Need Surgery on Cancer & Just Found Out I Have MAC! Help!
I was diagnosed with an aggressive cancer on my intestine, they believe they got it early because the cultures are showing mostly precancerous cells with some very suspicious probably cancer cells mixed in. The thing is is that I just found out tonight from my doctor that I have MAC. They did a bronchoscopy about 3 weeks ago, I went to the emergency room because I coughed up some blood, but it never happened again. I also don't have any coughing or anything like that. But I also had Klebsiella Pneumoniae which I've been on antibiotics for, and they found this during the biopsy as well. Friday I had another CT scan and tonight when the doctor called me he put notes in, that the CT wasn't back yet but that preliminary findings are showing that I had a cavity in my lung. I am so scared right now. Can anyone give me any encouragement or make me feel better about this? I was so happy to find out that I don't have cancer, but I'm scared that this isn't even any better? I don't even know where I got this from. I just think my immune system was so compromised and I was anemic for so long from the cancer.. I'm really scared... I have to see somebody for the center for disease control.. that's my next step. Words of encouragement, help, or advice would be appreciated.
Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.
Having lived with a great deal of health-related terror (in addition to NTM), I honestly can feel your fear. It's overwhelming, isn't it? You've been through so much already...facing this surgery must be both terrifying and a relief. When I was decided to go through with my colon surgery, I sobbed so hysterically as they wheeled me in to prep me that the doctor almost decided not to do it. Unless one has lived with this kind of fear, one cannot truly understand the body quakes that shake you from the inside out. But as you've said, removing this cancer will be the best thing for your body. I pray that it has not invaded any other area and that chemo will not be necessary.
On a positive note, I know many NTM/MAC patients that do not have lung cancer...me included. I have bronchiectasis, a cavity, the very unwelcome pseudomonas, and have had several strains of mycobacterium, but I've never been diagnosed with lung cancer. I don't think it's a given, but someone else in the group may know far more about this than I do.
Please let us know when your surgery is scheduled to move forward so we can lift you up as you go through it. This group has been very helpful to me just reading what others post. Often times questions are answered that I didn't even know to ask...and I've had NTM for almost 13 years and have asked A LOT of questions. Mostly what I need though is knowing that I am not alone, that there are others out there who don't know me but care about me anyway, and that no one in this group has ever made me feel ashamed, less than, or stupid for anything I've ever asked or said.
Big Hug & Many Prayers,
Busy
Angela — I think you may have had your surgery on Saturday. Can you let us know how you are doing? You are amazing and will have lots to teach others from all this. Sending you warm healing cyber hugs!
Thank you so much for sending me this message! My surgery is scheduled for this next Saturday March 4th! I'm the only surgery for my doctor that day, and it's really early in the morning. 7:00 am!) I see infectious diseases tomorrow to find out what the game plan is and so they can clear me for surgery. I'm not really having symptoms right now of the Mac though so I think now is the time to get this aggressive cancer out of me. I can't imagine they would cancel this! I will definitely give an update when I had the surgery!! Thank you so much for your concern, it is so nice that people on here really care about each other. And I hope to help others with this or that are facing a co-diseases at some point. I have learned so much and still have so much to go. Have a wonderful day!
Angela
Thanks & Good news - and don’t worry about the MAC — many people have had surgery with MAC. Also, I’ve had three friends over the years who’ve had colon or intestinal cancer and they are all thriving. One even had a huge section of her intestines taken out, and she is doing great!
Since you mentioned you are not good with websites, you may not have noticed that there is a colorectal cancer group
here at Mayo Connect
https://connect.mayoclinic.org/group/colorectal-cancer/
Yes, I noticed that also. I actually had my entire colon taken out, I had a complete proctocolectomy 13 years ago. This cancer now is on my small intestine. They did an MRI and it's only in that one small area, nowhere else!! But I feel like a ticking time bomb some days . I have a really rare genetic disorder called Lynch Syndrome which causes cancers, the main one is colon cancer. In women it can cause cervical cancer so I had to have a complete hysterectomy when I was 38. But this intestinal cancer that I have is definitely related to the Lynch syndrome. They only found the Mac because I started coughing a blood January 5th and went to the ER. At that time I had a mass in my lung, so they thought that was cancer and did a bronchoscopy and started poking around in there and then cleaned it all out put me on antibiotics for the pneumonia, and then the next CT scan it was a cavity. But I appreciate you letting me know about your friends that have also had some surgeries and have the Mac because that's one thing I'm really worried about is how they treat that and treat the cancer at the same time!! Thank you for the information. It just helps so much to know that there is other people that have gone through the same things, and are doing well!
