All Lung Nodule Experiences

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MassMike
Posts: 16
Joined: Sun Nov 19, 2017 11:04 am

All Lung Nodule Experiences

Postby MassMike » Wed Nov 29, 2017 4:56 pm

Hello,

I wanted to see how many people have had lung nodules found on scans before. My mother was diagnosed with stage 2/3 rectal cancer and her docs found some lung nodules but said they're not suspicious, but of course I still worry 24/7. For context, she was a smoker for 35 years before quitting 6 years ago and also had constant bronchitis and pnemnuia when she was younger. I'm going to leave my mothers reports below incase anyone has any insight. Thanks :)

FINDINGS:
3 x 7 mm nodule along the right minor fissure image 48 may represent an incidental intrapulmonary lymph node. 4 mm micro nodules right upper lobe image 30 and left apex image 12. additional scattered less than 4 mm micro nodules. No suspicious lung nodules or consolidative changes. Central airways are patent. No pleural effusions.

Included part of the thyroid gland is unremarkable. Subcentimeter mediastinal lymph nodes. No suspicious adenopathy in the chest. The heart size is normal. No pericardial effusion.

Stable appearance of the included upper abdomen. Again noted subcentimeter hypodensity in the right hepatic lobe along the gallbladder fossa, possible small cyst.
Mom DX Stage 2/3 Rectal Cancer 8/17
Chemoradiation 9/17-11/17
Surgery w/Temp Colostomy 12/12/17
yP Stage T2N0 0/20 nodes
8 cycles folfox begun 1/15/18
Folfox finished 5/18
Reversal 8/18

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juliej
Posts: 2878
Joined: Thu Aug 05, 2010 12:59 pm

Re: All Lung Nodule Experiences

Postby juliej » Wed Nov 29, 2017 7:19 pm

MassMike wrote:Hello,

I wanted to see how many people have had lung nodules found on scans before. My mother was diagnosed with stage 2/3 rectal cancer and her docs found some lung nodules but said they're not suspicious, but of course I still worry 24/7. For context, she was a smoker for 35 years before quitting 6 years ago and also had constant bronchitis and pnemnuia when she was younger. I'm going to leave my mothers reports below incase anyone has any insight. Thanks :)

FINDINGS:
3 x 7 mm nodule along the right minor fissure image 48 may represent an incidental intrapulmonary lymph node. 4 mm micro nodules right upper lobe image 30 and left apex image 12. additional scattered less than 4 mm micro nodules. No suspicious lung nodules or consolidative changes. Central airways are patent. No pleural effusions.

MassMike, this is the key phrase: "no suspicious lung nodules." Radiologists err on the side of caution and if they see something even remotely suspicious they will state it in their report. Some of this has to do with litigation fears - better to over-report than get sued for under-reporting.

Your mom's long history of smoking and lung issues means most likely she has more than the normal amount of nodules and scarring in her lungs. Don't give it a second thought unless the radiologist or oncologist says it looks like cancer.

I have had 3 lung nodules that were cancerous and one that turned out to be benign. All of them were reported as "suspicious for metastatic cancer" on the report.

Hope this sets your mind at ease!

Juliej
Stage IV, liver/lung mets 8/4/2010
Xelox+Avastin 8/18/10 to 10/21/11
LAR, liver resec, HAI pump 11/11
Double lung surgery + ileo reversal 2/12
Adjuvant Xeloda 3-9/12
VATS rt. lung 12/21/12 - benign granuloma!
NED 3/17/12 to 9/14/2018, CEA<1

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susie0915
Posts: 873
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: All Lung Nodule Experiences

