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.

Interested in more discussions like this? Go to the Neuroendocrine Tumors (NETs) Support Group.

Profile picture for nannybb @nannybb

@stephanieann Stephanie, we are close in age. I think "some" doctors factor that in before anything else...lol
I have posted so many places and times. Please forgive me if I repeat myself. I'll try to be direct to your specific questions.
I had flushing, shortness of breath, and phlegm I was coughing up months before the cancer diagnosis. I told my GP with every visit. (every 3 months) She ignored, or made light of it all.
Yes, NETs can metastasize, and it is not organ specific, or so I've read. (Like there is a "normal" path breast cancer tends to travel) My mom' s went to her liver, then bones. One person posted her husband's had gone to his brain. But that was years after his initial surgery, and he had quit going for scans at some point, so not a great example.
Other than the symptoms I mentioned, I did not feel necessarily better after surgery. The lethargy got a little better, but returned with a vengeance upon taking the I.M verson of Somatostatin.
The fact a robot was used caused most of my aftermath problems. A year out, and when I breath it still feels like I have glass in my lungs. Hopefully the ablation will help with that.
Yes, I tried acupuncture after the surgery. It helped, but it was not covered by my insurance. I went as many times as I could, and it enabled me to at least touch my ribcage to massage it. Lidocaine patches have helped.
Stopping the shots has caused the DIPNECH symptoms to return. Not so much the coughing, but the phlegm in the back of my throat (quite annoying.) and flushing.
When I saw my GP this last Thursday, it was through questions, that I realized she never did have any idea of this type of cancer. No knowledge of NETs or DIPNECH. That explained to me why she choose the surgeon she did. I'm not confident HE knows anything about NETs etc. either. If I had it to do over, I would have been with a specialist who, first would have operated the conventional way (no robot) and who possibly would have waited to see if the tumor would have continued to grow, especially after the biopsy showed it was benign. I'm on the fence regarding waiting.
EVERYONE should go for a second or even third opinion. Both my pulmonary doctor and the surgeon were in agreement so I thought I was in good hands. I've also mentioned in here before, it was here I was helped in findng a NETs surgeon, specializing in that form of cancer. I never heard the surgeon who operated on me mention either terms. Just carcinoid tumor.
Lastly, I read recently 50% of DIPNECH pts. go on to have cardiac involvement.
That seems high to me. I'm going to delve into that further.
I have been told I may have to have open heart surgery or a fairly new less invasion "O ring" inserted. That, quite frankly, has me more worried than my lung cancer. And at this point I do not know if the heart problem in my case is even related to my cancer.
I have recently gotten approved for a medical advocate. I wish I had done that sooner. It is paid for by Medicare.
I believe I am in God's hands and fear should not overtake me. I do get anxious at times. 🙂
I hope I answered all of your questions. If not, feel free to inquire again. All I have said is from my own research and personal experience. I'm am definitely not an expert. Blessings 💕

Jump to this post

@nannybb
Hi,' I have a lot more experience with open heart surgery and heart disease than NETS. I do believe it is important to get a cardiac catheterization before having open heart surgery depending on your situation. . Depending on your issue, perhaps you can avoid it and just get a stent put in during the cardac cath if the issue is blocked arteries. Having 2 major chest surgeries is concerning to me. The more they open your chest the more probability of complications after eg nerve pain, etc. INMHO . I think both the cardiologist and the medical oncologist really don't know if my symptoms of shortness of breath, fatigue are caused by my heart or the NET.
I do have the following questions: is it important to have a NET cardiothoracic surgeon that is part of a team at an academic center , Does it matter.? I actually preferred the cardiothoracic surgeon who has done a lot of NET removals but is not part of a NET team. He was not pushing me to do the surgery immediately . Has anyone used ablation or criotherapy instead of surgery? Other alternatives?
Do people feel generally feel better after the NET is removed? I am not having that much flushing or diarrhea ( only comes on sporadically). Just watched fireworks outside of my highrise building. . Was grateful that I was healthy enough to do this Wishing you all a Happy 4th.

REPLY
Profile picture for stephanieann @stephanieann

@nannybb
Hi,' I have a lot more experience with open heart surgery and heart disease than NETS. I do believe it is important to get a cardiac catheterization before having open heart surgery depending on your situation. . Depending on your issue, perhaps you can avoid it and just get a stent put in during the cardac cath if the issue is blocked arteries. Having 2 major chest surgeries is concerning to me. The more they open your chest the more probability of complications after eg nerve pain, etc. INMHO . I think both the cardiologist and the medical oncologist really don't know if my symptoms of shortness of breath, fatigue are caused by my heart or the NET.
I do have the following questions: is it important to have a NET cardiothoracic surgeon that is part of a team at an academic center , Does it matter.? I actually preferred the cardiothoracic surgeon who has done a lot of NET removals but is not part of a NET team. He was not pushing me to do the surgery immediately . Has anyone used ablation or criotherapy instead of surgery? Other alternatives?
Do people feel generally feel better after the NET is removed? I am not having that much flushing or diarrhea ( only comes on sporadically). Just watched fireworks outside of my highrise building. . Was grateful that I was healthy enough to do this Wishing you all a Happy 4th.

Jump to this post

@stephanieann Hey Stephenie. My problem as the doctors know so far by my echo...my tricupid valve is not closing all the way. So my heart has blood regurgitating. I have done some research. There are three classifications. Mild, moderate and severe. My has progressed slightly from the last echo. However, it will have to be addressed at some point by what I've read. They can totally open up the chest, or go through the side of my ribs and thread up a device called an "O" ring. The later is obviously less invasive. My problem, is after my lung cancer was removed bt robotics, I am still have severe pain. Two nerve blocks later, they have decided to try an ablation on my lung area.
My boss at work recently had an ablation for her heart, so I am familiar with what you are saying.
I had a cardiologist, but I have to get another one, as my insurance no longer covers the first one. I have been paying huge sums to United Healthcare for supplemental, at their highest coverage. You may have seen where I posted they were going to reject the second nerve block. My doctor is fixing that problem.

REPLY
Please sign in or register to post a reply.