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Multifocal Adenocarcinoma of the lung, continual recurrences
We have multifocal adenocarcinoma of the lung. @linda10 and @sakota.- Please join me in this discussion.
For a short explanation of this tongue twister. Briefly, Multifocal Adenocarcinoma (MAC) of the lung is a clinical entity of multiple synchronous (less than 6 months) or metachronous (more than 6 months), often ground-glass opacities (GGO) on CT scan, typically indolent-behaving cancers. There is a scarce amt of clinical data to guide treatment decisions.
This came from http://ascopubs.org/doi/abs/10.1200/JCO.2017.35.15_suppl.e20041.
This means that more than one potential cancerous lesion, mostly ground glass, shows up at a time. For instance I had 3 cancerous lesions 10 years ago in my left lung and in the same area. They were all different sizes. They grow at different rates.
Multifocal adenocarcinoma is a very complex cancer because the medical profession doesn't know if the ground glass lesions are the primary cancer or small metastases of another primary cancer. They don't even know where they start..
Multifocal Adenocarcinoma has sub types and it's management is based on whether it's indolent or very virulent.
These are very simplistic explanations. Even doctors are confused by it and it's only been within the last twenty years that they have separated it from a Bronchioloalveolar Carcinoma (BAC).
The constant recurrences are the buggers. Not only do we have to constantly face lots of CT scans but when lung cells change, which they often do, we are in terror of another virulent cancer. I presently have several ground glass lesions. And I have had many that have disappeared. It's enough to drive you nuts and PTSD is exacerbated by the frequency of these devils.
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What did she suggest? @sakota
Hi Merry. My appointments are on June 23. Will be thinking about you. I have been on lexipro 10mg for awhile now so she just increased it to 20mg. Going to try it to see if it works. Will let you know how it goes. She suggested something else but thought I would just stick to lexipro first. My body absorbs lexipro fast so she was concerned about that.
@sakota- When in June Joan? Any appointments that I have before June (for now anyway) have been canceled and only one has been re-scheduled. My next scan is till on-so far- for June 24th. Joan, I'm with you on accelerating anxiety! I don't blame you for wanting help with this. It's an extraordinary time. May I ask what medicine she has given you?
Mer. Hi. Appointments all got pushed to June. Maybe eventually I will get them done. I had to call my counselor and talk to her as my anxiety is going overboard so then talked to my gp and she increased my dosage so that helps. How are you. Hope things are going ok for you. Anyone else’s anxiety goes whacko with this virus and then worrying about upcoming test results?? Take care mer
@sakota- Hi- How did your scan go yesterday?
@meka- How are things going? Are you doing ok with this home confinement?
Thanks Merry, not sure how feel. Unfortunately, the weather sucks and I'm not in my home! Normal relief activities not available and first treatment isn't in 3:45. Oh well. How are you doing??
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1 Reaction@meka- Am thinking of you on your first day of radiation. How are you feeling?
Nancy *shortshot I've had Radiation before twice. don't know what kind but what the heck if it works. Nancy
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2 Reactions@sakota- Hugs to you too. I'm thinking of you!
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