Vats for lung nodules

Please feel free to read, share your thoughts, your stories and connect with others!
Markdale
Posts: 25
Joined: Wed Dec 02, 2020 4:45 pm

Vats for lung nodules

Postby Markdale » Thu Jul 22, 2021 6:04 pm

Hello all. In about a month I will have A VATS SURGERY to cut out a few metastasis. I would like to know if people here have had the surgery and how long it took to recover and if you hey have noticed any loss of lung function.

Mark
09/20:Diagnosed after colonoscopy for bleeding.
MRI and ct scan confirmed tumor at rectosigmoid junction aswell as lung nodules in right lower lobe (1X1.2cm) and right upper lobe (3X.5cm)
10/20: low anterior resection tumour t3n2m1 4 lymph nodes positive of 24. No ileostomy.
11/20: pet scan showed low to moderate uptake of glucose.
11/20: folfoxiri - 10/6/21. 12 rounds in total
12/20: ct lung biopsy of lung nodule to confirm metastasis. Biopsy unsuccessful
1/1/21 thoracotomy for removal of lung nodules

prayingforccr
Posts: 158
Joined: Sun Jun 28, 2020 4:44 pm

Re: Vats for lung nodules

Postby prayingforccr » Thu Jul 22, 2021 6:32 pm

Type vats into the search query on the home page.
Nov 2019: colonoscopy
Dec 2019: diagnosed with stage 3 rectal cancer 6+cm tumor
Jan-mar 2020: 20 sessions of radiation, mon-fri capecetibine, mon-fri clinical trial drug m3814
Apr 2020: tumor/scar 3.7cm
July 2020: began 8 treatmentsFOLFOX
August 2020: ct scan reveals scarbed reduced to 2.7cm CEA is 1.5
Nov 2020: Primary tumor had complete response. Possible tumor deposits on latest mri. Biopsy negative for cancer.
May 2021: Multiple lung nodules (3-6mm) on ct scan

Brearmstrong
Posts: 109
Joined: Sun Mar 26, 2017 3:24 pm
Location: CT

Re: Vats for lung nodules

Postby Brearmstrong » Thu Jul 22, 2021 6:50 pm

I just had vats surgery two weeks ago. One small met but was in an area in between my upper and middle lobe so they had to take more tissue than hoped. It’s my 5 major surgery and I was thinking it was going to be much easier than the abdominal ones but to be honest, recovery has been just as long, if not longer. Perhaps I am just getting tired of losing parts of me :-). But surgeon did explain to me today on my follow up that the nerves here are the largest in your body and it can be painful. I also had a collapsed lung from the biopsy two weeks prior and had no symptoms so my breathing post surgery has been fine. If it helps, buy an o2 meter and monitor your levels at home. It can give you some piece of mind! Best of luck!
48 F Jan 17 2 sons
tumor appendix/colon
Muc Adeno 4cm
mod diff G2 T4aN2
nodes 8/50
CEA 4.6 after surgery <.05
KRAS G12D MSS
FOLFOX Apr-sep 17
Clean CT Jul 2017, oct 17, CEA 3.4, 8.1. May 18 2.3,1.0,1.3, 1.3, 1.0, 2.3, 2.2, 2.1,2.2,1.6,1.4,1.5,2.8,2.2
Oct 2017 clean CT
Nov 17 PET para aortic nodes Stage IV
Folfori w/avastin Dec 17
May 18- surgery on nodes xeloda continues
Aug 18-CT NED Clear CT's Nov 18-May 20
July 20 hysterectomy CEA 1.7 chemo break
July 21 vats right lung