Postby susie0915 » Wed Nov 29, 2017 7:29 pm

I have a 4mm non specific lung nodule being watched that my oncologist believes is related to the scarring and inflammation in my lungs. The radiologist recommended follow up due to my cancer history, but labeled it non specific. There are characteristics that will make the radiologist suspect cancer otherwise fo!low up is recommended to see if nodules grow or change. So far mine has stayed the same will have another scan in January. It's good your mom's nodules are not suspicious.
58 yrs old Dx @ 55
5/15 DX T3N0MO
6/15 5 wks chemo/rad
7/15 sigmoidoscopy/only scar tissue left
8/15 Pet scan NED
9/15 LAR
0/24 nodes
10/15 Bowel blockage. surgery,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
7/17 no change lung nod
10/17 Clear pel/abd CT
11/17 CEA<.5
1/18 CT/Lung no change in 4mm nodule
5/18 CEA<.5, clear CT pel/abd/lung nod no change
11/18 CEA .6

Mercy110
Posts: 108
Joined: Wed Aug 16, 2017 12:13 am

Re: All Lung Nodule Experiences

Postby Mercy110 » Wed Nov 29, 2017 9:59 pm

My mum also got multiple lung nodules from previous scan. She has never smoke before. These nodules were first appear in Pet Scan and the report mentioned wait and see strategy. We never thought that she is actually in stage4 and assumed those are just some minor spots. Then it turns out those are Mets.
Maybe the wait and see strategy is what you can do now. It can be nothing for ur mum's case as the report mentioned nothing suspicious. Good luck.
Mum age 56, NRAS-mutate Q61R
2017-05: Surgery with stoma. T4N1M0. Stage3C. Xeloda No Radio. CEA: 7.3, 8.0, 9.8 CT: Multiple lung nodules. Stage4.
2017-09: 85% FOLFOX + Avastin CEA: 7.0, 4.7 (10/10), 3.7 (11/10), 2.9 (12/3), 2.2 (12/21), 2.4 (01/09), 3.4 (2/24), 2.6 (3/9), 3.6 (5/24), 19.2 (8/16), 22 (8/31), 24.9 (9/18), 27.7 (10/9)
2017-11: Stable CT
2018-03 to 05: Folfox Allergy
2018-08: Folfiri, CT lung met, 2 lymph nodes
2018-10: Folfiri + Avastin

WISH ALL MIGHTY GOD HEALS MUM WITH HIS MIRACLE

rockhound
Posts: 113
Joined: Fri Jul 14, 2017 5:00 pm

Re: All Lung Nodule Experiences

Postby rockhound » Wed Nov 29, 2017 11:50 pm

susie0915 wrote:I have a 4mm non specific lung nodule being watched that my oncologist believes is related to the scarring and inflammation in my lungs. The radiologist recommended follow up due to my cancer history, but labeled it non specific. There are characteristics that will make the radiologist suspect cancer otherwise fo!low up is recommended to see if nodules grow or change. So far mine has stayed the same will have another scan in January. It's good your mom's nodules are not suspicious.


I've got one that is 3-4 mm - has stayed the same for three scans now (first scan last Jan and most recent about a month ago). It was not even noted on the first scan so when I read the radiology report for scan #2 and saw it (as I was going through active chemo-rad), I went a little crazy even though that report specified that they were present in scan #1 and had not changed in the interim. My oncologists (radiation onc, plus two others) were not that concerned, but I was still a bit worried- it was nice to see that it had not changed on my most recent scan. My radiation onc made the point that I could have inhaled dust as a 7-yr old and that could cause a nodule..
42 yr old male
Diagnosed December 2016, age 41
Stage 1/IIA rectal cancer - T2/3N0M0 via MRI (MRI indicates stage 1; onc/surgeon = stage 2a)
Lynch syndrome, MSH6 mutation, MSI
2 to 3/2017 Xeloda + Radiation
5/10/17 - Robotic LAR with temp. loop illeostomy, 0/20 lymph nodes
6 to 7/2017 - Six cycles Folfox @ full strength
9/20/17 - Ileostomy takedown
10/17 - CT, NED
1/18 - 5mm polyp removed during colonoscopy
5/18 - CT, NED
11/18 - CT, NED

pantufla
Posts: 133
Joined: Thu Dec 03, 2015 12:44 pm
Facebook Username: kelleykulina

Re: All Lung Nodule Experiences

Postby pantufla » Wed Nov 29, 2017 11:59 pm

My DH's recent scan says "focal opacity along the left lower lobe measuring 7 mm which can be related to localized atelectasis, although an underlying nodule is not excluded, and 2 along the right lower lobe measuring 2 to 3 mm which may be due to small foci of atelectasis or nodularity."

