Detox wrote:Did you take a preoperative CEA or is CEA a good indicator for you? I heard CEA can be elevated for lung metastasis.
Atoq wrote:I had a 8 mm nodule that was removed last week via VATS. We also did core needle biopsy after positive PET scan, to determine whether it was a primary tumor or a metastasi.
It was then 1 cm in diameter. It is safe to let it grow if it is from CRC, because this type of metastasis grow slowly and do not produce new metastasis.
We waited three months from PET scan to remove it. The surgeon needs to feel the nodule with the fingers in order to locate it. While biopsy is done with CT. Mine was in the lower lobe, close to the edge.
My case is almost exactly the same! Mine is at the lower right lobe, at the very end of the edge. So the core needle biopsy successfully identify that's a met? I also wonder why lung mets are not usually responsive to chemo. I saw many people here did chemo while having a small <1cm met and it just stays there.
Did you have an elevated CEA prior to that met growing? My CEA even went down further ...as the nodule grew..
Did they tell you what follow up treatment did they plan or anything after VATS?
I feel a bit better after reading your reply. I remember there was a thread all about lung mets... I can't find it now... Hmmm
betsydoglover wrote:Sorry for your news. I had a 9x11 mm met removed from inside right lower lobe, via VATS, in 2009.
Someone said that the surgeon has to be able to feel the nodule with his/her hands in order to remove it with VATS. I want you to know that this is not necessarily true. In my case (deep in lower lobe and not visible) nuclear med material was inserted into the met area by an interventional radiologist, under CT guidance, so that during surgery, surgeon could "go for the hot spot" since the met itself was not visible (or able to be felt). It worked great - and my surgeon said he did it several times a year (and so did other surgeons in the area).
Just wanted you to know that there may be another option.
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