Tolerating lung biopsy and treatment: Any words of encouragement?

Posted by franciekid @franciekid, Feb 25, 2023

Just today, in an incidental CT scan, a 13mm spiculated nodule was found in my lung. I’m dreading both the biopsy and treatment and am actually leaving for a week or so in Spain before returning for the biopsy. Any words of encouragement? Thank you.

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I had a biopsy about three years ago. The prep is negligible. Generally the patient is given a light sedative. I can't remember feeling any pain. If there was some, it was not memorable.
It got boring laying on my stomach for a fair amount of time.
Afterwards I had a great lunch with my friend.
Based on my experience there is no need to fret. Others may have had different experiences, though.

REPLY

I agree with Freitag. But way back when I had mine done you would have thought that the sky was falling. I worked myself up into such a dither no one could talk to me.

Here is a youtube for you to see how they might be done.
https://www.youtube.com/watch?v=uW51mSHNBE8

First of all, this is a very necessary step for some patients in order to determine the type of cancer, the stage, etc. You are put on a gurney-type table and positioned so that the technicians have the best angle to get the best samples that they can. Then you will have a bit of a sting when they numb the area. You will also be given (unless you refuse) a light sedative that will have you either not caring about one darn thing in the entire world or you might doze off. Then you'll come to or get off the table and think that you were the biggest sissy in the world. Make sure that you wear a sweatshirt that has a hoodie so you can hide! 🙂 Only kidding, but you will feel like what was that all about, did I really panic over that? Now, this is the technical part of it.

The emotional part plays a huge factor in your fear factor. You have learned that you have lung cancer so you know that your world has changed and will for your entire journey. You are frightened at what this might mean to you and your family. There are just so many emotional factors involved that it depends really on the type of person you are and how you handle badness in your past. But remember, no one likes to feel out of control, and before your biopsy, there are many factors that you don't know yet. When you get the information you need to make intelligent informed decisions it makes you feel more in the know, more in control, and better at coping.

NO ONE ever said," oh good. I can't wait to have chemo!' Or any such thing. No one looks forward to it. Any and all decisions about your treatments are ultimately your decisions. Just remember that there are medications to help with side effects. There is no getting around the fact that lung cancer treatments can be tough. I've had 2 lobectomies, chemo, and three radiations over a span of 25 years. I am presently healing from pneumonitis as a result of radiation. But I can't wait to get better and all the zappings have taught me to be patient and give the treatment time to work.

When you get back from Spain I'll walk you through this. We all have wide shoulders and you can use them for anything at any time. All of my mentor friends are here too. You won't be alone and we will answer your questions and talk with you as much as you need.

I love Spain. What part will you be visiting>I was on the coast up north in Vigo. Have you been before?

REPLY
@merpreb

I agree with Freitag. But way back when I had mine done you would have thought that the sky was falling. I worked myself up into such a dither no one could talk to me.

Here is a youtube for you to see how they might be done.
https://www.youtube.com/watch?v=uW51mSHNBE8

First of all, this is a very necessary step for some patients in order to determine the type of cancer, the stage, etc. You are put on a gurney-type table and positioned so that the technicians have the best angle to get the best samples that they can. Then you will have a bit of a sting when they numb the area. You will also be given (unless you refuse) a light sedative that will have you either not caring about one darn thing in the entire world or you might doze off. Then you'll come to or get off the table and think that you were the biggest sissy in the world. Make sure that you wear a sweatshirt that has a hoodie so you can hide! 🙂 Only kidding, but you will feel like what was that all about, did I really panic over that? Now, this is the technical part of it.

The emotional part plays a huge factor in your fear factor. You have learned that you have lung cancer so you know that your world has changed and will for your entire journey. You are frightened at what this might mean to you and your family. There are just so many emotional factors involved that it depends really on the type of person you are and how you handle badness in your past. But remember, no one likes to feel out of control, and before your biopsy, there are many factors that you don't know yet. When you get the information you need to make intelligent informed decisions it makes you feel more in the know, more in control, and better at coping.

NO ONE ever said," oh good. I can't wait to have chemo!' Or any such thing. No one looks forward to it. Any and all decisions about your treatments are ultimately your decisions. Just remember that there are medications to help with side effects. There is no getting around the fact that lung cancer treatments can be tough. I've had 2 lobectomies, chemo, and three radiations over a span of 25 years. I am presently healing from pneumonitis as a result of radiation. But I can't wait to get better and all the zappings have taught me to be patient and give the treatment time to work.

