upset caregiver: what do these results mean?

Posted by scared2 @scared2, Aug 4, 2021

My spouse was diagnosed with Throat cancer 2 years ago. Since then has been Cancer free, hasn't missed any of the post check ups. Had a ct scan a week and it came back with a small nodule in the lungs. Has a pt scan and cant get the results for another 10 days. I saw the results......"impressions" 1.5 cm spiculated nodule upper lobe intensely hypermetabolic consistent with pulmanary metastines.

2. a smaller 5mm nodule along right major fissure also suspicious.

3.Mild activity w\a nonenlarged mediastinal node and both hilar regions nonspecific-maybe reactive vs metastic.

3.Hypermetabolic activity is noted in a testicle. More testing is needed.

4.hypermetmetabolic activity associated with peribronical vascular ground glass opacification which is likely inflammatory or infectious. No hypermetabolic activity in the throat.
Is this good or bad news?

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@scared2

The surgeon said he couldn't operate due to my husband's lung capacity, he only operates if the patient is at 40 % and above. We heard alot ifs from the surgeon. He went for his 2nd ct scan today and 2nd physical. Just in case IF its not cancerbut an infection. His primary dr, gave him his physical and noted once again about pre cancer lesion on my husband's arms. There hasn't been any other symptons of cancer. They haven't checked his nails for lack of lines or the chubiness of the fingernails.

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Hello @scared2,

Is there a Cancer Center of Excellence in your area where you can seek a second opinion?

Here is the website for the American Cancer Society, https://www.cancer.org/. If you look at the top of this website you will see the phone number for a Cancer Hotline. If you call there, ask if they can recommend a Cancer Center of Excellence for lung cancer in or near your area. Perhaps a second opinion would be a good idea now since your current doctor isn't willing to operate with a 40% lung capacity.

Will you give this a try?

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We are currently waiting for the 2nd ct scan results to come back. He was just a dr. we were referred to. He said he won't operate if someone less then 40 % lung capacity. We don't have a cancer of excellence around here. My husband doent know if that I m on this program. And would be up set if he knew.

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@merpreb

Your husband doesn't want to know the results? Oh, my. If you tell him that you need to know because then you can prepare to help him and provide what he needs would that help?

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I don't exactly know I should reply at.
It seems like there for awhile there were quite a few replies.
An update, he had his biospy last Thrusday. The dr.who did it came out and told me....If the lympnotes are cancer free, then the nodule is also noncanerous. But if the lympnotes have cancer so does the nodule. The prior prognosis would also have to have surgery. Where the latter would be radiation plus chemo. Well thank Heavens for small miracles, her ideas were wrong. The oncologist called the next day and said, no dignity of cancer in the lympnotes. Still don't know a 100 % that the nodule is cancerous or what type. The next step is just radiation without chemo. The nodule had grown from July to Sept., not a lot. I was also told that usually means cancer but not always.
Which should be starting in 10 days.

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@scared2

I don't exactly know I should reply at.
It seems like there for awhile there were quite a few replies.
An update, he had his biospy last Thrusday. The dr.who did it came out and told me....If the lympnotes are cancer free, then the nodule is also noncanerous. But if the lympnotes have cancer so does the nodule. The prior prognosis would also have to have surgery. Where the latter would be radiation plus chemo. Well thank Heavens for small miracles, her ideas were wrong. The oncologist called the next day and said, no dignity of cancer in the lympnotes. Still don't know a 100 % that the nodule is cancerous or what type. The next step is just radiation without chemo. The nodule had grown from July to Sept., not a lot. I was also told that usually means cancer but not always.
Which should be starting in 10 days.

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@scared2 The news from the oncologist should give you both some peace of mind, right? How does your husband feel with this suggested course of treatment. It will be interesting to hear what the results of the nodule biopsy say. I would bet at that point, the oncologist will have a more detailed plan of what will treatment look like.

Take care of yourself, too, and look for something today that will leave a smile on your face.
Ginger

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@scared2

I don't exactly know I should reply at.
It seems like there for awhile there were quite a few replies.
An update, he had his biospy last Thrusday. The dr.who did it came out and told me....If the lympnotes are cancer free, then the nodule is also noncanerous. But if the lympnotes have cancer so does the nodule. The prior prognosis would also have to have surgery. Where the latter would be radiation plus chemo. Well thank Heavens for small miracles, her ideas were wrong. The oncologist called the next day and said, no dignity of cancer in the lympnotes. Still don't know a 100 % that the nodule is cancerous or what type. The next step is just radiation without chemo. The nodule had grown from July to Sept., not a lot. I was also told that usually means cancer but not always.
Which should be starting in 10 days.

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@scared2 Sounds like good news! You might ask the oncologist, “to explain in laymen’s terms, what the lymph node biopsy showed.”
Now, take some deep breaths and go out to see the Fall leaves and relax. We’ll stay with you!

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@gingerw

@scared2 The news from the oncologist should give you both some peace of mind, right? How does your husband feel with this suggested course of treatment. It will be interesting to hear what the results of the nodule biopsy say. I would bet at that point, the oncologist will have a more detailed plan of what will treatment look like.

Take care of yourself, too, and look for something today that will leave a smile on your face.
Ginger

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That sounds pretty hopeful. Praying it's benign. What kind of radiation therapy would he get?

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