Follow up CT scans after lung cancer: How often is your followup?

Posted by akfishinmom1 @akfishinmom1, Jun 2, 2023

I had lung surgery in December of 2021 which was 1A. No further treatment and since have been getting 6 month scans with the last being March 29th 2023. I have several ground glass nodules and one 4mm solid nodule that have been stable. I recently had a follow up appointment with the thoracic surgeon after the March CT scan. He said I don’t need another scan for a year because I’ve been stable for 2 years I guess taking into account the original Ct scan where the cancerous nodule was discovered. I thought the protocol was for continued 6 month scans to watch the other nodules? He put my order in for a 12 month scan but I am concerned that it should be 6 months. Any thoughts on this?

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@lls8000

@akfishinmom1, Your comfort level with scan frequency is important. Some people get anxious before scans and prefer a longer time between scans, while others get anxious if the scans are spread apart more. Sadly the moral of the story is that we're all anxious and concerned about recurrence. We all need to find that sweet spot that works for us and our doctors. One consideration is that with new and better treatments we are living longer, and the CT scans do expose us to radiation. Generally, the risk from the radiation far out weights the risks involved with a lung cancer recurrence. I've pushed my scans from 3 months to 4 months.
Maybe one more at the 6 month interval would help to ease your mind. I would likely feel the same way and would want to keep an eye on that nodule.

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Hi Lisa- I'm a 25 lung cancer survivor. I have multi-focal adenocarcinoma lung cancer. There is limited data showing the dangers of mortality from radiation exposure. There is also a difference between the sexes. Not one doctor in my many years of lung cancer has ever mentioned any danger from CT scans. There are, however, side effects from the contrast and if you or anyone here have them there are medications to help. I have to take Zofran because I have a tendency to feel very nauseous. And I'd rather not feel that way, especially if I might hear bad news after the scan is finished.

The longer that I am a patient the more screwy I find the time in between scans. Yes, insurance companies are one reason for possible delays but also the type of cancer and the hospital's recommendations, and the doctor's experience. But there is one other source for that decision and that is the radiologist who reads the scan and who writes up a report.

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@merpreb

Hi Lisa- I'm a 25 lung cancer survivor. I have multi-focal adenocarcinoma lung cancer. There is limited data showing the dangers of mortality from radiation exposure. There is also a difference between the sexes. Not one doctor in my many years of lung cancer has ever mentioned any danger from CT scans. There are, however, side effects from the contrast and if you or anyone here have them there are medications to help. I have to take Zofran because I have a tendency to feel very nauseous. And I'd rather not feel that way, especially if I might hear bad news after the scan is finished.

The longer that I am a patient the more screwy I find the time in between scans. Yes, insurance companies are one reason for possible delays but also the type of cancer and the hospital's recommendations, and the doctor's experience. But there is one other source for that decision and that is the radiologist who reads the scan and who writes up a report.

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The radiologist and pathologist are a big part of why we make the drive up to the Mayo Clinic in Rochester...

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I'm seven years into multi-focal lung cancer, I had two tumors treated initially with SBRT. after the initial treatment I had scans every three months while we watched a second tumor grow until we treated it with SBRT two years in. After two years of 3 month scans, we moved to 6 month scans until we found another tumor growing and then moved to 3 month scans. The tumors are all stage 1 and I have many other ground glass areas.

My experience has been the the Mayo team figures out the scan schedule based on the patients situation, it's difficult to predict. I had hoped I passed my 5 year get outta jail card until the new tumors and now realize this is just something thats part of my life forever.

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@tumanic

I'm seven years into multi-focal lung cancer, I had two tumors treated initially with SBRT. after the initial treatment I had scans every three months while we watched a second tumor grow until we treated it with SBRT two years in. After two years of 3 month scans, we moved to 6 month scans until we found another tumor growing and then moved to 3 month scans. The tumors are all stage 1 and I have many other ground glass areas.

My experience has been the the Mayo team figures out the scan schedule based on the patients situation, it's difficult to predict. I had hoped I passed my 5 year get outta jail card until the new tumors and now realize this is just something thats part of my life forever.

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Hi tumanic- Unfortunately, yes. Before I had multi-focal my very first cancer was not multi-focal but a very fast-growing adenocarcinoma. After 10 years, on my 10 yr anniversary no less my CT scan showed my first multi-focal. It turned out that there were 3 small joined lesions, all in different stages. Go figure.

That was in my lower right lobe, which is no more. I also have ground glass in a few places and lesions that have been steady for years. But for now, my lungs are stable, which I can verify that it's probably the only place on my body that is!

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