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@dougmck

I see. I'm pretty sure that wedge resection will also be on the horizon for me in the future as well. I guess the idea of lung surgery after the amount of radiation I've had scares me as they've told me the radiation has left portions of my lung fibrotic. I had a large tumor in 2008 radiated as well as these current nodules.

You mentioned the possibility of ablation. I've done some reading about it, but it seems like it's rarely used for lung nodules, despite some fairly decent success rates. Both oncologists as well as my radiologist don't seem to show much interest in it for some reason, or know much about it. I'm wondering why it isn't a more widely used treatment.

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Replies to "I see. I'm pretty sure that wedge resection will also be on the horizon for me..."

Yes, the word "fibrotic" is the issue. That is scarred lung tissue...caused by many things including radiation.
My first VAT was not difficult, I was driving my car within a week. I had the typical nerve issue for about 6 months but it all went away. My second VAT was more difficult since a rib was cracked. Same nerve issue which took longer to clear up,,,it has been over a year so I guess it is permament but fortunately not a big deal, just a little numbness. I do have a stiff chest and some soreness when taking deep breaths.
Regarding treatment options, I think it depends on the institution.