Multifocal Adenocarcinoma of the lung, continual recurrences

Posted by Merry, Volunteer Mentor @merpreb, Dec 11, 2018

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.

@sakota

I really need to proof read before sending

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@sakota9 You are not alone with the proofreading need. I"m awful and found GRAMMERLY that helps with my lousy typing.

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@linda10

@merry I live around 8 hours from the Mayo. Wouldn’t go anywhere else. I’m fine with the treatment. They originally said 5-8 and then scheduled 5. So it wasn’t a surprise. Just have to pull another authorization which pushes the start date back. Hopefully only 1 day.

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@linda10– Please let us know what day you start! Sending a big hug.

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@linda10

@merry I live around 8 hours from the Mayo. Wouldn’t go anywhere else. I’m fine with the treatment. They originally said 5-8 and then scheduled 5. So it wasn’t a surprise. Just have to pull another authorization which pushes the start date back. Hopefully only 1 day.

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Curious where you stay when you have treatments. Really like where I stay, but gosh it gets expensive over time.

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@merpreb

@meka– I agree with Linda about having one person coordinate your treatment plans. At MGH it's my oncologist who coordinates mine but I am also in touch with my surgeon and radiologist throughout the year. When I have a meeting to go over my CT scans or MRI's my Oncologist has spoken to everyone. All three have been my team all through this. Find out from the head of the department who it should be for you, please.

You should never have had this problem. Are you at Mayo?

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Yes, I go to Mayo. Looks like my last post went up on the lung cancer posts, tried to explain what's going on with me.

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@meka

Curious where you stay when you have treatments. Really like where I stay, but gosh it gets expensive over time.

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@meka Yes, I agree it can get costly. We travel with our 2 pups so we either stay at La Quinta or bring our RV and stay at Autumn Woods RV Park, which is where we are presently. We were able to leave the RV and go back home for the days in between our visits.

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@linda10

@meka Yes, I agree it can get costly. We travel with our 2 pups so we either stay at La Quinta or bring our RV and stay at Autumn Woods RV Park, which is where we are presently. We were able to leave the RV and go back home for the days in between our visits.

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@meka– Is there A Ronald McDonald house near the hospital? Here, try this https://www.rmhmn.org/

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@linda10

@meka Yes, I agree it can get costly. We travel with our 2 pups so we either stay at La Quinta or bring our RV and stay at Autumn Woods RV Park, which is where we are presently. We were able to leave the RV and go back home for the days in between our visits.

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@meka @linda10 @merpreb We also travel with our dogs and stay at La Quinta! Meka, make sure when you check rates that you ask if they have a "Mayo patient" rate. La Quinta has a discount if you call that's better than what is on the national website, and I'm pretty sure that's true with all of them. Also, the sooner you can book the better it usually is (which I've found out when I forget to book right after getting an appt. set up!)

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@merpreb

@linda10– Please let us know what day you start! Sending a big hug.

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@merry we received approval yesterday morning and I began treatment yesterday afternoon. My last treatment will be on Monday the 5th. So far so good. Thanks so much for everyone’s support ❤️

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I’m new to group and looking for answers of what can be done for multi focal adenocarcinoma. I have no mutations and drs. Know chemo doesn’t really help but it seems to be their answer. I’ve had upper left lobectomy 2015, SBRT late 2016, and ct scans every 3 months since then. I have about 14 Or more nodules in left lower and 1in right. One in left lung is now 2.7cm, others still smaller. I live in small town in Michigan and am looking for 2nd opinion from U of M. Has anyone had chemo and has it helped? My nodules are considered indolent but seem to be growing faster than others that I’ve read about so I am getting more anxious as the months go by and may soon need to make some decisions as to treatment. I would go for SBRT again if that is a possibility. I understand what you all are going through physically and mentally and that does take its toll but I do feel that we are lucky that it is not a more deadly form of Lung Cancer and that time is on our side for them to come up with answers. Thank you for having this forum, as it does help to vent. Good luck to all and will welcome any info and maybe I shouldn’t be posting since I’m not at Mayo Clinic. catlover1943