Angela
Busy,
I hope you're doing good! Things have been so crazy here but I've been meaning to send you a message. I saw infectious diseases today. He looked at the CT scan and said that even though there's a 3.2 CM hole in my long, he said the infection was mild. That seems crazy to me! But of course since there's a cavity, I have to be on the big three now. I can go pick them up today, I'm going to start one every five days. He didn't cancel my surgery so that's still scheduled for Saturday. He said he would come and see me in the hospital because I'll be in there a few days. I'm not sure if this is normal or not, but he wants me to see an immunologist because he's curious as to why I would have gotten this. He doesn't think that being immune compromised from the cancer would have caused me to have contracted this? But it seems like there's a lot of people on this site that aren't immune compromised to have this. I mean I don't have a colon, I've had this cancer in my intestine for who knows how long.. I also do a lot of planting in the summer, I'm always digging around in the dirt. The last three Summers have been like this. He looked at a CT scan from 2011 because that's the last time I had one, and there was actually little nodules in that area that the mass formed and he was a little suspicious that I could have had this way back then but wasn't sure. He said I've at least had it a few years. Scary!
You said above that you've been diagnosed with several strains of Mycobacterium..what?! Why is that? I feel that I'm going to get all sorts of crazy things going on in my lungs until this goes away, if it ever goes away? He said I have a good chance on it going away because it's mild and of my age. I hope he's right. This is very rattling. I know what you mean about living with your share of TERROR! I love the way you put that actually because it's so true. It's like living on the edge of your seat wondering what's next?! When I decided that I would go through with the colon surgery, I didn't have any thought about not doing it. I saw my brother die of colon cancer and I just wanted that colon out of me. So it was a completely different set of circumstances. But, it's like losing a huge part of your body and even though it's your colon it's still something's being taken from you and some people feel less than themselves when that happens.
Anyway I wanted to let you know I saw ID today, he said that I'll start one antibiotic at a time so I'm hoping I don't get sick from any of these. I really hope I just adjust. He said I have to see an eye doctor, just to make sure nothing weird goes on with the eyes and ear doctor because of the medication with the ears. I mean that's scary.! I hope you don't know anyone that went blind or deaf I need some meds!
Hope to hear from you soon! 🙏😀❤️💖
Angela
Hello Angela,
I'm so happy to hear that they are going to move forward with the surgery. While recovery isn't the most fun thing, it'll be a relief to have it over with. After my colon surgery, I was back to work in two weeks. I hope you'll be up and about in no time. You're on my daily prayer list - and in my mind many times a day. Just know that I'm sending healing, healthy thoughts.
It is possible to have several strains of NTM at once. At present I only have one, Kansasii. It's a slow-grower thankfully. But my body has cleared several others without the Big 3 for which I am eternally grateful.
Have you had genetic testing? I learned at NJH when I first went in 2011 that I am Alpha-1 Antitrypsin deficient. AAT is a protein made in the liver that protects the lungs. I evidently inherited this from my fraternal grandmother. I am not deficient enough to need infusion (as are some folks) but coupled with being severely anemic from the faulty staple in my colon, and because I am always digging in the dirt, I contracted NTM. For many years, probably the first 10, aside from a few episodes of severe hemoptysis, I had no symptoms. I still have very few - which is why I've been able to stay off of the meds.
And no, I've not heard of anyone going deaf or blind from the meds. But they can affect both your hearing and vision so it's necessary though to have regular visits to both the ENT and eye doc just to make sure the meds aren't messing with either one. My doctor had me do that before beginning the meds in order to get a baseline.
