Lung mets 2mm

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Danielito82
Posts: 28
Joined: Sat Aug 11, 2018 1:53 pm

Lung mets 2mm

Postby Danielito82 » Sat Dec 22, 2018 3:53 pm

Hi all,
I've done the 6 month scan after a colon and liver resection and unfortunately they found spots in the lungs less than 2mm.
My onc wants to start chemo cause he think that those spots are mets although he cannot do a biopsy cause thay are too small.
Has anyone been in the same situation?
Tnx

zephyr
Posts: 363
Joined: Thu Aug 18, 2016 7:31 am

Re: Lung mets 2mm

Postby zephyr » Sat Dec 22, 2018 4:49 pm

I didn't have liver issues but I did have lung spots that were believed to be mets but too small to biopsy. Most, but not all, were larger than yours. My nodules were also considered inoperable because of number (more than 3-4), size (some too small) and/or location (centrally located). I did two years of chemo. I finally went to Germany for the YAG laser surgery to remove them. I had 11 nodules removed: 8 had active cancer, 1 was a clump of dead cells believed to be a met that was wiped out by chemo, and 2 were benign.
Nov-2009 Early stage CRC, routine colonoscopy
2010-2014 F/U colonoscopies, all clear
Jun-2016 CRC during F/U colonoscopy, surgery, Stage 4, KRAS, MSS
Aug-2016-May-2018 Folfox, 5FU, Folfiri & Avastin
Aug/Sep-2018 YAG laser surgeries (Germany), 11 nodules removed
Nov-2018 clean CT scan
Mar-2019 New lung nodules
Apr-2019 Dec-2020 Xeloda/Avastin, SBRT, cont. Xeloda/Avastin
Mar-2021 Forfiri/Avastin
Mar-2022 Ablation & Thoracotomy
Feb-2023 Folfiri & Avastin
Nov-2023 Xeloda & Avastin

Brearmstrong
Posts: 112
Joined: Sun Mar 26, 2017 3:24 pm
Location: CT

Re: Lung mets 2mm

Postby Brearmstrong » Sat Dec 22, 2018 8:43 pm

2mm is very tiny. I had 3 pop up from one CT scan to another but my oncologist and radiologist have never thought they were Mets and believe they are just old scarring and so small that they just weren’t picked up by earlier CT scans. Vigilant in keeping an eye out but yours may be nothing. Are they characteristic of Mets? They can sometimes tell by the way they are shaped, etc. I hope yours turn out to be nothing!!
50 F diag 1/17
Muc Adeno 4cm
mod diff G2 T4aN2
nodes 8/50
CEA 4.6 after surgery <.05
KRAS G12D MSS
FOLFOX Apr-sep 17
Nov 17 PET p aortic nodes Stage IV
Folfori w/avastin
May 18 surgery on nodes xeloda 2yr
Aug 18-May 20 NED
July 20 hysterectomy
July 21 vats right lung
Clinical trial- failed liver Mets biopsy shows now poorly differentiated carcinoma.
HAI pump at MSK may 2022
Nov met to pancreas- causing pain
Radiation ablation to pancreas Dec 22
New lung Mets watch and wait

mpbser
Posts: 953
Joined: Wed Apr 19, 2017 11:52 am

Re: Lung mets 2mm

Postby mpbser » Sun Dec 23, 2018 8:28 am

Like Brearmstrong, my husband had a few ~ 4 mm nodules in his lungs detected that did not show up or were not detected on a previous CT scan. But at the time of the earlier scan, the doctors were only concerned about his colon. He had had pleural effusions and other pulmonary issues from congestive heart failure so the impressions from his follow -up chest CT were that these were simply scarring. I personally think it would be overkill to do chemo at this point without a comparison to a baseline.
Wife 4/17 Dx age 45
5/17 LAR
Adenocarcinoma
low grade
1st primary T3 N2b M1a
Stage IVA
8/17 Sub-total colectomy
2nd primary 5.5 cm T1 N0
9 of 96 nodes
CEA: < 2.9
MSS
Lynch no; KRAS wild
Immunohistochemsistry Normal
Fall 2017 FOLFOX shrank the 1 met in liver
1/18 Liver left hepatectomy seg 4
5/18 CT clear
12/18 MRI 1 liver met
3/7/19 Resection & HAI
4/1/19 Folfiri & FUDR
5/13/19 HAI pump catheter dislodge, nearly bled to death
6-7 '19 5FU 4 cycles
NED

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susie0915
Posts: 945
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: Lung mets 2mm