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@catlover1943

I’m new to group and looking for answers of what can be done for multi focal adenocarcinoma. I have no mutations and drs. Know chemo doesn’t really help but it seems to be their answer. I’ve had upper left lobectomy 2015, SBRT late 2016, and ct scans every 3 months since then. I have about 14 Or more nodules in left lower and 1in right. One in left lung is now 2.7cm, others still smaller. I live in small town in Michigan and am looking for 2nd opinion from U of M. Has anyone had chemo and has it helped? My nodules are considered indolent but seem to be growing faster than others that I’ve read about so I am getting more anxious as the months go by and may soon need to make some decisions as to treatment. I would go for SBRT again if that is a possibility. I understand what you all are going through physically and mentally and that does take its toll but I do feel that we are lucky that it is not a more deadly form of Lung Cancer and that time is on our side for them to come up with answers. Thank you for having this forum, as it does help to vent. Good luck to all and will welcome any info and maybe I shouldn’t be posting since I’m not at Mayo Clinic. catlover1943

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Welcome catlover. Don't worry about not being a patient neither am I. I live in New England and use Mass General.

I personally think that you need a second opinion with another oncologist. Unless your Dr. Is afraid that SBRT isn't recommend because it's too close to another organ.

Can you get an honest answer from him why he's made that decision?

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@catlover1943

I’m new to group and looking for answers of what can be done for multi focal adenocarcinoma. I have no mutations and drs. Know chemo doesn’t really help but it seems to be their answer. I’ve had upper left lobectomy 2015, SBRT late 2016, and ct scans every 3 months since then. I have about 14 Or more nodules in left lower and 1in right. One in left lung is now 2.7cm, others still smaller. I live in small town in Michigan and am looking for 2nd opinion from U of M. Has anyone had chemo and has it helped? My nodules are considered indolent but seem to be growing faster than others that I’ve read about so I am getting more anxious as the months go by and may soon need to make some decisions as to treatment. I would go for SBRT again if that is a possibility. I understand what you all are going through physically and mentally and that does take its toll but I do feel that we are lucky that it is not a more deadly form of Lung Cancer and that time is on our side for them to come up with answers. Thank you for having this forum, as it does help to vent. Good luck to all and will welcome any info and maybe I shouldn’t be posting since I’m not at Mayo Clinic. catlover1943

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You are welcome here, @catlover1943. Connect is for all patients whether you get your care at Mayo Clinic or elsewhere. It seems to me that you are taking control by seeking a second opinion at U of M. Have you made the call?

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@catlover1943

I’m new to group and looking for answers of what can be done for multi focal adenocarcinoma. I have no mutations and drs. Know chemo doesn’t really help but it seems to be their answer. I’ve had upper left lobectomy 2015, SBRT late 2016, and ct scans every 3 months since then. I have about 14 Or more nodules in left lower and 1in right. One in left lung is now 2.7cm, others still smaller. I live in small town in Michigan and am looking for 2nd opinion from U of M. Has anyone had chemo and has it helped? My nodules are considered indolent but seem to be growing faster than others that I’ve read about so I am getting more anxious as the months go by and may soon need to make some decisions as to treatment. I would go for SBRT again if that is a possibility. I understand what you all are going through physically and mentally and that does take its toll but I do feel that we are lucky that it is not a more deadly form of Lung Cancer and that time is on our side for them to come up with answers. Thank you for having this forum, as it does help to vent. Good luck to all and will welcome any info and maybe I shouldn’t be posting since I’m not at Mayo Clinic. catlover1943

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Hello @catlover1943,

As you can see from the post from @merpreb many of us are not Mayo patients. I too live in Michigan and go to U of Mich. for my cancer follow-ups. While I don't have lung cancer, I have found U of M care to be very helpful. Teaching/research hospitals tend to have the latest information in cancer treatment.

Do you have an appointment scheduled at U of M yet? I hope you find answers to your questions.

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