Metastises has to be considered

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Sunwaterandsky
Posts: 164
Joined: Fri Oct 14, 2011 10:06 am
Location: Hong Kong

Metastises has to be considered

Postby Sunwaterandsky » Sat Jun 11, 2016 4:16 am

I will be NED 5 years in September but my most recent CT scan has me concerned. The oncologist never tells me much about the CT scan, but my surgeon was concerned about an increase in size of my "benign" adrenal tumour. Unfortunately the size was not indicated on the report, so I don't know how much bigger it is, only "incrementally" bigger. As I read the report, I saw that there was also a right apical lung node (9mm) that was only 6 mm the last time (if it is the same node?). The report refers to the adrenal tumour and the lung nodule saying "metastisis has to be considered".

The frustrating thing is that no one seems concerned and they haven't actually told me about this, I found out incidentally when I read the report at the endocrinologist appointment. My surgeon referred me to see if the adrenal tumour was functioning - funny, as I have had the tumour for at least 5 years and this has never been done before.

I am seeing the oncologist for my regular appointment this week, what do I ask him? How do I approach the issues that are in the report when I am not supposed to have seen it?

Ah, the frustrations!
Stage 3B colon cancer at 47 years of age
small benign tumour on Rt adrenal gland
Xelox started 28/10/2011 finished 04/2012
CT scan clear 16/2012
Colonoscopy Clear October 2012
CT scan clear January 2013
CT scan Jan 2016 - small 9mm lung nodule
CT scan April 2017 - lung nodule 1.5 cm, bilateral thyroid lesions
Aug 2017 Right upper lobe lobectomy for lung nodule CC met

Chayo
Posts: 25
Joined: Thu Nov 26, 2015 10:42 pm
Facebook Username: Chayo.ramirez

Re: Metastises has to be considered

Postby Chayo » Sat Jun 11, 2016 7:16 am

I'm not sure why you aren't supposed to have seen them. I routinely ask for copies of all my scan results. As a patient, you have a right to those. Once you have a copy, it's easy to ask what things mean.
Chayo
Dx 11/24/2015 Colon Cancer at age 45
Adenocarcinoma in the sigmoid colon
12/16/15 colectomy
Stage 2, T3N0
Started Folfiri Feb 1, 2016

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Sunwaterandsky
Posts: 164
Joined: Fri Oct 14, 2011 10:06 am
Location: Hong Kong

Re: Metastises has to be considered

Postby Sunwaterandsky » Sat Jun 11, 2016 2:14 pm

Hi Chayo,

Actually, I live in Hong Kong. For the public hospital, the results belong to the hospital. I can request, and pay for, copies of my reports. I have not done this, but I have signed consents so my private surgeon has access to my reports.
Stage 3B colon cancer at 47 years of age
small benign tumour on Rt adrenal gland
Xelox started 28/10/2011 finished 04/2012
CT scan clear 16/2012
Colonoscopy Clear October 2012
CT scan clear January 2013
CT scan Jan 2016 - small 9mm lung nodule
CT scan April 2017 - lung nodule 1.5 cm, bilateral thyroid lesions
Aug 2017 Right upper lobe lobectomy for lung nodule CC met

stu
Posts: 1614
Joined: Sat Aug 17, 2013 5:46 pm

Re: Metastises has to be considered

Postby stu » Sat Jun 11, 2016 4:37 pm

Hi,
We had a similar situation . There is nothing more important than your health. We told the truth and focused on the problem. Its not a time to be polite but to put your health needs first.
I wish you a speedy resolution to this problem.
Kind regards
Stu
supporter to my mum who lives a great life despite a difficult diagnosis
stage4 2009 significant spread to liver
2010 colon /liver resection
chemo following recurrence
73% of liver removed
enjoying life treatment free
2016 lung resection
Oct 2017 nice clear scan . Two lung nodules disappeared
Oct 2018. Another clear scan .

Nik Colon

Re: Metastises has to be considered

Postby Nik Colon » Sun Jun 12, 2016 3:01 am

If it's recent increase, I'm sure they will just watch atm. Not saying they will tho. Best wishes

Ask for a PET if you haven't had one

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Sunwaterandsky
Posts: 164
Joined: Fri Oct 14, 2011 10:06 am
Location: Hong Kong

Re: Metastises has to be considered

Postby Sunwaterandsky » Tue Jun 14, 2016 4:12 am

Well, they were fine with the fact that I had seen the results. For now, they are suggesting that we just wait and see. He did recommend a surgeon for the adrenal tumor- the surgeon I had already consulted with. I am okay with the wait and see for now.
Stage 3B colon cancer at 47 years of age
small benign tumour on Rt adrenal gland
Xelox started 28/10/2011 finished 04/2012
CT scan clear 16/2012
Colonoscopy Clear October 2012
CT scan clear January 2013
CT scan Jan 2016 - small 9mm lung nodule
CT scan April 2017 - lung nodule 1.5 cm, bilateral thyroid lesions
Aug 2017 Right upper lobe lobectomy for lung nodule CC met

Pita
Posts: 637
Joined: Wed Feb 10, 2016 3:48 pm
Location: So Calif

Re: Metastises has to be considered

Postby Pita » Tue Jun 14, 2016 4:27 am

How long are they going to wait and see? I would want to know and I'd make sure that something is planned for the future, type of testing, etc.and what date should this begin. Of course with cancer things can change quick but at this time in my journey my Onc has a full schedule of treatments and tests planned for me, it gives me great comfort knowing this.
Best of everything to you Sun...
70yo Fem DX: 1/21/2016 RC Stage IV-Nodules lungs
MSS-Kras Wild-Lynch Synd Neg-Lung Biopsy 1/27/16-Port 2/19/16
MRI 7/7/16 Endometrial polyp found, watching LAR 7/19/16, No Ileostomy, Stage ypT3 N1
CT 11/7/16: Most mets stable,1 shrunk,1 new??
CEA Tests: 1/21/16=20, 12/22/16=5.3, 1/20/17=4.8, 2/15/17=6.2
9/20/16-1/24/17 Folfuri & Avastin
#10/10 Done
PET/CT 2/10/16-1/31/17=Some shrunk & growth to 2, Avastin failing ??? :evil:
2/21/17 Folfuri & Avastin

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Sunwaterandsky
Posts: 164
Joined: Fri Oct 14, 2011 10:06 am
Location: Hong Kong

Re: Metastises has to be considered

Postby Sunwaterandsky » Tue Jun 14, 2016 5:49 am

Thank you PIta.

The docs all seem to be annoyed with the radiologist - he is apparently new and thus the vague report. I am happy with the 6 month follow up, at this point.
Stage 3B colon cancer at 47 years of age
small benign tumour on Rt adrenal gland
Xelox started 28/10/2011 finished 04/2012
CT scan clear 16/2012
Colonoscopy Clear October 2012
CT scan clear January 2013
CT scan Jan 2016 - small 9mm lung nodule
CT scan April 2017 - lung nodule 1.5 cm, bilateral thyroid lesions
Aug 2017 Right upper lobe lobectomy for lung nodule CC met


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