All Lung Nodule Experiences

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justin case
Posts: 4227
Joined: Sun Sep 04, 2011 8:26 am
Location: Katy, Texas

Re: All Lung Nodule Experiences

Postby justin case » Fri Mar 09, 2018 4:35 pm

jaybel wrote:Thats exactly what I am doing. I asked why the need for another full scan and she said no reason I do the same with everyone. I still might go ahead and get the scan but I just want a few other opinions before I go in for another full CT. It just makes it stressful when communication is poor between patient and doctor.

I may regret saying this, but many oncologists are only in it for the money, I happenned to hear 2 doctors talking in an elevator. Doctors get kickbacks on the scans .
7/11 diagnosed Stage 2 colon and rectal cancer
chemo/rad
lar/temp ilio
Reversal & port removal
21 round of chemo Folfox 9tx, 5fu 12 tx
Last treatment July 2012

mpbser
Posts: 512
Joined: Wed Apr 19, 2017 11:52 am

Re: All Lung Nodule Experiences

Postby mpbser » Mon Sep 24, 2018 7:13 pm

Here's my husband's RADIOLOGY HISTORY WITH FOCUS ON LUNGS

April 12, 2017 CT abdomen with IV contrast at SVMC (local hospital/cancer center)

Lung bases: Clear. There is note of a small amount of pericardial fluid. Free air: None. Free fluid: Small amount of free fluid seen in the cul-de-sac.

June 17, 2017 PET skull-mid-thigh non-contrast followed by contrast at SVMC

Thorax: No evidence of hypermetabolic lesion in the mediastinum, hila or lungs.

July 30, 2017 MRI abdomen non-contrast followed by contrast at SVMC

NB: HX- to evaluate rest of liver. The lung bases are clear.

October 3, 2017 MRI upper abdomen non-contrast followed by contrast at MGH (more advanced & powerful tech)

LYMPH NODES: Borderline portacaval lymph node measuring 1 cm in short axis (1701:25). Nonspecific subcentimeter cardiophrenic lymph nodes. “LUNGS” not listed.

May 23, 2018 CT with contrast at MGH

Lungs and Airways: The central airways are patent. There is mild diffuse bronchial wall thickening keeping with bronchitis. There are scattered nodules measuring up to 4 mm including in the RIGHT lung on image 59, and LEFT lung on image 44 and 46.

No indication whether the nodules are solid, part-solid, or ground-glass which would direct follow up recommendation.

https://radiology-universe.org/2017_Fle ... endations/

He's scheduled for an MRI but all of his MRIs have been abdominal and did not look at lungs, although I assume he can have an MRI that includes lungs. Right?
Wife 4/17 Dx age 45
5/17 - Lap left hemi
Adenocarcinoma
5 x 4 x 1 cm
low grade
T3 N2b M1a
Stage IV A
lymph nodes: 9 of 54
8/17 Sub-total colectomy
2nd tumor 5.5 cm T1 N0
CEA: 1.4, 2.1, 1.5, 1.9, 1.9, 2.1, 2.1, 2.4, 1.7, 2.0
MSS/MSI-L
Lynch no; KRAS wild
Immunohistochemsistry: Normal MLH1, MSH2, MSH6, and PMS2
Tumor DNA variants: MTOR, APC, TP53
Liver left hepatectomy seg 4 1/31/18
5/18 NED

~WorriedDaughter~
Posts: 3
Joined: Wed Sep 26, 2018 1:07 pm

Re: All Lung Nodule Experiences

Postby ~WorriedDaughter~ » Wed Sep 26, 2018 1:31 pm

Hi all, long time lurker here... finally got to courage to post. I’m posting in this thread because I was wondering if anyone could give me some insight to my dad’s CT scan results for his lung mets. You can see from my signature at diagnosis he had multiple (10+) bilateral lung mets that were inoperable. My father is quite private so I unfortunately do not know too much about his diagnosis, other than that it is stage 4 and he is currently on a chemo regimen of 5FU and Avastin. After his first round of chemo, he had his first scan and the results were (in my dad’s words) “Lungs clear of all larger nodules...hard to see the others. Doing everything right, including excercise and weight maintenance. Will continue chemo for another 12 weeks.”

