Been awhile since I've been here, new nodule growth

Posted by silvergirl29 @silvergirl29, Jan 29 4:20pm

Hi , I'm sorry it's been so long and I lost track of this wonderful source. Last year I had an upper right lobectomy and stage 1 adenocarcenoma was found. Surgeon also took half of middle lobe & some lymph nodes. My left lung with 5 or 6 nodules was never biopsied nobody told me that and I had thoughts about it, anyhow in Decemeber CT showed that a 0.8 x 0.8 MM nodule in lower left had grown to 0.9x 1.0 and they said "no need biopsy ,it's too small" but ordered PET (which it took them 3 weeks to get me in to discuss) showed it's now 1.0 x 1.4 CM and some of my cervical lymph nodes had suv of 7 up from 4. She said something about just monitoring it and I felt they were kind of minimizing my concerns (and I'm terrified of losing Medicare) and said but it has grown like 2 mm in a flipping month so she went and talked to Dr and came back over 10 minutes later with new plan to have surgeon remove it, can't biopsy because it's near aorta. I'm really feeling like they hadn't really reviewed the PET scan because I don't think surgery would be recommended just to "humor" me. Anyhow I'm nervous and nobody really has covered odds with multiple nodules for me. Has anyone had a similar experience??!

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Profile picture for Lisa, Volunteer Mentor @lls8000

@silvergirl29 , Thanks for the clarification. These are tough situations. I hate the idea of taking out potentially healthy lung tissue, but your history certainly complicates the decision. And you know by now that 3cm is nothing to take lightly. Thankfully I have always been able to get a good biopsy from lymph node fluid (even if it took a couple of attempts with one scare), so I haven't had to face this type of decision.
I'll be interested to hear with the surgeon says. Are you compiling a list of questions for them?

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🙂 Thanks for your rsponses, I appreciate them but once again life got overwhelming and I haven't been checking in here.I had a wedge resection surgery in May on the left lower and it was stage 2 so I'm glad I got in, I got referred to Gandara at Davis in April and he'd recommended molecular testing on both after biopsy or surgery( i think that was the term) to compare what I now call Thing1 on the right and Thing 2 on the left but after Thing1 in 1/24 I'd landed at an Oncology office that after all this time just last month kind of "broke up " with me using the "it's not you ,it's us" method saying they are radiation oncology and I don't need radiation and they can't order that kind of testing so they were referring me back to Davis and that was a month ago and I'm just frustrated and overwhelmed. I'm feeling pretty good overall , my ribs started hurting with a poking feeling but I have read that is normal and it's only in the 5th month after surgery, I asked onc about odds etc and she said they'd cover it at next appt, but now I don't have one so I still have questions and like I told surgeon no matter how cute he is I would rather not just have him take pieces of my lungs out yearly until there is nothing left lol.

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Profile picture for loulou2023 @loulou2023

When I had a my first lung cancer in 2014 they did a CT guided needle guided biopsy due to the location of my nodule. Perhaps you can ask.
You don’t sound comfortable with your doctors. If not you should definitely find new doctors,,, that’s ridiculous to wait that long for results,
Can you get your medical in a My Chart or something similar? I see all my test results,office visit notes and more as soon as they are released to the doctors.
Some people Don’t want to see and wait on the doctor to discuss.
Posting them to you is required by law now I believe but you can opt out if you.There should be a portal or my chart link through your doctor or hospital.
Where are you being treated?

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I am in Redding California not exactly a hotbed of science lol and I'm always skeptical; I went 7 years starting at 21 having doctors disregard my endless search for a diagnosis of symptoms that turned out to be a stage 3 Astrocytoma because nobody HEARS young cute newly clean & sober females 0_o. I got married and pregnant at 27 and luckily I was in Las Vegas and had culinary union insurance and got the BEST surgeon & a clinical drug trial for that and I'm a 29 year SURVIVOR ! I have every medical portal available even imaging, which is how I even found out about the initial CT results last year that led to right upper lobectomy and had to call and get on people's nerves to be heard then after I got "lucky " and a "new patient " appointment led to a lcsct and slew of tests from doctor who then moved away ( My angel ! I also have a friend who was an ICU& Oncology nurse then a nurse practitioner and now does Eastern Medicine who looks over things and advises me if I don't understand. When I hear from surgeon I am asking about needle biopsy but I'm seriously considering asking for referral to Stanford or Davis!

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Profile picture for gig666 @gig666

Can tell me l was diagnosed with Neurocarcinod cancer tumor cancer 2023. They have grown slightly, in my right lung, plus adding in the bronchiectasis found last scan. Friday, My oncologist wrote following patient for
Neuroendocrine carcinoma? Is that another term for from neurocarcinod cancer? No lymph nodes.

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@gig666 , Someone from the NETs group (https://connect.mayoclinic.org/group/neuroendocrine-tumors-nets/) may be better equip to answer your question about the difference in terminology. I did find this article, referring to a change in approach to naming the cancers. My non-clinical interpretation, I would think they are the same. You may want to check with your oncologist to be sure.
https://netrf.org/for-patients/newly-diagnosed/carcinoid-tumors-renamed-neuroendocrine-tumors/.

