Hello everyone, my name is Melisa and I came to this forum tirelessly searching for an answer that would ease my heart. I am 32 years old and I am my mother's only daughter, who is the reason and meaning of my life. He is 62 years old and in a lung CA scan due to smoking for many years, a 17mmx17mm solid subpleural nodule with irregular and spiculated margins, with a tendency to crash, was detected in the right upper lobe, anterior segment. All doctors have a proactive and aggressive approach and I understand why, but I can't understand why us. I don't want my mom to suffer, I don't want her to feel pain, I couldn't lose her, it would be losing myself because she is the reason for my life, I don't have anyone else. I try to be strong for her and try to pay attention to her or do things together that we enjoy, but since last week we were told this, our life has changed.
I am following up with my psychologist and my psychiatrist, she too, I have left my job for now, and I would really like to know if there is any minimal possibility or any case in the literature or medical practice that an injury of these characteristics could have a benign etiology? I look for the infiltration pattern, the reason for the spiculation, but everything the books or the internet say are cheap shots. Perhaps it is important to note that she underwent open surgery for achalasia when she was 20 years old and there was a significant decrease in esophageal motility, which is why she sometimes regurgitates and chokes frequently at night. In any case, doctors have told me that aspiration pneumonia does not have this type of presentation. I look for hamartomas, granulomas, some other etiology, but nothing, absolutely nothing seems to indicate another origin that is not malignant, taking into account the entire context. Could someone help me?In Argentina times are tyrannical. We have an appointment with the pulmonologist next week, who will send you the PET CT. Then we will try to get it authorized through our social work as quickly as possible, we do not have the resources to pay for it. Once this is done, they do not tell us what is diagnostic or specific, but rather they will move forward with the operation, probably on the segment. We don't know what the extent of this may be. I'm afraid it's an advanced stage. I have never felt anything like this in my life. I can't lose her. I couldn't bear to see her suffer although I must be strong for her, as she always was for me. I couldn't explain to you what a wonderful woman she is. Could anyone help me with their experience? I thank God for having come to this forum.
Please, help.
If this is cancer and they are considering surgery, that would indicate that it is an earlier stage lung cancer. But it might not be cancerous. There are other conditions that can cause spiculated nodules:
Inflammatory conditions like rheumatoid arthritis and sarcoidosis
Infections like tuberculosis,
Lung cysts and abscesses
Rheumatoid nodules
In the US there are fungi that can cause them- histoplasmosis and aspergillosis. Might there be similar pathogens in Argentina?