dig holes lift cases of water, 5 gallon water jugs… you get my point. I also used a lung exerciser before my surgery to strengthen my lungs. The one swimmers use. Amazon has them for a few dollars. Very simple and easy to use. Keep in touch!

Jump to this post

Thanks Cindy! I was wondering how long the average stay was, drugs used for pain etc. I can't take Lyrica or Ibupropen. Don't know the other drugs. I am afraid of becoming dependent on opiods and do not want that! When you say you had to learn to get out of bed earilier, I guess that is because of the pain or are we not supposed to move a certain way after--and you mentioned no lying flat. Again, is that because of pain or a certain way to avoid something. I don't feel like my oncologist or pulmonolgist are very good at telling me things. And now all I have left is the surgeon before surgery and want to make sure I ask good questions. You guys help so much! How soon after surgery do they have you up and walking? Is there any respiratory, PT you went through? thanks and so glad your scans are coming back clear!!! Julie

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@lls8000

Oh @julie67, you have a lot going on! Cancer doesn't let us schedule when it needs our attention, it doesn't wait for a good time to fit it into our lives. That certainly adds to the stress. At some point you are going to need to take a breath, pause, and take time for your health. It sounds like that won't be easy, but pushing too much to fast won't be good for you either.
We all question our treatment choices at some point, quality of life vs quantity. You sound very physically fit and motivated, and there's no reason that you can't continue with that after taking time to heal. Speak with your surgeon's or oncologist's office, they likely have social workers with recommendations for help with rides and post-surgical support.
Are you working with a realtor? You may be able to sign all of the closing paperwork early.

Jump to this post

I have been telling all my doctors for months I live alone, I have animals, I have nobody to help me after surgery and nobody has suggested anything or sent me to any resources!! I guess they just plan on throwing me out when I'm ready. Stunned about this. I guess I will just plan on runn9ing up my insurance by calling ambulances when I need something until they get me a home health aide or something..lol. getting mad! My surgery should be scheduled NEXT WEEIK according to all the doctors I've seen so far---they tell me this surgeon will schedule for the next week. So,, theoretically, could be having surgery a week from today. And I actually think that's too late for me. The PET was done in MAY and this thing was growing fast. So just going crazy still with no plans, no help...

As for the realtor , they had tried to move closing up to this Friday the 26th but then they didn't call back so...here I am again...not knowing what my plans should be. they also said they could send a notary to wherever I am--home, hospital, here in Evansville --on the 3th for a couple hundred dollars i think. Great.

Thanks for the suggestions! Just have tried everything I know to do. I guess I just plan on telling them I have no ride or anybody to help when they release me from the hospital and THEN they will have to figure out what to do with me then. HA! Send me to rehab, I don't ..know. I've already seen the oncologist as I said. So now it's the surgeon Thursday and then most likely surgery next week. Everyone just ignored that i am alone. hmph.

thanks again! julie

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@julie67

Thanks Cindy! I was wondering how long the average stay was, drugs used for pain etc. I can't take Lyrica or Ibupropen. Don't know the other drugs. I am afraid of becoming dependent on opiods and do not want that! When you say you had to learn to get out of bed earilier, I guess that is because of the pain or are we not supposed to move a certain way after--and you mentioned no lying flat. Again, is that because of pain or a certain way to avoid something. I don't feel like my oncologist or pulmonolgist are very good at telling me things. And now all I have left is the surgeon before surgery and want to make sure I ask good questions. You guys help so much! How soon after surgery do they have you up and walking? Is there any respiratory, PT you went through? thanks and so glad your scans are coming back clear!!! Julie

Jump to this post

Julie, no respiratory stuff afterward. They did come in and check balance and moving abilities to make sure I could function at home. They should do the same for you. Laying flat may make it hard to move to get out of bed. You will know because it pulls on your incisions and that is NOT fun! Also breathing may be easier if you’re propped up a bit. Your personal comfort and ability to move is what you’re striving for. I’ll message you on Personal message later. I’m at work until 4 AZ time.

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@cmcguire10

Hey there! I am doing good! I think I’m back to normal…I feel like it. The only thing now though is that you’re always hoping it doesn't come back. I have had 2 CT’s so far. Still clear, Thank God! I have only had the VATS surgery. No chemo or radiation. The first week after was okay. Then just better and stronger little by little. Got tired if I pushed too hard, and you will surely feel it if you lift too much, reach too far, etc. They gave me Lyrica after surgery, as well as Hydromorphone, 800 mg Ibuprofen, Robaxin and Gabapentin and Tylenol. I stopped everything but the Lyrica and Ibuprofen after a few days of being home. Lyrica was about 3 weeks because you have to wean off not just stop it. Walking is your best friend before and definitely after surgery. You have to start out little by little afterward, but I walked around the house, then around the drive way and then a block and back and then Few more blocks, etc. I worked right back to where I was and now I walk about 5 miles a day. I can breathe, ride a bike, dig holes lift cases of water, 5 gallon water jugs… you get my point. I also used a lung exerciser before my surgery to strengthen my lungs. The one swimmers use. Amazon has them for a few dollars. Very simple and easy to use. Keep in touch!

Jump to this post

For what its worth, I've bought two homes remotely, giving realtor or a friend a power of attorney limited to that transaction. The closing attorney collected it after closing, made himself a copy for documentation only and destroyed the original.
Talk to your realtor…

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@julie67

I have been telling all my doctors for months I live alone, I have animals, I have nobody to help me after surgery and nobody has suggested anything or sent me to any resources!! I guess they just plan on throwing me out when I'm ready. Stunned about this. I guess I will just plan on runn9ing up my insurance by calling ambulances when I need something until they get me a home health aide or something..lol. getting mad! My surgery should be scheduled NEXT WEEIK according to all the doctors I've seen so far---they tell me this surgeon will schedule for the next week. So,, theoretically, could be having surgery a week from today. And I actually think that's too late for me. The PET was done in MAY and this thing was growing fast. So just going crazy still with no plans, no help...

As for the realtor , they had tried to move closing up to this Friday the 26th but then they didn't call back so...here I am again...not knowing what my plans should be. they also said they could send a notary to wherever I am--home, hospital, here in Evansville --on the 3th for a couple hundred dollars i think. Great.

Thanks for the suggestions! Just have tried everything I know to do. I guess I just plan on telling them I have no ride or anybody to help when they release me from the hospital and THEN they will have to figure out what to do with me then. HA! Send me to rehab, I don't ..know. I've already seen the oncologist as I said. So now it's the surgeon Thursday and then most likely surgery next week. Everyone just ignored that i am alone. hmph.

thanks again! julie

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I also live alone. I have a child nearish but with a long hours and High stress career - and i really didnt want him to be my nursemaid. I hired a nurse’s aide to bring me home, set me up with water and meds and make sure i was steady in my feet to get to the bathroom. I had an issue with heavy drainage from my chest tube opening and couldn't get a guaze pad to stick. I put one of those blue pads under my back and rollednup a rowel to trap drainage.
You can make it. I did get some approved home health to come by to change my dressing the first few days because i could barely reach it and since it was gushing I couldn’t get tape to stick. By commenting that no one ever asked me if i had help At home. And i did not and i needed short term help. I got
It. So dont be afraid to aak - emphatically if necessary.

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