Describe your recovery from lung NET surgery

Posted by emilyfaith @emilyfaith, May 2, 2024

77, female, diagnosed withNET carcinoid tumors in LLlung and left lymph nodes. No other organs lighting up on scans, of which there were many. No symptoms, and otherwise in good health. Tumor board recommends surgery removal of entire lower left lobe. Please describe your surgery experience.

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Hi I’ve been away from the group a while living life 😊 I’m doing well I pray all is well with you all 🙏🏽 one thing I’ve learned having a grateful mindset is imperative to beat this disease . The sandostatin treat is truly a blessing

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Profile picture for char1962 @char1962

Hi I’ve been away from the group a while living life 😊 I’m doing well I pray all is well with you all 🙏🏽 one thing I’ve learned having a grateful mindset is imperative to beat this disease . The sandostatin treat is truly a blessing

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Hello @char1962, and thanks for checking in with an update. I'm so pleased to hear that you are doing so well. I agree that a grateful mindset is really important, and I appreciate you reminding us of that.

As it has been a while since you last posted, I was wondering whether you have had surgery for your lung NETs and, if so, how long ago. Have you had any other treatments other than Sandostatin?

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Profile picture for stephanieann @stephanieann

@wushirl Hi,
I am sorry to learn of your ongoing pain. I am trying to decide if I should follow the surgeon and medical oncologist advice to have a right lower lobe lobectomy. I am 77 and have major heart disease. I just had a cardiac catheterization so they could determine if it was safe for me to have the lobectomy. They said I have a higher risk factor but that I could safely have the surgery. But After the open heart surgery I had major complications, sepsis, poor healing of sternum and so am concerned to have another surgery in my chest. I still have pain 6 years later if I deeb breathe but not a big deal. I am not sure I want to trade quality of life I have now just to get a few more years. But they also told me there is a risk that a NET can just start bleeding or metastasize. I am not having that many symptoms but do have a lot of fatigue, sometimes shortness of breath and get flushing sometimes. But the cardiologist and oncologist don't know if this is caused by my heart or the NET. Did you feel better after the surgery? Have you tried any alternative pain remedies like acupuncture Sometimes I wonder if the cure/surgery may be worse than just living with it? Your thoughts welcommed

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@stephanieann Oh no, 6 years later to be having pain is so hard, I'm sorry to hear that! To be clear, I no longer have pain more than a year out. I do sometimes have strange Charlie-horse-like muscle cramps around the surgical areas, but they happen less and less. When I first started having them they were so intense I would cry out and do deep breathing like I was giving birth. It would be awkward if I got one in the middle of a work meeting, and I wanted to scream but instead gripped my chair and deep-breathed until it passed. You have a tough decision ahead of you, I think you can only follow the advice of your doctors and your own gut. You have more complications than I did, and I was 44 at the time of surgery, last year. I can tell you my experience if that would help you process your thoughts. I did not exactly have symptoms prior to surgery either. I complained to doctors that my breathing seemed off, that my cardio including swimming and boxing seemed labored and I felt like I was able to do less than I used to. As you might expect, that didn't raise alarms with anyone and doctors just dismissed that. What happened was, I got pneumonia 2 winters in a row, almost exactly a year apart. Both were difficult to recover from. Each time there was an x-ray, and the second time I read the x-ray report it said there was a mass in the same location, of the same size a year prior. I followed up on that with my primary care doctor, got it biopsied, and had a bunch more tests followed by the lobectomy. I will say that my quality of life seems a bit harder post-surgery, but I have no regrets getting that slow-growing NET out. At times my breathing is labored, like breathing through a straw in my chest. During this week's heat wave my chest feels tight and I feel light headed. But for everyday life and activities, after a longer-than-anticipated recovery I am able to do everything I could before. Sometimes I'm more easily winded or feel a bit weaker. I can't do all the active things I used to, or to the degree I used to. Some of them were a bit part of my life, or I want to be able to run around and keep up as a mom. But considering the alternative, I'll take it.

I know that after a certain age that cancer screening and treatment protocols change, and as you say they weigh quality of life against major interventions. We are dealing with that with my father right now. Maybe you would like to seek out a second opinion for another doctor? I wish you the best as you consider all this. Sending hugs.

