Lung nodule and mesenteric nodes

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pantufla
Posts: 118
Joined: Thu Dec 03, 2015 12:44 pm
Facebook Username: kelleykulina

Lung nodule and mesenteric nodes

Postby pantufla » Sun Nov 19, 2017 10:59 am

I haven't posted in a while because there haven't been any changes. So sorry to hear about Tom. Hubby and I were just told he has a lung nodule but that it has been there since the beginning and hasn't changed so not to worry. No one ever mentioned this to us. We were also told the same thing about enlarged lymph nodes in the mesentary. No changes. Has anyone had those little nodes and nodules change into something worrisome?
DH T2 N1b M0. 3/15 positive nodes.
Stage IIIA moderately differentiated adenocarcinoma.
Tumor size 6 cm.
Left hemicolectomy 10/26/15.
FOLFOX 11/30/15 to 5/2/16, full 12 cycles.
Lynch negative.
10/3/16 CT scan clear.
11/10/17 CT: "Focal opacity along the left lower lung, 7 mm. Two small peripheral opacities along the right lower lobe, 2 to 3 mm. A few small to mildly prominent left-sided central mesenteric nodes, up to 13 mm. There are subcentimeter retroperitoneal lymph nodes."
CEA 0.5

stu
Posts: 613
Joined: Sat Aug 17, 2013 5:46 pm

Re: Lung nodule and mesenteric nodes

Postby stu » Sun Nov 19, 2017 11:51 am

Hi .
The one that was a met in my mum’s lung grew with each scan . Very slowly but it continued to grow . She had two that popped up , stayed the same size for over a year , maybe eighteen months and on the last scan disappeared . They did not continue growing .
I think the concern is more when they are noting growth over a period of time .
Take care ,
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

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susie0915
Posts: 552
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: Lung nodule and mesenteric nodes

Postby susie0915 » Sun Nov 19, 2017 12:31 pm

I have a 4mm lung nodule that was seen at my one year scan. So tiny can't biopsy or will pet scan pick it up. I have scarring and inflammation in my lungs and doctors think it is related to that. However, radiologist recommend even though it is non specific to continue follow up due to past cancer diagnosis. The follow up scan showed no change, and I will have another scan in January. It's a little scary I know, it is always in the back of my mind. Hoping no change or reduction in the next scan. I know there are certain nodules that radiologists can determine are cancer by appearance, otherwise have to keep watching and see if there is any change or growth, and if it grows big enough it will be tested I'm sure.
58 yr old mother of 3 Dx @ 55
5/15 DX T3N0MO/ 2A
6/15 5 wks of chemo/rad
7/15 sigmoidoscopy/scar tissue left
8/15 Pet scan NED
9/15 LAR
0/24 nodes
10/15 Bowel blockage. 3 1/2 weeks in hospital,early ileo rev, c-diff inf :(
12/15 6 rds of xelox
5/16 Clear CT lung scarring/inflammation
9/16 clear colonoscopy
4/17 CT 4mm lung nod onc thinks scar tissue
monitored for autoimmune disorder/interstitial lung disease
7/17 no change lung nodule
10/17 Clear CT
11/17 CEA<.5

thubler
Posts: 27
Joined: Tue Sep 27, 2016 9:22 am
Facebook Username: Ted Hubler

Re: Lung nodule and mesenteric nodes

Postby thubler » Sun Nov 19, 2017 2:10 pm

Hello. I had my first post chemo scan in February 2017. They saw one enlarged lymph node that was 1.2 x1.1 in my mesentery. I had a PET scan with no activity in the node. I was not able to biopsy due to its small size. I had a follow up scan in June and it was the same size. I had another scan in October and the node was the same size. My oncologist told me he has a CC patient that has had an enlarged node for 5 years with no issues. I try not to worry too much about it.
III b CC diagnosed at 35 years old.
two primary tumors on ascending/transverse stage 1 and stage 3.
Lynch Positive
Colon resection May 2016.
2/41 lymph nodes positive.
Started Chemo June 2016 Folfox
Finished Chemo November 20, 2016
Clear Endoscopy and Colonoscopy 12/6/16
CT scan 02/07/17 enlarged mesenteric lymph node.
PET scan 02/15/17 Showed minimal uptake in two nodes, little to no metabolic activity. Too small to biopsy.
Stable CT scan 06/05/17
Stable CT scan 10/16/17
Port removed 11/03/17

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susie0915
Posts: 552
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: Lung nodule and mesenteric nodes

Postby susie0915 » Sun Nov 19, 2017 3:11 pm

thubler wrote:Hello. I had my first post chemo scan in February 2017. They saw one enlarged lymph node that was 1.2 x1.1 in my mesentery. I had a PET scan with no activity in the node. I was not able to biopsy due to its small size. I had a follow up scan in June and it was the same size. I had another scan in October and the node was the same size. My oncologist told me he has a CC patient that has had an enlarged node for 5 years with no issues. I try not to worry too much about it.


