Just diagnosed with spiculated node in the right upper lobe

Posted by wrmeador @wrmeador, Feb 13 3:09pm

I am a 78 yo male. My pulmonarist said it is very specious because it has grown i n size to 1.5 cm.
I will go to Charleston va hospital soon.
He said a biopsby is not require because it is spiculaüted and grown in 1 year.
I will have a pet scan and then minimum invasive surgery to remove it. Chemo is not
off the tabled. i alsohave DVTs in my right leg, which im taking Eliquist. [second time in 12yrs when i had leukemia. ]
In 1966 i was in the Army basic training, while there i came down with pneumonia and coughing up blood. Since then xrays awayed showed a scar. I read that a lung scar can turn maglignant. sorry for ms.
~

Interested in more discussions like this? Go to the Lung Cancer Support Group.

Colleen Young, Connect Director | @colleenyoung | Feb 23 8:46pm

@wrmeador, have you found out more about your diagnosis? When will you have surgery?

wrmeador | @wrmeador | Feb 24 4:26pm

In reply to @colleenyoung "@wrmeador, have you found out more about your diagnosis? When will you have surgery?" + (show)

Not sure sometime after 3/14 when i have multiple appointments with the VA.

wrmeador | @wrmeador | Mar 15 9:51am

In reply to @franciekid "wrmeador, I was diagnosed with non small cell lung cancer in February of 2023. Diagnosis much..." + (show)

I had a pet scan yesterday. Waiting for results.

wrmeador | @wrmeador | Mar 15 10:05am

I will have to re-do a MRI because i could not tolerate the pain in my neck and back from herniated discs. Any suggestion for a sedative or other meds?

frouke | @frouke | Mar 15 11:31am

In reply to @wrmeador "I will have to re-do a MRI because i could not tolerate the pain in my..." + (show)

I think that if you ask your doctor for a sedative and pain medication you will have a better outcome..MRI’s are very unpleasant especially for claustrophobic people like myself so I usually take an extra Ativan which I use regularly…most people don’t like the MRI’s but they can tolerate very well.

franciekid | @franciekid | Mar 15 1:55pm

In reply to @frouke "I think that if you ask your doctor for a sedative and pain medication you will..." + (show)

I, too, am claustrophobic and usually take Xanax before my MRIs. Seems to work for me along with listening to music, keeping my eyes closed, but not covered, and singing in my head. Technicians talk to me and tell me how long each phase will last and how loud it will be.

wrmeador | @wrmeador | Mar 16 7:25am

In reply to @franciekid "I, too, am claustrophobic and usually take Xanax before my MRIs. Seems to work for me..." + (show)

Thanks to the suggestion. I ll ask my doc.

wrmeador | @wrmeador | Mar 17 9:04am

I had a PET scan at the Charleston, SC VA hospital this week and part of the report mentions this :
"There is a hypermetabolic right upper lobe lung nodule
(1.9 x 2.3 cm, max SUV 14.1). There is no pleural effusion or
pneumothorax. There is hypermetabolic lymphadenopathy in the
right axillary (max SUV 3.2), right paratracheal (max SUV 8.6),
right hilar (max SUV 4.1), left hilar (max SUV 3.3) and
subcarinal (max SUV 4.2) regions."
Can someone who has technical knowledge deceiver this ?

wrmeador | @wrmeador | Mar 17 9:21am

I have the PET scan report now. One part of it, besides the suspected cancer node , are mention of lymph nodes which to me means it might have metastases, I don't know..

"There is a hypermetabolic right upper lobe lung nodule
(1.9 x 2.3 cm, max SUV 14.1). There is no pleural effusion or
pneumothorax. There is hypermetabolic lymphadenopathy in the
right axillary (max SUV 3.2), right paratracheal (max SUV 8.6),
right hilar (max SUV 4.1), left hilar (max SUV 3.3) and
subcarinal (max SUV 4.2) regions."

I will see a pulmonary surgen on the 19th of March to discuss this.

denzie | @denzie | Mar 18 9:17am

In reply to @wrmeador "I had a PET scan at the Charleston, SC VA hospital this week and part of..." + (show)

Infections and inflammation can cause high SUV ratings. This is something that should be addressed by a clinician who who'll compare it to what they see on the CT.

There isn't enough information here for us to make a guess IF we were qualified. I'm sorry to not be more help. If this was my body, I'd call the doctor's office and ask for a call back when they are free to discuss the findings.