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When I had a my first lung cancer in 2014 they did a CT guided needle guided biopsy due to the location of my nodule. Perhaps you can ask.
You don’t sound comfortable with your doctors. If not you should definitely find new doctors,,, that’s ridiculous to wait that long for results,
Can you get your medical in a My Chart or something similar? I see all my test results,office visit notes and more as soon as they are released to the doctors.
Some people Don’t want to see and wait on the doctor to discuss.
Posting them to you is required by law now I believe but you can opt out if you.There should be a portal or my chart link through your doctor or hospital.
Where are you being treated?

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Profile picture for Lisa, Volunteer Mentor @lls8000

@gig666, I've had a few bronchoscopy procedures too. I've found them to be fairly easy, with a little bit of coughing after each. I'm not a big fan of coming out of anesthesia, but I'm happy to have the anesthesia when I need it. I've also been fortunate that twice the pulmonologist was able to biopsy lymph fluid, and didn't have to get all the way into lung for the nodule.
I hope you are doing well!

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Can tell me l was diagnosed with Neurocarcinod cancer tumor cancer 2023. They have grown slightly, in my right lung, plus adding in the bronchiectasis found last scan. Friday, My oncologist wrote following patient for
Neuroendocrine carcinoma? Is that another term for from neurocarcinod cancer? No lymph nodes.

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Profile picture for silvergirl29 @silvergirl29

Yeah, I had the robotic bronchoscopy last time around and as far as things I have been through not so bad! I have pretty good lung capacity as it is but if it's positive would prefer another route mainly because of all of the lung based viruses etc. out there in the wild running amok if that makes sense! They said pulmonologist wouldn't be comfortable doing biopsy close to aorta so I'm hoping he can do it with needle or something rather than remove more lung and going through that again.

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I have a new bronchiectosis, a tube condition that gets clogged with mucous and probably a few baby carcinoid causing such conjestio , coughing. It is near the opening to my airways to my heart.
They can always do a needle through your side ribs.
Either way they would put you on preventative medication. Good luck!

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Profile picture for dtorelli @dtorelli

I’m having VATS Monday for a newly found 1.5 LRL smooth nodule. CT, FDG PET, and Gallium Dontatate68 PET done because she thought Carcinoid. She is a top Lung Cancer specialist. Chief Professor of Thoracic Surgery. She felt it needs to come out and during surgery they will do a frozen biopsy. I do have a 39 year 1/2 pack a day smoking history. Quit 13 years ago. She said it may be nothing, but since my last CT was done 10/17 and that wasn’t there she doesn’t know if this grew fast or just showed up. I know if I don’t have VATS I will worry every day.

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I hope that it goes well for you, it sounds like you are in good hands. I can totally relate to that worry every day feeling, mine grew 2 mm in a month and every day that has passed since that PET scan I can't help but wonder how much that is a day. Much Love & Light to you, I hope to hear it just showed up and wasn't growing fast but your mind is eased.

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Profile picture for Lisa, Volunteer Mentor @lls8000

HI @silvergirl29, There are different types of lung biopsy procedures. Most go down the throat, which sounds scary, but it's the least risky. Other types use a needle placed through the chest wall. You are obviously put under anesthesia for both. Generally, you may have a little coughing afterward, but recovery is usually fairly easy.
https://www.mayoclinic.org/diseases-conditions/lung-cancer/diagnosis-treatment/drc-20374627
It sounds like you have a good team, and they obviously know your history the best. Here are some thoughts/questions that may help you. I would be curious, if they are able to biopsy the lymph node. If not, are they able to take just a wedge, or because of the location do they need to take the entire lobe? You've already had a reduction in lung capacity, would missing another lobe have an impact on your daily life going forward?
Best of luck to you!

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Yeah, I had the robotic bronchoscopy last time around and as far as things I have been through not so bad! I have pretty good lung capacity as it is but if it's positive would prefer another route mainly because of all of the lung based viruses etc. out there in the wild running amok if that makes sense! They said pulmonologist wouldn't be comfortable doing biopsy close to aorta so I'm hoping he can do it with needle or something rather than remove more lung and going through that again.

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Profile picture for gig666 @gig666

I too have lung nodules in both my lungs. They did a
Pulmonary Bronchscope, tube down your throat into lungs and biopsy is done. You are asleep! Good luck

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I had a robotic bronchoscopy last year but for some reason they only biopsied the right side and upper lobe plus about half of middle and some lymph nodes were taken out and lung was stage 1 adenocarcinoma. For some reason I'd feel "safer" doing that again!

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Profile picture for Lisa, Volunteer Mentor @lls8000

@dtorelli , best of luck to you on Monday. It sounds like you have been fortunate to find a very competent team. Knowing the cellular make-up of the mass will give you the reassurance that you are looking for. I that I want to know if it's cancer, and I want to know if it isn't. Pathology is our only way to know for sure. Just curious, is the nodule in a location that is difficult to biopsy?

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No it’s not in a difficult area. Lower Right Lung. She feels that why put me under for 30 to 45 minutes for an ION biopsy when it should be removed given my history and age. She feels optimistic that it will be malignant.

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