When you get back from Spain I'll walk you through this. We all have wide shoulders and you can use them for anything at any time. All of my mentor friends are here too. You won't be alone and we will answer your questions and talk with you as much as you need.

I love Spain. What part will you be visiting>I was on the coast up north in Vigo. Have you been before?

Jump to this post

This particular hospital in the video doesn't give sedation. But many do and if you have a concern ask your doctor prior to your trip.

Here is another form Mayo
https://www.youtube.com/watch?v=oKKjDLb_aKw

REPLY
@freitag

I had a biopsy about three years ago. The prep is negligible. Generally the patient is given a light sedative. I can't remember feeling any pain. If there was some, it was not memorable.
It got boring laying on my stomach for a fair amount of time.
Afterwards I had a great lunch with my friend.
Based on my experience there is no need to fret. Others may have had different experiences, though.

Jump to this post

Thank you so much for your reassuring words.

REPLY
@merpreb

I agree with Freitag. But way back when I had mine done you would have thought that the sky was falling. I worked myself up into such a dither no one could talk to me.

Here is a youtube for you to see how they might be done.
https://www.youtube.com/watch?v=uW51mSHNBE8

First of all, this is a very necessary step for some patients in order to determine the type of cancer, the stage, etc. You are put on a gurney-type table and positioned so that the technicians have the best angle to get the best samples that they can. Then you will have a bit of a sting when they numb the area. You will also be given (unless you refuse) a light sedative that will have you either not caring about one darn thing in the entire world or you might doze off. Then you'll come to or get off the table and think that you were the biggest sissy in the world. Make sure that you wear a sweatshirt that has a hoodie so you can hide! 🙂 Only kidding, but you will feel like what was that all about, did I really panic over that? Now, this is the technical part of it.

The emotional part plays a huge factor in your fear factor. You have learned that you have lung cancer so you know that your world has changed and will for your entire journey. You are frightened at what this might mean to you and your family. There are just so many emotional factors involved that it depends really on the type of person you are and how you handle badness in your past. But remember, no one likes to feel out of control, and before your biopsy, there are many factors that you don't know yet. When you get the information you need to make intelligent informed decisions it makes you feel more in the know, more in control, and better at coping.

NO ONE ever said," oh good. I can't wait to have chemo!' Or any such thing. No one looks forward to it. Any and all decisions about your treatments are ultimately your decisions. Just remember that there are medications to help with side effects. There is no getting around the fact that lung cancer treatments can be tough. I've had 2 lobectomies, chemo, and three radiations over a span of 25 years. I am presently healing from pneumonitis as a result of radiation. But I can't wait to get better and all the zappings have taught me to be patient and give the treatment time to work.

When you get back from Spain I'll walk you through this. We all have wide shoulders and you can use them for anything at any time. All of my mentor friends are here too. You won't be alone and we will answer your questions and talk with you as much as you need.

I love Spain. What part will you be visiting>I was on the coast up north in Vigo. Have you been before?

Jump to this post

My goodness, I am overwhelmed by your help and support, Merry. I made the decision not to go to Spain - Barcelona for a month. It was difficult. I think I wanted to run away and br distracted by our friends and the activities we had planned. But my doctor and my own awareness of the situation on day 2, convinced me to stay here and get on with it. I am impatient to have the biopsy and learn exactly what I have and how it might be treated. I am concerned that the cancer may have already spread to my brain which is not only terrifying but feels like that death sentence I mentioned. I can’t tell you how much your counsel means to me.

REPLY
@merpreb

I agree with Freitag. But way back when I had mine done you would have thought that the sky was falling. I worked myself up into such a dither no one could talk to me.

Here is a youtube for you to see how they might be done.
https://www.youtube.com/watch?v=uW51mSHNBE8

First of all, this is a very necessary step for some patients in order to determine the type of cancer, the stage, etc. You are put on a gurney-type table and positioned so that the technicians have the best angle to get the best samples that they can. Then you will have a bit of a sting when they numb the area. You will also be given (unless you refuse) a light sedative that will have you either not caring about one darn thing in the entire world or you might doze off. Then you'll come to or get off the table and think that you were the biggest sissy in the world. Make sure that you wear a sweatshirt that has a hoodie so you can hide! 🙂 Only kidding, but you will feel like what was that all about, did I really panic over that? Now, this is the technical part of it.