DCook54
Posts: 29
Joined: Sat Sep 05, 2020 10:12 pm

Re: Vats for lung nodules

Postby DCook54 » Thu Jul 22, 2021 8:42 pm

In July 2020, I had vats in both lungs 48 hours apart. Recovery from the incisions took several weeks, but recovering lung capacity is a different story. It took several months. For me, the most painful part was the chest tube from the 2nd surgery. I agree about the O2 meter, and a recliner is very helpful in recovery from this surgery. My surgeon recommended that I walk 30 min twice a day as well. I will be having a nodule removed from my left lung on August 5, and I am not looking forward to it, but it sure beats the alternatives!!! Good luck!!
54 year old mom of 3 and grand of 3
Stage IV colon- mets to lungs
KRAS G12V
NRAS WT
Dec 2019- partial colectomy adenocarcinoma 0/31 LN
Jan 2020-PET NED
Jan 2020- Staged at I
July 2020-Ct-nodules both lungs
July 2020-VATS both lungs positive crc mets Stage IV
August 2020 began 1/6 cycles Folfox
Nov 20 Completed 6 Folfox
Dec 20 Colonoscopy Clean, CTs clean
Dec 20 NED
April 21 Stable scans.one 4 mm lung nodule to watch
August 21 VATS 2 nodules both cancer

NedPlease
Posts: 548
Joined: Fri Mar 23, 2012 3:56 pm

Re: Vats for lung nodules

Postby NedPlease » Thu Sep 02, 2021 9:52 pm

Hi,

I infrequently check in these days but I had VATS eleven years ago so details are vague (finally) but it was a successful surgery and NED since. No lung issues and recovery was easier than liver/colon resection.

Stage Four and still here.

Good luck,
Ned
F-54- St 4- Ascend Colon, 2 Liver mets, Poorly dif, Mutant
6/10- Folfox
9/10- R Liver Resect/Colon/Gall/Appendix
11/10-3/11- Folfox
11/11- R Lung, 1 met, VATS
3/12- 9/12- Xeloda
2/12- 6/18 Clear Scans
6/19- first time no scan
Today- NED

User avatar
Atoq
Posts: 398
Joined: Wed Oct 25, 2017 9:31 am

Re: Vats for lung nodules

Postby Atoq » Mon Sep 06, 2021 10:26 am

I had VATS surgery in one lung and the recovery was very smooth and quick. I did not notice any change in lung capacity, and I would notice it because I am runner :D

All the best

Claudia
1972, 2 kids
Dx rectal cancer 10.2017
T3N2aMX (met left lung 8 mm)
Lynch neg
CEA 1.8
Neoadjuvant chemoradio Xeloda + 25x2 Gy
05.12.17 laparotomic surgery for blockage, colostomy
25.01.18 laparotomic lar, hysterectomy, ileostomy
05.03.18 core needle lung biopsy
07.05.18 CAT scan, lung met 11 mm
04.06.18 ileo reversal
26.06.18 wedge VATS
24.08.18, 31.02.19 CAT scan
12.09.18, 06.02.19 scope, CEA 1.6
19.11.18 colonscopy
20.08.19 CAT, eco
13.09.19 scope, CEA 1.2
18.03.20 CAT, eco, scope, NED
29.11.20 CAT, NED

Bpaint
Posts: 21
Joined: Sun Oct 11, 2020 8:54 pm

Re: Vats for lung nodules

Postby Bpaint » Tue Sep 07, 2021 11:53 am

I see from a different post that you already had a different surgery. Good luck with recovery.
My husband (age 41 at dx):
8/20 CRC Stage 4. Mets to lungs, liver, distant lymph nodes (25+)
MSS, KRAS wild
CEA 713 at dx
Folfox (12 rounds)
CEA 113
Liver, colon and lymph node resection 4/21
New lung mets, Vectibix monotherapy started 6/21

