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What is STAS and does anyone have it?
Hi all. I had a wedge resection of a 9mm adenocarcinoma last year. Margins were clear (not real large kinda tight but clear) and no spread to lymph nodes. I am currently worrying about STAS that was present in the pathology report. Has anyone else had this and doing okay after your surgery? It's really confusing. Thank you for reading and responding if you can.
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hi @lhatfield96 STAS indicates that there was an off shoot of the main tumor that was still near to it. How near determines the grading STAS I v STAS II (farther away). With STAS II recurrance is more likely, but that doesn't mean it will definitely happen. I would talk with your oncologist about your concerns. If they don't think you need any further systemic treatment, my guess would be that your STAS was grade I.
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2 ReactionsI had a RLL wedge resection and had a 1.3cm typical carcinoid with STAS positive surgeon said he’s never seen a case like this before and yet tells me to come back in 6 months for ct scan he took a margin of .4 cm and only checked 1 lymph node. I’m now having high HsCRP and A1C is high all my blood tests are abnormal so they are checking for Cushing’s syndrome I’m not happy that a surgeon is the one calling the shots!
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1 Reactionhi @bijou17 - it's never reassuring to hear your doctor hasn't treated anyone else like you. are you able to seek a second opinion with a neuroendocrine tumor specialist? Is there an academic hospital/NIH cancer center near you?
Hi yes but they won’t send me there unless I’m having treatment which is not fair have a team look at my case especially when my mom and 2 brothers died of lung cancer
@bijou17 you can usually self refer to another doctor. are you limited by your insurance? I agree with your family history, it's even more important to be seen by a specialist. do you mind sharing your location?
I have a kind of genetic lung cancer. My dad and his dad both had it, too. There is a team at Dana Farber in Boston that is studying genetic cancer and will do a free test to look for inherited biomarkers. They send someone to your house to take a blood sample and then call you in a couple weeks with the results. If you test positive for any, they will also test your family for free.
Info about INHERIT study:
https://inheritstudy.org/participation/
Link to apply:
https://redcap.partners.org/redcap/surveys/