We are just following them at this point.

It sounds like your mom's are benign though because of the "no suspicious" comment.
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."

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susie0915
Posts: 873
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: All Lung Nodule Experiences

Postby susie0915 » Thu Nov 30, 2017 10:05 am

rockhound wrote:
susie0915 wrote:I have a 4mm non specific lung nodule being watched that my oncologist believes is related to the scarring and inflammation in my lungs. The radiologist recommended follow up due to my cancer history, but labeled it non specific. There are characteristics that will make the radiologist suspect cancer otherwise fo!low up is recommended to see if nodules grow or change. So far mine has stayed the same will have another scan in January. It's good your mom's nodules are not suspicious.


I've got one that is 3-4 mm - has stayed the same for three scans now (first scan last Jan and most recent about a month ago). It was not even noted on the first scan so when I read the radiology report for scan #2 and saw it (as I was going through active chemo-rad), I went a little crazy even though that report specified that they were present in scan #1 and had not changed in the interim. My oncologists (radiation onc, plus two others) were not that concerned, but I was still a bit worried- it was nice to see that it had not changed on my most recent scan. My radiation onc made the point that I could have inhaled dust as a 7-yr old and that could cause a nodule..

My oncologist and pulmonologist both don't believe it is a met, but the pulmonologist did throw out the possibility of a new lung cancer (ugh!). She did say that most cancers will grow quickly (can double in 3-4 months). I am currently being monitored for scarring and inflammation in the lungs, so both doctors think it's related to that. But, it is always in the back of my mind. Hopefully, both of ours will stay the same or shrink. I know most nodules are benign and ct scans pick up so much, but once you have cancer, it makes you a little concerned.
58 yrs old Dx @ 55
5/15 DX T3N0MO
6/15 5 wks chemo/rad
7/15 sigmoidoscopy/only scar tissue left
8/15 Pet scan NED
9/15 LAR
0/24 nodes
10/15 Bowel blockage. surgery,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
7/17 no change lung nod
10/17 Clear pel/abd CT
11/17 CEA<.5
1/18 CT/Lung no change in 4mm nodule
5/18 CEA<.5, clear CT pel/abd/lung nod no change
11/18 CEA .6

Aqx99
Posts: 403
Joined: Fri Mar 31, 2017 7:28 am
Facebook Username: aqx99
Location: Pfafftown, NC

Re: All Lung Nodule Experiences

Postby Aqx99 » Thu Nov 30, 2017 3:09 pm

I have 2 lung nodules that have been noted on my scans. They were unchanged from my scan at diagnosis to my scan after chemoradiation. It was noted that they are most likely scar tissue from an old infection. I will be going next week for my post chemotherapy scan, so I'll get to see if anything has changed since.
Anne, 40
Stage IIIB Rectal Cancer
T3N1bM0
2/21/17 Dx, Age 39
2/21/17 CEA 0.9
3/23/17 - 5/2/17 Chemoradiation, 28 treatments
6/14/17 Robotic LAR w/temp loop ileostomy, ovaries & fallopian tubes removed, 2/21 lymph nodes positive
7/24/17 - 12/18/17 CapeOx, 6 Cycles
7/24/17 Dx w/ovarian cancer
9/6/17 CA 125 11.1
11/27/17 CEA 2.6
12/5/17 CT NED
12/13/17 CEA 2.9
1/11/18 CA 125 8.6
1/23/18 Reversal
3/21/18 CT enlarged thymus
4/6/18 PET NED
7/10/18 CT NED
7/11/18 CEA 2.6
9/18 Bilateral Prophylactic Mastectomy