Your doctor sounds like a compassionate person so I trust that you're in good hands - both his and your surgeon's. I will continue to pray for the very best outcome, that you will feel the presence of both the God of your understanding and all of us on this website who are rooting for you.
Blessings to you!
Busy
Hi Busy! How are you doing!? I hope all is well ♥️ I had surgery last Thursday I've been in the hospital ever since. It was supposed to be on Saturday, but they moved it up a couple days. I found out the pathology yesterday and they got all the cancer out, along with 17 lymph nodes which were all negative for cancer. My surgeon did say I may need to get chemotherapy only because of how big the tumor was, 5.2 cm and because that it was called differentiated and the pathology and that just means I guess that it was more aggressive than most cancers so it would be precautionary if I had to have chemo and I'm hoping it would not be that much!
While I was in the hospital they scheduled me for a CT guided lung biopsy, I wasn't really sure why and I didn't feel like I was getting a good answer either. My ID doctor just said he wanted to make sure nothing else was going on because I shouldn't have gotten this because of my age and that I don't have a lot of symptoms and should have relatively healthy lungs. I think they wanted to look for cancer. I went down there for them to do it and I started to panic because I realized I wasn't being put to sleep for that! Anyway they did the first set of CT images in the doctor told me that I didn't have to have it because everything was improving so much, and he said the walls around my cavity had thinned out so much. Do you know what that means? I guess my doctors wanted him to take a biopsy from the thick wall of the cavity. And he said cancer doesn't thin out or shrink like that. I'm not sure if you know anything about that?
I'm hoping to go home tomorrow! If not it'll be thursday. I'm still in a lot of pain but they took the epidural out today, and they had put it in the wrong spot anyway so it was numbing my legs and not my abdomen so they had to turn off the numbing medication like a day and a half after my surgery when my legs were completely numb! I was on a morphine drip for days though so they removed that today. I never thought morphine worked very good on me though.
Anyway, let me know how you're doing and if you have any thoughts on the biopsy and the clearing of that or the walls of the cavity? Are the walls of this cavity supposed to be thinner?
Thanks for any of your knowledge or resources you can offer. I really appreciate it!!
Angela
Wow, Angela! This is really good news - and answered prayers. I hope that if you have to have chemo it's only for a limited time. But it really does sound like you got a great report. Although I'm sorry to hear that the epidural wasn't totally effective. I hate morphine...it only makes me stupid!
As far as the lung cavity, from what I understand, many do clear on their on. So I would think, and someone else might know more about this than me, that the thinning walls means that the cavity is healing itself. I sure hope so.
I'm a little confused as to why your doctor suggested that your age affects whether or not you get NTM. I know younger folks (in their 30s) who have it. I was 57 when diagnosed. I know a lady who wasn't diagnosed until 85. My research suggests that one contracts it through a combination of things; exposure to water, soil, air; genetic predisposition; immunocompromised and/or some other serious health condition; thin, Caucasian... My doctor at NJH says that more and more folks are being diagnosed with it as physicians become more aware of this lung disease and radiologists are better trained to read CT scans.
A few things I've been told to do/not to do: Run the fan in the bathroom when taking as short a shower as possible (no baths) (I have a rainhead shower to minimize the mist which is not good to breathe); stay out of hot tubs and swimming pools; always wear a mask when gardening; ask your friends/family to let you know if they are sick with a cold so you can either mask around them or stay away (colds/bronchitis are obviously not good for us).
We were going to replace the water lines into our house since mycobacterium is a naturally occurring bacteria found in water and normally not dangerous bacteria that clings to the lining of the water pipes - including from its source - it wouldn't do any good to go that major expense. In short, unless I wanted to replace the pipes from the Colorado River to my house in southern AZ replacing the lines from the street to my house wouldn't serve any purpose.
I hope you are beginning to rest more comfortably and I pray for a speedy recovery. Keep me posted!! All my best, Busy
Hi Angela!!
So Great to hear of your successful surgery!!❤️
Also, very encouraging news on your lung cavities.
Thinking of you & Prayers!
Blessings, Dee