Benign carcinoid tumor in bronchi tube

Posted by jessie1990 @jessie1990, Oct 30 1:48pm

Hi I've been diagnosed with a benign typical carcinoid tumor in my bronchi tube in right lung was found when I went to A&E with pneumonia back in July of this year I've had 2 bronchoscopys 2 biopys which showed benign carcinoid tumor I was sent for ct scan mri scan and pet scan pet scan was clear I was put under general anesthetic as my lung specialist said he might be able to remove tumor by going down my throat instead of haven surgery but didn't work but he was able to take 40% of tumor out as it was blocking my air way that's how pneumonia set in the 40% he removed also came back benign carcinoid 1 lymph node was removed and checked also clear now I need surgery to remove the rest I'm so confused as doctor said its a benign tumor then Google is telling me it's a low grade cancerous tumor but doctor nor lung specialist said anything about cancer just said its benign doesnt benign mean non cancerous and can any one tell me how surgery went thank you bless you all xx

Interested in more discussions like this? Go to the Neuroendocrine Tumors (NETs) Support Group.

Profile picture for nannybb @nannybb

He is a cancer specialist who told me he knew all about carcinoid tumors. He never mentioned them as "NETS" and I had never seen it in all my reading about this type of lung cancer.
I had a problem with seeing the post-op X-ray stating it was done for a benign tumor. That made no sense to me.
When I asked about it, he said it had to be listed that way for insurance to pay. To my way of thinking, that is backwards
First off, I was told to have surgery because the tumor had started growing. I just don't understand why it would be listed as benign. He had done a biopsy, so he should have known at that time. All he said was the biopsy showed it was cancer.

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@nannybb I just copied this from Mayo's website:

Carcinoid tumors are a type of slow-growing cancer that can arise in several places throughout your body. Carcinoid tumors, which are one subset of tumors called neuroendocrine tumors, usually begin in the digestive tract (stomach, appendix, small intestine, colon, rectum) or in the lungs.

Maybe you want to consider getting a second opinion. I agree with you that your process with this doctor is rather unusual.

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Profile picture for Turkey, Volunteer Mentor @tomrennie

@nannybb I just copied this from Mayo's website:

Carcinoid tumors are a type of slow-growing cancer that can arise in several places throughout your body. Carcinoid tumors, which are one subset of tumors called neuroendocrine tumors, usually begin in the digestive tract (stomach, appendix, small intestine, colon, rectum) or in the lungs.

Maybe you want to consider getting a second opinion. I agree with you that your process with this doctor is rather unusual.

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@tomrennie I saw the surgeon today, and he now thinks because I have a small ribcage, they most likely did nerve damage taking the tumor out. He wants me to continue the acupuncture and will reevaluate in 4 weeks. If I am still in pain, he wants to give me a cortisone shot with something to numb the area. I have medical background and really did quite a bit of research before the surgery....but thank you for looking it up as well. It is very rare, and was also rare in my case as far as the location. It is usually a gut cancer and if in the lungs, would be in the upper lobes. I don't smoke. I thought if I got anything, it would be breast cancer that runs in my family. It is also somewhat rare, as it presents on the outside of the breast on the nipple as a sore. Thank you again. I'm still pondering the 2nd opinion.

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Profile picture for Zebra @californiazebra

@nannybb
PET scans are much more sensitive than X-rays. The PET scan would likely be where they saw the other tumors (or CT scan) but a PET scan looks at the amount of glucose each tumor is using as cancerous cells use more glucose.

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@californiazebra Interesting, because someone else on here said carcinoid tumors do not light up well. After the PET, my doctor confirmed all was well. So I have absolutely no idea. I'm going to research some more. Your answer sounds very plausible. Thank you very much.

