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Wife Just Diagnosed w/ ES SCLC - What Can We Expect?

Lung Cancer | Last Active: Aug 20, 2022 | Replies (222)

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@rlogan

Dede, we met with the surgeon who will be performing the biopsy today and Liz is scheduled next Wednesday for her biopsy. The doctor found an inflamed lymph node under her shoulder blade that will be his preferred biopsy site based on the P.E.T. scan results. I asked him to ensure that he obtained a large enough sample to provide for genomic testing of the cancer. He assured me that he usually takes 3 samples, but wanted to know what the genomic testing would accomplish. When I explained that this would help identify the specific genetic makeup of the cancer he seemed like this was the first time anyone had made such a request. He told me that he would discuss this with our Oncologist to see exactly what we were after. Does this seem strange to anyone else??? I may have done a poor job describing what we were after and maybe the more proper term was tumor marker or biomarker which led to this confused look on his face..... We will ask where the biopsy samples are to be sent for analysis. The surgeon is associated the with the Ascension Health Group at the local hospital here.

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Replies to "Dede, we met with the surgeon who will be performing the biopsy today and Liz is..."

Well, I'm glad that the biopsy has finally been ordered. In my experience, it was my Oncologist who ordered the biomarker testing on tissue that had been saved from a previous surgery. After the technician does the biopsy he will probably not be involved in her treatment or decisions about them.
You have another week now to wait for the next step. Hang in there! We are here for you. How are you doing? YOu must be pretty exhausted?

I would ask the surgeon if he is able to isolate the suspect lymph node. I had a needle biopsy of one under my arm and the results were meh. Then, scheduled for an excisional biopsy and the surgeon said he would likely take out others as well as, due to size of the node, it might not be visible. Give your guy the articles you find: here's one: https://www.sciencedirect.com/science/article/pii/S1476558604800411