CAGirl
Posts: 53
Joined: Fri Aug 25, 2017 4:55 pm

Re: All Lung Nodule Experiences

Postby CAGirl » Fri Dec 01, 2017 2:31 pm

I love this post.
I am 2 1/2 months post-chemo. Had a CT scan at the halfway mark (in June) and one last week (five months from the last). Doc said the 7mm nodule has grown since the last scan. He couldn't notice but radiologist did. Said it's now 8 or 9mm. Still too small to biopsy, but my next CT scan has been pushed up to 4 months (instead of 1 year.)
I can't find my notes right now, but I think I had one 6mm and one 7mm lung nodule on my very first scan -- in Feb. And one on my liver. All remained unchanged in June.
I got freaked and read through old and new threads here re: lung nodules. Looking for evidence of benign nodules that showed growth. Someone (Julie, maybe?) mentioned she had one that grew and turned out to be fine. Also, I got some reassurance from the fact it hasn't doubled in size.
Still, in the end, I know it's either metastasis or not, and I will try to enjoy each day from now until my scan in March as if it's NOT. I also feel like at least my onc is going to monitor it sooner rather than later.
Thanks again to all of you for keeping this forum active.
Dx 2/2017, age 45, 2 kids: 6 yrs & 3 yrs
History of Crohn's disease - dx in 1997; in remission, thus no colonoscopy in over 10 years
Anemia dx 11/16: GI doc assured me "the likelihood of colon cancer" was "very low".
Stage 3C - T3N2b
8/64 lymph nodes; clear margins surgery 3/17
12 cycles of Folfox 4/17-9/17
3-month CT scan midway through chemo, no changes
2-3-month CT scan post chemo 11/17 slightly larger lung nodule (incr. from 7mm to 8 or 9mm)
follow-up CT scan 3/18 - NED!

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susie0915
Posts: 873
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: All Lung Nodule Experiences

Postby susie0915 » Fri Dec 01, 2017 2:55 pm

CAGirl wrote:I love this post.
I am 2 1/2 months post-chemo. Had a CT scan at the halfway mark (in June) and one last week (five months from the last). Doc said the 7mm nodule has grown since the last scan. He couldn't notice but radiologist did. Said it's now 8 or 9mm. Still too small to biopsy, but my next CT scan has been pushed up to 4 months (instead of 1 year.)
I can't find my notes right now, but I think I had one 6mm and one 7mm lung nodule on my very first scan -- in Feb. And one on my liver. All remained unchanged in June.
I got freaked and read through old and new threads here re: lung nodules. Looking for evidence of benign nodules that showed growth. Someone (Julie, maybe?) mentioned she had one that grew and turned out to be fine. Also, I got some reassurance from the fact it hasn't doubled in size.
Still, in the end, I know it's either metastasis or not, and I will try to enjoy each day from now until my scan in March as if it's NOT. I also feel like at least my onc is going to monitor it sooner rather than later.
Thanks again to all of you for keeping this forum active.

I know it's worrisome. Mine showed up on my scan 1 year after finishing treatment. The radiologist reported it as 4mm that may have grown from a year ago but not sure, so recommended follow up. The nodule was never mentioned in the previous scan. So I had a repeat 3 months later with no change and will have another in January 6 months from the last. I was referred to a pulmonologist because my scan right after finishing chem showed scarring and inflammation in the lungs. Could be caused by the chemo or from an auto immune disorder that I am now being monitored for. Both oncologist and pulmonologist think it's related to the scarring and inflammation, but will continue to watch for growth. Although my pulmonologist did mention it could be a new lung cancer which is a scary thought. She says it would have to at least double in size before it could be biopsied or a pet scan would even pick it up. So I do try to not think about it but I'm sure the anxiety will begin as I get closer to my next scan. If these nodules do end up being something, the positive is that it will be caught quite early I guess. Good luck hopefully everyone will keep us updated on their follow ups.
58 yrs old Dx @ 55
5/15 DX T3N0MO
6/15 5 wks chemo/rad
7/15 sigmoidoscopy/only scar tissue left
8/15 Pet scan NED
9/15 LAR
0/24 nodes
10/15 Bowel blockage. surgery,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
7/17 no change lung nod
10/17 Clear pel/abd CT
11/17 CEA<.5
1/18 CT/Lung no change in 4mm nodule
5/18 CEA<.5, clear CT pel/abd/lung nod no change
11/18 CEA .6

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Atoq
Posts: 325
Joined: Wed Oct 25, 2017 9:31 am

Re: All Lung Nodule Experiences

Postby Atoq » Fri Dec 01, 2017 4:06 pm

I also have one 8 mm node in my lung that is suspect, I am going to do a CT scan in two weeks to see if Xeloda cleaned it or if it is the same (then they mean is not cancer related).

