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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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@meka- Of course it means social worker! I should have tried to put it together. What time are your appointments?
@meka- I guess that I confused he with someone else. I am so glad that you have good support now @meka. You deserve it.
Merry, I very much agree with you. Knowledge is absolutely power💕
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2 ReactionsAnd a CT
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1 ReactionSocial Worker here, my Vet Center counselor has always been great, she set up for a counselor here. Adrienne is her name!!
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1 Reaction@meka- What is SW? So your counselor has decided to work with you! Fingers crossed!
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1 ReactionSakota- I must have sent this to you by mistake. Oopps sorry
You lost me who decided to work. With. Me and who is or what is cw
Linda10. I believe it means more than one center. It's seen in breast cancer too. Beyond this @sakota you'll need to ask your doctor. And my recommendation is that you do talk with your team before you have anything else done so that you can understand everything. Knowledg is power and this way you can make informed decisions.
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1 Reactionmulticentric Medspeak
adjective Referring to that which occurs in many sites in the body, as in a multicentric malignancy; in general, multifocal is preferred.
Sakota I think this is just another way of saying multifocal.