That's good news, and encouraging. I'm hoping my lung nodule will show no change as well again in January.
58 yr old mother of 3 Dx @ 55
5/15 DX T3N0MO/ 2A
6/15 5 wks of chemo/rad
7/15 sigmoidoscopy/scar tissue left
8/15 Pet scan NED
9/15 LAR
0/24 nodes
10/15 Bowel blockage. 3 1/2 weeks in hospital,early ileo rev, c-diff inf :(
12/15 6 rds of xelox
5/16 Clear CT lung scarring/inflammation
9/16 clear colonoscopy
4/17 CT 4mm lung nod onc thinks scar tissue
monitored for autoimmune disorder/interstitial lung disease
7/17 no change lung nodule
10/17 Clear CT
11/17 CEA<.5

Achilles Torn
Posts: 90
Joined: Fri Dec 16, 2016 2:41 pm

Re: Lung nodule and mesenteric nodes

Postby Achilles Torn » Mon Nov 20, 2017 1:20 pm

I have had a couple lung nodules <4mm since diagnosis and no change over 5 scans (didn’t light up on PET). My Oncologist said (and all the reading I could do seems to confirm) stable nodules of this size are very common and he is confident they are not Mets.

Regarding lymph nodes - I do have Mets to lymph nodes however I can tell that lymph nodes can be visible/enlarged often for non cancer reasons. I didn’t see what size they were, but If there are only 1-2 that are stable on scans they are likely fine. In my case they were up to 2cm and had signs of extensive Lymphadenopathy in surrounding nodes, all lit up on a PET scan. Enlarged nodes are not all equal and malignant ones usually present as such.

That being said there is nothing wrong with pushing for whatever follow up is required to determine what’s going on with the nodes and my motto is always the more information the better.

So do follow up - but stay positive. If I had to put money down - I’d easily bet neither are Mets.

Hope that helps
AT
40 yo Male. BC Canada. Sigmoid Colectomy Dec. 2016
Pathology T3N2bM1 19 of 24 Nodes Positive + tumour deposits
PET scan - Para-Aortic and Iliac Lymph node spread. Stage VI.
Moderately differentiated. MSS. KRAS/BRAF Wild.
Mutations: TP53, ERBB4, MLL3, PDCD1LG2, PRKDC, SMAD3
FOLFOX Commenced Jan 9/2017 - Avastin(Bev) added after round 1.
June 2017 Dose Reduction on Round 11 due to Neuropathy.
Good PET Scan July 2017 - on maintenance 5FU/Bev every 2 weeks until progression.

pantufla
Posts: 118
Joined: Thu Dec 03, 2015 12:44 pm
Facebook Username: kelleykulina

Re: Lung nodule and mesenteric nodes

Postby pantufla » Mon Nov 20, 2017 10:49 pm

Thanks Tom. The report says "A few small to mildly prominent left-sided central mesenteric nodes, up to 13 mm.
DH T2 N1b M0. 3/15 positive nodes.
Stage IIIA moderately differentiated adenocarcinoma.
Tumor size 6 cm.
Left hemicolectomy 10/26/15.
FOLFOX 11/30/15 to 5/2/16, full 12 cycles.
Lynch negative.
10/3/16 CT scan clear.
11/10/17 CT: "Focal opacity along the left lower lung, 7 mm. Two small peripheral opacities along the right lower lobe, 2 to 3 mm. A few small to mildly prominent left-sided central mesenteric nodes, up to 13 mm. There are subcentimeter retroperitoneal lymph nodes."
CEA 0.5

Achilles Torn
Posts: 90
Joined: Fri Dec 16, 2016 2:41 pm

Re: Lung nodule and mesenteric nodes

Postby Achilles Torn » Tue Nov 21, 2017 2:10 am

13mm isn’t much over what I’ve read as the size cutoff for suspicious nodes to be noted in that area (>1cm). Push for test/scans and be watchful for sure....but odds are on your side that they are nothing.
40 yo Male. BC Canada. Sigmoid Colectomy Dec. 2016
Pathology T3N2bM1 19 of 24 Nodes Positive + tumour deposits
PET scan - Para-Aortic and Iliac Lymph node spread. Stage VI.
Moderately differentiated. MSS. KRAS/BRAF Wild.
Mutations: TP53, ERBB4, MLL3, PDCD1LG2, PRKDC, SMAD3
FOLFOX Commenced Jan 9/2017 - Avastin(Bev) added after round 1.
June 2017 Dose Reduction on Round 11 due to Neuropathy.
Good PET Scan July 2017 - on maintenance 5FU/Bev every 2 weeks until progression.

User avatar
susie0915
Posts: 552
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: Lung nodule and mesenteric nodes

Postby susie0915 » Tue Nov 21, 2017 8:07 am

Both my oncologist and pulmonologist don't believe my 4mm nodule is a met, but the the pulmonologist when saying can be from scarring or infection threw out the possibility of a new lung cancer. I have a lot of scarring and inflammation in my lungs and I am being monitored for interstitial lung disease that may be from an auto immune disorder. Just don't have a lot of other symptoms, but scarring and inflammation can be caused by the chemotherapy as well. This all came up after I finished my adjuvant chemotherapy. Ugh. Just another thing to worry about. Since there was no change in the nodule on my 3 month follow up, I will have another chest scan in January which will be 6 month from the last. Hoping it stays the same or disappears. I try not to worry about it, as I feel pretty good, but as I get closer to scan time I'm sure I will become anxious.
58 yr old mother of 3 Dx @ 55
5/15 DX T3N0MO/ 2A
6/15 5 wks of chemo/rad
7/15 sigmoidoscopy/scar tissue left
8/15 Pet scan NED
9/15 LAR
0/24 nodes
10/15 Bowel blockage. 3 1/2 weeks in hospital,early ileo rev, c-diff inf :(
12/15 6 rds of xelox
5/16 Clear CT lung scarring/inflammation
9/16 clear colonoscopy
4/17 CT 4mm lung nod onc thinks scar tissue
monitored for autoimmune disorder/interstitial lung disease
7/17 no change lung nodule
10/17 Clear CT
11/17 CEA<.5


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