I hope it is still there and same size :roll:

Claudia
45 year old, mother of 2
Dx rectal cancer 10.2017
At least T3N2aMX (suspect metastasis to one lung 8 mm)
Lynch negative
CEA 1.8
Neoadjuvant chemoradiotherapy Xeloda + 25x2 Gy
05.12.17 laparotomic surgery for blockage, colostomy
25.01.18 laparotomic lar, hysterectomy, ileostomy
05.03.18 core needle biopsy of lung, updated to stage IV
07.05.18 CAT scan, lung metastasis 11 mm
04.06.18 ileostomy reversal
26.06.18 wedge VATS surgery
24.08.18 CAT scan, clear
12.09.18 scope, ok. CEA 1.6
19.11.18 clear coloscopy

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susie0915
Posts: 873
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: All Lung Nodule Experiences

Postby susie0915 » Fri Dec 01, 2017 4:23 pm

Atoq wrote:I also have one 8 mm node in my lung that is suspect, I am going to do a CT scan in two weeks to see if Xeloda cleaned it or if it is the same (then they mean is not cancer related).

I hope it is still there and same size :roll:

Claudia

It could also shrink or be gone. At a minimum let's pray for no change. Positive thoughts.
58 yrs old Dx @ 55
5/15 DX T3N0MO
6/15 5 wks chemo/rad
7/15 sigmoidoscopy/only scar tissue left
8/15 Pet scan NED
9/15 LAR
0/24 nodes
10/15 Bowel blockage. surgery,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
7/17 no change lung nod
10/17 Clear pel/abd CT
11/17 CEA<.5
1/18 CT/Lung no change in 4mm nodule
5/18 CEA<.5, clear CT pel/abd/lung nod no change
11/18 CEA .6

pantufla
Posts: 133
Joined: Thu Dec 03, 2015 12:44 pm
Facebook Username: kelleykulina

Re: All Lung Nodule Experiences

Postby pantufla » Fri Dec 01, 2017 5:09 pm

There was no mention of DH's on his first scan at diagnosis either.
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."

MassMike
Posts: 16
Joined: Sun Nov 19, 2017 11:04 am

Re: All Lung Nodule Experiences

Postby MassMike » Sat Jan 13, 2018 12:08 pm

Anyone have any updates on their lung nodules?
Mom DX Stage 2/3 Rectal Cancer 8/17
Chemoradiation 9/17-11/17
Surgery w/Temp Colostomy 12/12/17
yP Stage T2N0 0/20 nodes
8 cycles folfox begun 1/15/18
Folfox finished 5/18
Reversal 8/18

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susie0915
Posts: 873
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: All Lung Nodule Experiences

Postby susie0915 » Sat Jan 13, 2018 12:40 pm

MassMike wrote:Anyone have any updates on their lung nodules?

I had a scan on Wed and there has been no change in lung nodule(4mm) or scarring/inflammation. My pulmonologist recommended checking in a year, but I'm sure my oncologist will include the chest in my regular scan in June.
58 yrs old Dx @ 55
5/15 DX T3N0MO
6/15 5 wks chemo/rad
7/15 sigmoidoscopy/only scar tissue left
8/15 Pet scan NED
9/15 LAR
0/24 nodes
10/15 Bowel blockage. surgery,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
7/17 no change lung nod
10/17 Clear pel/abd CT
11/17 CEA<.5
1/18 CT/Lung no change in 4mm nodule
5/18 CEA<.5, clear CT pel/abd/lung nod no change
11/18 CEA .6


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