Postby susie0915 » Sun Dec 23, 2018 9:08 am

I had a 4 mm nodule show up in a scan 1 year after finished adjuvant chemo. Too small to biopsy or pet scan to pick up, so had repeat scans 3 months later, 6 months after that, and at 6 months again. No change in the nodule was seen and radiologist did attribute it to inflammation as I do have inflammation in my lungs which is thought to be from an auto immune disorder so being monitored with breathing tests every 6 months. My understanding is that malignant nodules will increase in size and sometimes can double in size in 4 months. As I am aware my nodule could end up being a met, right now we will continue to monitor,
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 blockage. surgery,early ileo rev, c-diff inf :(
12/15 6 rds of xelox
5/16 CT lung scarring/inflammation
9/16 clear colonoscopy
4/17 C 4mm lung nod
10/17 pel/abd CT NED
11/17 CEA<.5
1/18 CT/Lung no change in 4mm nodule
5/18 CEA<.5, CT pel/abd/lung NED
11/18 CEA .6
5/19 CT NED, CEA <.5
10/19 Clear colonscopy
11/19 CEA <.5

Utwo
Posts: 285
Joined: Mon May 23, 2016 10:14 am
Location: T.O.

Re: Lung mets 2mm

Postby Utwo » Sun Dec 23, 2018 9:28 am

susie0915 wrote:I ... had repeat scans 3 months later, 6 months after that, and at 6 months again.
In a similar circumstances I had a follow up scan in 3 month (low dose chest only) and then my regular yearly full body scan.
They have not noticed any significant change in these nodules and I was told not to worry about them.
58 yo male at diagnosis: T1bN0M0, 0/15 nodes, low grade/moderately differentiated adenocarcinoma
03/2016 colonoscopy: 2 small polyps removed in left colon; CEA = 1.3
04/2016 colonoscopy: caecum sessile 3.5 cm polyp piecemeal removed with kind of clear margins
05/2016 "prophylactic" laparoscopic right hemicolectomy - bleeding, leak, infection
06/2017 CT scan, colonoscopy OK; CEA = 1.6
A lot of funny stuff discovered by CT scans in liver, kidney, lungs, arteries, gallbladder, lymph node, pancreas

User avatar
susie0915
Posts: 945
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: Lung mets 2mm

Postby susie0915 » Sun Dec 23, 2018 4:50 pm

Utwo wrote:
susie0915 wrote:I ... had repeat scans 3 months later, 6 months after that, and at 6 months again.
In a similar circumstances I had a follow up scan in 3 month (low dose chest only) and then my regular yearly full body scan.
They have not noticed any significant change in these nodules and I was told not to worry about them.

Mine as well, the first two repeats were low dose chest only and the last was with my regular yearly full body. Yes no change and last scan report attributed it to inflammation.
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 blockage. surgery,early ileo rev, c-diff inf :(
12/15 6 rds of xelox
5/16 CT lung scarring/inflammation
9/16 clear colonoscopy
4/17 C 4mm lung nod
10/17 pel/abd CT NED
11/17 CEA<.5
1/18 CT/Lung no change in 4mm nodule
5/18 CEA<.5, CT pel/abd/lung NED
11/18 CEA .6
5/19 CT NED, CEA <.5
10/19 Clear colonscopy
11/19 CEA <.5

dliu
Posts: 66
Joined: Sun Jun 03, 2018 7:16 am

Re: Lung mets 2mm

Postby dliu » Mon Dec 24, 2018 2:14 am

susie0915 wrote:
Utwo wrote:
susie0915 wrote:I ... had repeat scans 3 months later, 6 months after that, and at 6 months again.
In a similar circumstances I had a follow up scan in 3 month (low dose chest only) and then my regular yearly full body scan.
They have not noticed any significant change in these nodules and I was told not to worry about them.

Mine as well, the first two repeats were low dose chest only and the last was with my regular yearly full body. Yes no change and last scan report attributed it to inflammation.


Same here. The 3 nodules in my mum's scan have been about 3mm for the last couple of scans. Her onc is keeping an eye on them but not worrying about them at the moment
Caring for my mum, 65
Sigmoid resection, multiple liver mets
09/05/2018 Dx Stage IV, 6/11 LN - KRAS G12V
28/05/2018 First round of FOLFOX + Avastin

CEA down from 6000+ (05/2018) to 843 (08/2018) to 377 (11/2018)
9/10 rounds with Oxaliplatin
8/10 rounds with Bevacizumab


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