Mass on lung and lymph nodes

Posted by detroitmom23 @detroitmom23, Jan 4, 2023

I had a routine Cat Scan about a month ago and found large mass in lung and probability of surrounding lymph nodes. I have consultation this week to discuss best approach to biopsy and also setting up Pet scan. I’m beyond devastated and scared. I heard the needle biopsy is miserable. I feel certain I’m facing death and perhaps worse thing is telling my two adult daughters who already lost their dad when they were kids.

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

I had the needle biopsy, don't fret, it's a snap. They deadened the surrounding area and stuck in this needle that took 5 biopsy chunks out of my neck. Didn't feel a thing. Just a lot of blood loss.
So, don't worry about the pain, there is none, if your doctor is good.

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One more ?

What type of cancer? NSCLC? SCLC? OTHER?

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@lls8000

@skm101, Yes in 2020 I was diagnosed with lung cancer. I was stage IV right away, so I did not have surgery. My lymph nodes are intact and doing their job by trying to filter out ‘bad’ cells. When they are enlarged, I can feel a slight flutter or spasm in my chest every now and then. Everyone is different, and may not experience this same sensation.
Hang in there. I hope your PET provides some answers.

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You are very kind to share. Thank you!

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Thank you for responding.

It's so hard to not have answers and now my PET is postponed due to insurance.

Can you tell me if you've already told me

* size of nodule
* were the affected lymph nodes on the left side
* how big was your nodule
* what symptoms did you have in order to go get tests
* did they give you a stage number?
* did you have a biopsy before the PET
*

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@skm101

Where is yours located that makes it not operable?

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My cancer is in the right lung and it has spread to a Hilar lymph node. The Hilar nodes are in lung area and surgery is an option with them. However the cancer has also spread to at least one Mediastinal lymph node. These are associated with the spine area and my doctors told me they have tried surgery on them but the results were not good so they stopped doing that.
I suppose it is possible to find somebody willing to do them. I don't know about that.

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@skm101

That's good news on the recent nodes

Was it lung cancer before?

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@skm101, Yes in 2020 I was diagnosed with lung cancer. I was stage IV right away, so I did not have surgery. My lymph nodes are intact and doing their job by trying to filter out ‘bad’ cells. When they are enlarged, I can feel a slight flutter or spasm in my chest every now and then. Everyone is different, and may not experience this same sensation.
Hang in there. I hope your PET provides some answers.

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Your hilar nodes, did they remove them? Did they present like your recent ones?

Thank you for taking the time to talk to me. Means a lot.

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@lls8000

@skm101 , You may want to wait to see what the PET scan shows before reaching out for a second opinion or transfer to one of the Mayo locations, but just in case you need it, here is a link to request an appointment: http://mayocl.in/1mtmR63
IF this is a cancer, there are also many well-respected cancer centers around the world. If you are in the US, the National Cancer Institute has a list of designated cancer centers here:
https://www.cancer.gov/research/infrastructure/cancer-centers/find

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Thank you. I will keep these sites and use after I know for sure. I just don't do well not being able to start the plan of action.

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That's good news on the recent nodes

Was it lung cancer before?

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@skm101

I had 2 surgeries since Oct and I was feeling different when breathing some. I had a routine Dr appt and mentioned it. She did blood work and I has a D-dimer of over 2000. She wanted at CT scan then. It showed a nodule in posterior right upper lobe, one inflamed Hilar lymph node and another questionable one. She now wants a PET scan but insurance is being difficult.

I'm so glad for you that yours is not cancerous. If I understand correctly, you had just abnormal lymph nodes, no nodule or mass. Is that correct?

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@skm101 , You've been put through a lot since October, wow! A PET scan is a good next step to see how much activity there is in that nodule. Hopefully she can get that through your insurance company. Having insurance issues just adds to the stress.
I've had enlarged hilar lymph nodes related to cancer in 2020 and related to a fungus in 2023/2024. This past November, when scans showed the lymph nodes enlarged and a new 1cm nodule, we were all sure that the cancer had returned. After scans and biopsies, we know that my cancer is thankfully still under control!, and we're treating the fungus.

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