Markdale
Posts: 25
Joined: Wed Dec 02, 2020 4:45 pm

Re: Vats for lung nodules

Postby Markdale » Tue Sep 07, 2021 5:46 pm

Thank you. They went straight for a thoracotomy rather than than the vats. I had the surgery a week ago. The worst part was when the drain tube was in, but after they took it out the pain has been manageable with nsaids and paracetamol. I havnt noticed much change in lung function but I havnt been running or walking up more than a flight of stairs. I’ve been walking an hour twice a day to try to make sure my lung expands properly (I’m not sure if it’s helpful but can’t hurt).
09/20:Diagnosed after colonoscopy for bleeding.
MRI and ct scan confirmed tumor at rectosigmoid junction aswell as lung nodules in right lower lobe (1X1.2cm) and right upper lobe (3X.5cm)
10/20: low anterior resection tumour t3n2m1 4 lymph nodes positive of 24. No ileostomy.
11/20: pet scan showed low to moderate uptake of glucose.
11/20: folfoxiri - 10/6/21. 12 rounds in total
12/20: ct lung biopsy of lung nodule to confirm metastasis. Biopsy unsuccessful
1/1/21 thoracotomy for removal of lung nodules

Thedruid
Posts: 5
Joined: Tue Aug 21, 2018 1:49 pm
Facebook Username: theDruid

Re: Vats for lung nodules

Postby Thedruid » Fri Sep 10, 2021 1:48 pm

Brearmstrong wrote:I just had vats surgery two weeks ago. One small met but was in an area in between my upper and middle lobe so they had to take more tissue than hoped. It’s my 5 major surgery and I was thinking it was going to be much easier than the abdominal ones but to be honest, recovery has been just as long, if not longer. Perhaps I am just getting tired of losing parts of me :-). But surgeon did explain to me today on my follow up that the nerves here are the largest in your body and it can be painful. I also had a collapsed lung from the biopsy two weeks prior and had no symptoms so my breathing post surgery has been fine. If it helps, buy an o2 meter and monitor your levels at home. It can give you some piece of mind! Best of luck!


Hello, Bearmstrong,

I can see on your signature you had some para aortic lymph nodes as one of the recurrences, right ? I made a PET-CT today and I got some quick feedback from the doctor I am on the same boat. 2 para aortic lymph nodes impacted + one small met in the lung (6mm).

How was your lymph node surgery ? Was you able to remove them in a VATS surgery as well ? Did you also had only a few nodes impacted ?

Thanks !
_____________________________________
Diagnosed 07/16/18, age 43
Colon Resection 03/08/18,
Stage 3B colon cancer, T3N2aMO
Lymph-vascular invasion confirmed
6/16 lymph nodes
Port installed in 08/25/18
FOLFOX started in 08/29/18 - finished 2/5/2019
Stage 4
Liver met found in 01/2020. RadioAblation in 02/2020

Brearmstrong
Posts: 109
Joined: Sun Mar 26, 2017 3:24 pm
Location: CT

Re: Vats for lung nodules

Postby Brearmstrong » Fri Sep 10, 2021 7:08 pm

I had 8 para aortic nodes removed laparoscopically despite a dangerous location. 5 ended up positive. Was then NED for two years before back on ovary. Another years NED and now spread to lung and removed by vats. Currently pursuing a clinical trial as I won’t do more chemo. Has never done much for me, unfortunately but fortunately, surgery has still been options for me so far.

brenda
48 F Jan 17 2 sons
tumor appendix/colon
Muc Adeno 4cm
mod diff G2 T4aN2
nodes 8/50
CEA 4.6 after surgery <.05
KRAS G12D MSS
FOLFOX Apr-sep 17
Clean CT Jul 2017, oct 17, CEA 3.4, 8.1. May 18 2.3,1.0,1.3, 1.3, 1.0, 2.3, 2.2, 2.1,2.2,1.6,1.4,1.5,2.8,2.2
Oct 2017 clean CT
Nov 17 PET para aortic nodes Stage IV
Folfori w/avastin Dec 17
May 18- surgery on nodes xeloda continues
Aug 18-CT NED Clear CT's Nov 18-May 20
July 20 hysterectomy CEA 1.7 chemo break
July 21 vats right lung

catstaff
Posts: 140
Joined: Wed Mar 03, 2021 11:37 am

Re: Vats for lung nodules

Postby catstaff » Sat Sep 11, 2021 9:46 am

Did you go to a major cancer center for surgeries? Here they have not been willing to treat my husband's retroperitoneal lymph node mets with anything but chemotherapy. They did do radiation on the ones present when he was initially diagnosed, and that seems to have been completely successful, but now they say there are too many for radiation, plus some are likely in the old field. Two other mets are not resectable but I am sure radiation would work for him. I would like to get as many removed or destroyed as possible.

