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Bronchoscope and CT results
CT at Mayo February 2025 found 8mm RLL spiculated nodule having grown from 4mm in February 2024. 4mm LUL also found. No lymphadenopathy.
Bronchoscope in Feb 2025 at Mayo on 8 mm nodule successfully obtained tissue from lesion as evidenced by spin CT showing needle in inferior edge of lesion. EBUS identified no mediastinal lymphadenopathy. Pathology found no evidence of malignancy. Also no evidence of infection, fungus, etc. Pulmonologist noted inflammatory response.
Repeat CT in May 2025 found stable 8mm and 4 mm nodules with no growth.
Next CT scheduled for September 2025.
While somewhat relieved with these results, I remain concerned about possible malignancy. Is my concern warranted? Thanks.
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I had similar experience four years ago (and I was 80!). I had CT scan and PET scan indicating potential cancer. I went to Mayo, and they suggested VAT wedge resection and potential removal of the nodule all in one sitting. They sampled lymph nodes. I agreed and in fact it was cancer. I was driving my car a week later. Surgery is the gold standard and provides information. I also have multifocal lung cancer - multiple primary cancers in the lung...so I did a second VAT on other lung 2 years later. Radiation may be less invasive, but it also has risks.
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2 ReactionsThanks Vic. You did well! What stage was your cancer? Also, which Mayo campus did your surgery?
Stage 1b (because it was a little on the big side) and the second surgery at age 81 also stage 1.
Surgeries all done in Rochester.
I think I might be stage 1a since the nodule is 9mm. Hoping for similar results that you experienced with surgery and recovery.
I’m at Mayo in Jacksonville.
Thanks again for sharing your info.
@wtr, I can't provide any specific insight, but I certainly wish you well on your path and hope the surgery provides the answers that you need. Hugs.
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1 Reaction@lls8000 my update: Surgery went well and discharged the next day. Only Tylenol needed. One week post op I’m doing great and ready to get back to my exercise schedule.
Path report shows stage 1AN0M0. Mediastinal nodes all clear, same for margins, lymphovascular invasion, spread in air spaces, pleural effusion- all negative. So, it’s a curative resection. No radiation or chemo.
I would like to mention the importance of being an advocate for yourself.
I smoked for many years and was subject to second hand smoke for years before that. I did quit smoking 28 years ago. I mentioned to my primary care physician on several prior occasions that I wanted to get into a low dose CT screening program. I just had a sense that lung cancer might be a strong possibility. My doctor didn’t think I needed to go into a program due to quitting many years ago, plus my very good physical condition. My concern only increased after prostate cancer so I had another of my Mayo physicians refer me to Mayos Screening program. But I did not meet the CMS guidelines for admission. Interestingly, I did meet the guidelines of the American Cancer Society. But any low dose screening program only recognizes the CMS guidelines. I pressed on for testing and the Mayo staff did agree to have me undergo a regular CT scan due to a slight cough I mentioned. That was February 2025 and the scan revealed an 8mm nodule that had grown from earlier prostate exam.
After several months the nodule grew again so surgery on October 10.
My message to others based on my experience is to advocate for yourself. Push the envelope. And once we found the nodule I really liked Mayos aggressive approach to treatment. And I had total trust in them.
Hopefully American Cancer guidelines will be adopted to allow more screening.