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Profile picture for stephanieann @stephanieann

I am wondering about recovery at home and what are some of the issues people faced once discharged from the hospital. after having had a lobectomy. I am 77, live alone and am facing a right lower lobe lobectomy. I know everyone's recovery may be different, but in general did you need help at home and what type, and for how long. Were the doctors able to effectively manage pain at home? . I know they are much more cautious about dispensing pain killers now. How long before you can drive ? I am not keen on going into a nursing home to recover.
I am quite fatigued now and am wondering if getting the carcinoid out will improve that. I also get short of breath sometimes on minimum exertion. Did surgery seem to help with that issue once the tumor is removed? My concern is that the oncologist and cardiologist don't have a clear idea if my shortness of breath is caused by the NET or the heart disease. I had a triple bypass in 2020 and some major complications from it so having another chest surgery is something I am pretty anxious about. . Thanks for any information. I am trying to weigh the risk benefit of having this surgery

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@stephanieann
I had VAT surgery in September 2025
I am age 78
If you are a patient of a competent Neuroendocrine Team , I would trust their guidance. I assume that your cardiology is involved,
If you have Medicare you are entitled to hom care services- ask to meet with a social worker
The first week I needed medication for pain- extra strength Tylenol did help .
You will need help with
food shopping and household chores
Have wedge pillow
lose tee shirts - bra is uncomfortable
Everyone is different but by the end of eight weeks the only issues I had were fatigue intermittent cough and nerve pain. I was told that it takes a year to recover and I have found this to be the reality.
I hope all goes well!

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Profile picture for haelsky @haelsky

@stephanieann
I had VAT surgery in September 2025
I am age 78
If you are a patient of a competent Neuroendocrine Team , I would trust their guidance. I assume that your cardiology is involved,
If you have Medicare you are entitled to hom care services- ask to meet with a social worker
The first week I needed medication for pain- extra strength Tylenol did help .
You will need help with
food shopping and household chores
Have wedge pillow
lose tee shirts - bra is uncomfortable
Everyone is different but by the end of eight weeks the only issues I had were fatigue intermittent cough and nerve pain. I was told that it takes a year to recover and I have found this to be the reality.
I hope all goes well!

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@haelsky

I appreciate all of your helpful suggestions for @stephanieann. How are you feeling now?

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Profile picture for haelsky @haelsky

@lisaonthegoco
I hope that you are doing well.
Have you had past surgery for
NET ? I hope that you have access to a Neuroendocrine team.

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@haelsky I had a Pulmonologist with National Jewish but he disconnected from there with his practice. Hoping I am not diving in on something that is more benign. Doing too much is also a hazard but CU medicine has a Dipnec and lung nodule specialty team so hoping that our Surveillance for the past 30 years yields an ok…continue or even we caught it in time …do this. They suspect both type right now in my lungs because one has started growing over the last 2 years. I am 70 so fingers crossed.

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Hi everyone,
I greatly appeciate all the helpful suggestions from the volunteer mentor and all of you. It has been really difficult trying to decide what to do and the risk/benefit of the surgery. I will be seeing the medical oncologist again and ask him about other alternatives to having a lobectomy ie cryosurgery, is there a way to shrink the net instead of having surgery . Thanks again for all your help. It seems each person has their own rate of recovery.
Happy 4th Connie

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Profile picture for stephanieann @stephanieann

Hi everyone,
I greatly appeciate all the helpful suggestions from the volunteer mentor and all of you. It has been really difficult trying to decide what to do and the risk/benefit of the surgery. I will be seeing the medical oncologist again and ask him about other alternatives to having a lobectomy ie cryosurgery, is there a way to shrink the net instead of having surgery . Thanks again for all your help. It seems each person has their own rate of recovery.
Happy 4th Connie

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@stephanieann I look forward to hearing from you again, Connie. I hope you will continue to post with your questions and concerns.
Do you have an appointment with your medical oncologist scheduled?

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Thank you Teresa and everyone for all your helpful contacts. I have a appt next week with Stanford medical oncologist who is a NET specialist. Stanford surgeons and oncologist have been really pushing me to have the surgery saying it is likely curative to remove a 19 mm NET. . The other cardio thoracic surgeon who is not at Stanford says I could still take a wait and watch approach. I am still trying to weigh the risk benefit at my age of doing it as with many of my previous surgeries (3 total hip replacements, triple bypass, mastectomy and later implant rupturing which caused sepsis . Now, I have some atelectasis at base of lobes, still have pain in sternum when I deep breathe, a higher risk of surgery because of the open heart surgery and heart disease and get short of breath which the MD's can't seem to know if it is due to NET or heart. . Do people know if there are other options beside surgery? . My Stanford oncologist says radiation won't be that effective and surgery is the best option.

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