My father is tolerating chemo extremely well (some fatigue and tingles in his hands and feet), has been extremely active the entire first part of this journey (5+ miles a day of walking or biking), and has maintained a decent weight throughout (lost ten pounds initially, but bounced back up to his regular weight).

I’m just wondering... is this good news? That his nodules are disappearing? I’m assuming it is, but what should I expect? I know lung mets almost always come back. But is it typical for patients to have such a optimistic first scan? I apologize if I sound uninformed, I have never attended a doctors appointment with my father, only his chemo treatments (for reference, I’m 26 and he’s 65). Anyways, just looking for advice or experiences. Thanks!
Daughter to father with stage 4 colorectal cancer/lung mets

5/18 - Initial diagnosis
6/18 - Dx Stage 4 with multiple bilateral mets to lungs
7/18 - 5FU + Avastin begun
9/18 - First round (6 weeks) of chemo complete with optimistic CT scan results. Will continue with additional 12 weeks of chemo

mpbser
Posts: 512
Joined: Wed Apr 19, 2017 11:52 am

Re: All Lung Nodule Experiences

Postby mpbser » Thu Sep 27, 2018 6:18 am

I would think that the fact that the larger nodules are shrinking is a good sign. Shrinkage = good in all cases of cancerous/suspicious masses. It's a good thing that he is responding to the chemo especially after just one cycle, too.
Wife 4/17 Dx age 45
5/17 - Lap left hemi
Adenocarcinoma
5 x 4 x 1 cm
low grade
T3 N2b M1a
Stage IV A
lymph nodes: 9 of 54
8/17 Sub-total colectomy
2nd tumor 5.5 cm T1 N0
CEA: 1.4, 2.1, 1.5, 1.9, 1.9, 2.1, 2.1, 2.4, 1.7, 2.0
MSS/MSI-L
Lynch no; KRAS wild
Immunohistochemsistry: Normal MLH1, MSH2, MSH6, and PMS2
Tumor DNA variants: MTOR, APC, TP53
Liver left hepatectomy seg 4 1/31/18
5/18 NED

~WorriedDaughter~
Posts: 3
Joined: Wed Sep 26, 2018 1:07 pm

Re: All Lung Nodule Experiences

Postby ~WorriedDaughter~ » Thu Sep 27, 2018 10:01 am

mpbser,

Thanks for your reply and I'm sorry for sabotaging the thread! I read through some of your previous comments and I'm sorry about your husband. I do hope you figure out whether or not his lung nodules are mets (crossing my fingers for you that they are benign/inflammation). My dad did a needle biopsy, which turned out nothing, then a transbronchial biopsy, which again provided nothing, and finally a VATs biopsy which proved his were mets. Sometimes it takes a while.

Keeping your husband in my thoughts! He sounds like a fighter.
Daughter to father with stage 4 colorectal cancer/lung mets

5/18 - Initial diagnosis
6/18 - Dx Stage 4 with multiple bilateral mets to lungs
7/18 - 5FU + Avastin begun
9/18 - First round (6 weeks) of chemo complete with optimistic CT scan results. Will continue with additional 12 weeks of chemo

mpbser
Posts: 512
Joined: Wed Apr 19, 2017 11:52 am

Re: All Lung Nodule Experiences

Postby mpbser » Thu Sep 27, 2018 2:18 pm

Thanks, ~WorriedDaughter~

My husband reached out to his surgeon friend about the report. He said in 99.999999999999% of the time, these nodules are nothing but benign spots.

I hope we get good results when he gets a local Chest CT done sometime in October. I'll post again when we learn more!

*Now back to watching Kavanaugh testify* (gets the popcorn!)
Wife 4/17 Dx age 45
5/17 - Lap left hemi
Adenocarcinoma
5 x 4 x 1 cm
low grade
T3 N2b M1a
Stage IV A
lymph nodes: 9 of 54
8/17 Sub-total colectomy
2nd tumor 5.5 cm T1 N0
CEA: 1.4, 2.1, 1.5, 1.9, 1.9, 2.1, 2.1, 2.4, 1.7, 2.0
MSS/MSI-L
Lynch no; KRAS wild
Immunohistochemsistry: Normal MLH1, MSH2, MSH6, and PMS2
Tumor DNA variants: MTOR, APC, TP53
Liver left hepatectomy seg 4 1/31/18
5/18 NED


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