The emotional part plays a huge factor in your fear factor. You have learned that you have lung cancer so you know that your world has changed and will for your entire journey. You are frightened at what this might mean to you and your family. There are just so many emotional factors involved that it depends really on the type of person you are and how you handle badness in your past. But remember, no one likes to feel out of control, and before your biopsy, there are many factors that you don't know yet. When you get the information you need to make intelligent informed decisions it makes you feel more in the know, more in control, and better at coping.

NO ONE ever said," oh good. I can't wait to have chemo!' Or any such thing. No one looks forward to it. Any and all decisions about your treatments are ultimately your decisions. Just remember that there are medications to help with side effects. There is no getting around the fact that lung cancer treatments can be tough. I've had 2 lobectomies, chemo, and three radiations over a span of 25 years. I am presently healing from pneumonitis as a result of radiation. But I can't wait to get better and all the zappings have taught me to be patient and give the treatment time to work.

When you get back from Spain I'll walk you through this. We all have wide shoulders and you can use them for anything at any time. All of my mentor friends are here too. You won't be alone and we will answer your questions and talk with you as much as you need.

I love Spain. What part will you be visiting>I was on the coast up north in Vigo. Have you been before?

Jump to this post

This video is also very reassuring. Thanks.

REPLY
@franciekid

My goodness, I am overwhelmed by your help and support, Merry. I made the decision not to go to Spain - Barcelona for a month. It was difficult. I think I wanted to run away and br distracted by our friends and the activities we had planned. But my doctor and my own awareness of the situation on day 2, convinced me to stay here and get on with it. I am impatient to have the biopsy and learn exactly what I have and how it might be treated. I am concerned that the cancer may have already spread to my brain which is not only terrifying but feels like that death sentence I mentioned. I can’t tell you how much your counsel means to me.

Jump to this post

Typically one would have a brain MRI and/or a PET-CT scan that included the head to see if the cancer has spread to the brain.
Obviously a lung biopsy will not detect cancer in the brain or anywhere outside of the very specific spots in the lung where the biopsy is taken. The lung biopsy is done to verify that a spot or spots are cancer and to determine the specific type of cancer. The specific type of cancer helps determine the treatment plan and the drugs involved in any chemotherapy and immunotherapy.

REPLY
@franciekid

My goodness, I am overwhelmed by your help and support, Merry. I made the decision not to go to Spain - Barcelona for a month. It was difficult. I think I wanted to run away and br distracted by our friends and the activities we had planned. But my doctor and my own awareness of the situation on day 2, convinced me to stay here and get on with it. I am impatient to have the biopsy and learn exactly what I have and how it might be treated. I am concerned that the cancer may have already spread to my brain which is not only terrifying but feels like that death sentence I mentioned. I can’t tell you how much your counsel means to me.

Jump to this post

I'm glad that I am here for you. I'm glad that you changed your mind. The quicker that cancer is removed the better for you.
Since your decision to take care of this now is so recent is. Is there a date yet set for the biopsy? Also, you might want to ask about DNA testing for your cancer.

REPLY
@nonobaddog

Typically one would have a brain MRI and/or a PET-CT scan that included the head to see if the cancer has spread to the brain.
Obviously a lung biopsy will not detect cancer in the brain or anywhere outside of the very specific spots in the lung where the biopsy is taken. The lung biopsy is done to verify that a spot or spots are cancer and to determine the specific type of cancer. The specific type of cancer helps determine the treatment plan and the drugs involved in any chemotherapy and immunotherapy.

Jump to this post

Thank you. Yes, there is a chance it has metastasized to my brain, as an MRI showed a tiny point which the radiologist first thought was incinsequential, but after seeing the CT of the lung, thinks it may be metastases. Hardest thing is waiting to see all the docs.

REPLY
@merpreb

I'm glad that I am here for you. I'm glad that you changed your mind. The quicker that cancer is removed the better for you.
Since your decision to take care of this now is so recent is. Is there a date yet set for the biopsy? Also, you might want to ask about DNA testing for your cancer.

Jump to this post

PET scan scheduled for Monday. If no other cancer, oncologist recommends removing the nodule from the lung - it’s about 1/2” x 1/2” - vs a biopsy. Does DNA test identify the type of cancer?

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