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Profile picture for jessie1990 @jessie1990

@nannybb my pet scan came back clear no other tumors or anything suspicious just the tumor In my bronchi tube it's so confusing a lung doctor rang me today told me there's strong evidence it's benign typical carcinoid and that once it's removed I won't need future treatment like chemo or anything like that just need regular scan to keep an eye for recurrance

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@jessie1990 Same advise from my doctor with the exception of finding 3 more. I'm battling the pain from surgery. I posted earlier it maybe nerve damage. I'm going to keep going for acupuncture and then back for another CAT in 4 weeks. So glad your news was good! 🙏 it stays that way.

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Profile picture for Zebra @californiazebra

Sorry the removal was incomplete. My suggestion is ask (insist) to see a NET specialist for a second opinion because a lot of doctors, even lung specialists, are not very familiar with Neuroendocrine tumors (NETs). I have many typical carcinoids in all lobes and it is a rare form of cancer (1% of lung cancer cases), but don’t let that scare you. It’s very, very slow growing. It’s typical to have one tumor and remove the lobe with the tumor for a one and done surgery and then just monitor you with CT scans for 10 years. You’ll find many people on this message board that have had a lobe with typical carcinoid removed and that was the last of it. Sorry you have to go through this but you’ll be okay. Blessings to you.

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@californiazebra That was so encouraging. Thank you! I'm battling pain and needed to see what you wrote. There is hope.

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Profile picture for nannybb @nannybb

@californiazebra Interesting, because someone else on here said carcinoid tumors do not light up well. After the PET, my doctor confirmed all was well. So I have absolutely no idea. I'm going to research some more. Your answer sounds very plausible. Thank you very much.

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@nannybb
A regular PET scan looks for high metabolic activity because cancer cells use a lot of glucose. It typically is run with a CT at the same time that also picks up tumors. My largest lung NETs used more glucose and lit up.

Then there is a special DOTATATE Ga68 or Cu64 PET scan that is designed specifically to find smaller and hidden NETs as it looks for somatostatin receptors. Not everyone with NETs has these receptors. Turns out I don’t so the test did no good for me. Darn. This is another reason to see a NETs specialist to get targeted tests specific to NETs.

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Profile picture for nannybb @nannybb

@tomrennie I saw the surgeon today, and he now thinks because I have a small ribcage, they most likely did nerve damage taking the tumor out. He wants me to continue the acupuncture and will reevaluate in 4 weeks. If I am still in pain, he wants to give me a cortisone shot with something to numb the area. I have medical background and really did quite a bit of research before the surgery....but thank you for looking it up as well. It is very rare, and was also rare in my case as far as the location. It is usually a gut cancer and if in the lungs, would be in the upper lobes. I don't smoke. I thought if I got anything, it would be breast cancer that runs in my family. It is also somewhat rare, as it presents on the outside of the breast on the nipple as a sore. Thank you again. I'm still pondering the 2nd opinion.

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@nannybb
I’m sorry you’re in pain. You’ve been told a lot of things by your surgeon that have you scratching your head and you’re in pain so a second opinion sounds worthwhile. Even though your surgeon says he knows all about NETs, is he part of a multidisciplinary NETs team? If not, find one who is so they can review your case as a specialized NETs team. If nothing else, you’ll feel better if both doctors agree.

I’m seeking a second opinion on an afib procedure right now because I’m hoping for a more encouraging opinion and plan. If not more encouraging, I’ll at least feel better knowing the first plan and prediction are sound.

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I'll have to search and see what I find. It sounds like a good idea. I wish I was back in Fl. I knew good doctors there who could refer. me. Thank you. It is interesting that my doctor has never said anything about NETS, just carcinoid tumors.

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Profile picture for Zebra @californiazebra

@tomrennie
Dogs are great for making you stay on track. I had 3 dogs in a condo with no yard so we walked several times a day. No dogs for 3 years now so it takes more self-discipline when I’m tired. Now I take my good camera with me to photograph the wildlife.

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@californiazebra I've 2 American Akitas so they keep me going 😊

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Profile picture for Zebra @californiazebra

@jessie1990
Recurrence for typical carcinoid is unlikely so once you recover from surgery you can get back to enjoying a long life with your kiddies. 😊

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@californiazebra yes I've read recurrance is like 4%

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