He is also KRAS G12D though his primary was rectal, so left-sided. He did have a partial response to folfiri+bev at least.
D/H Dx 10/2019 RC age 61
Clinical T4bN2M1a (common iliac and para-aortic lymph nodes)
MSS KRAS G12D
CRT 11/19-1/20 FOLFOX 3/20-7/20
Pelvic exenteration w/LAR 8/20
ypT4bN0Mx G3 0/14 nodes LVI not seen PNI-
CEA 10/19:20, 1/20-11/20:1.6, 4.3, 3.4, 2.7, 2/21:9.0 3/21:18,40 4/21:28,19, 5/21:13.3,8.6
PET 3/21 recurrence in distal nodes, L5 vertebra, pelvis
FOLFIRI+bev 3/21-

Thedruid
Posts: 5
Joined: Tue Aug 21, 2018 1:49 pm
Facebook Username: theDruid

Re: Vats for lung nodules

Postby Thedruid » Sun Sep 12, 2021 7:08 pm

Hello, Brearmstrong

Thanks for your quick answer. In my case I had a "suspicious" lung nodule + 2 para aortic lymphnodes found in a CT a month ago. Last Friday I did a PET and unoficially the doctor said at least the 2 lymphnodes lit during the exam. I will get my results on this Thursday and then begin my journey to see how to treat this. I beliebve my Onc will suggest surgery or surgery + radiation.

I prefer surgery, since if it can be done with a clear ressection margin I can stay more 1-3 years without another recurrence.

How was your recovery of the para aortic removal surgery, Brearmstrong ? Was it somewhat smooth ?

Thanks!
_____________________________________
Diagnosed 07/16/18, age 43
Colon Resection 03/08/18,
Stage 3B colon cancer, T3N2aMO
Lymph-vascular invasion confirmed
6/16 lymph nodes
Port installed in 08/25/18
FOLFOX started in 08/29/18 - finished 2/5/2019
Stage 4
Liver met found in 01/2020. RadioAblation in 02/2020

Beza1422
Posts: 17
Joined: Wed Apr 21, 2021 2:45 am

Re: Vats for lung nodules

Postby Beza1422 » Mon Sep 13, 2021 11:13 pm

Hey Catstaff, we are also experiencing this same problem. My mom’s cancer is “contained” to a retroperitoneal lymph node that’s causing issues with hydronephrosis. It is growing while on chemo and we have not been offered any other options and need to do something as it is progressing. They won’t explore bracytherapy for this area and I am concerned with the risks of surgery.


catstaff wrote:Did you go to a major cancer center for surgeries? Here they have not been willing to treat my husband's retroperitoneal lymph node mets with anything but chemotherapy. They did do radiation on the ones present when he was initially diagnosed, and that seems to have been completely successful, but now they say there are too many for radiation, plus some are likely in the old field. Two other mets are not resectable but I am sure radiation would work for him. I would like to get as many removed or destroyed as possible.

He is also KRAS G12D though his primary was rectal, so left-sided. He did have a partial response to folfiri+bev at least.
DX 2/19: Mid-rectum adenocarcinoma, moderately differentiated
KRAS G12D ( p.Gly12ASP), MSS
4/19-5/19: Neoadjuvant Xeloda and Radiation
7/19: Low anterior Resection with end colostomy
4/21: CEA 74, two hyper metabolic left supraclavicular lymph nodes confirming adenocarcinoma at biopsy, focal activity at pelvic lymph nodes and a 0.9 cm lesion in mesentary/small bowel

catstaff
Posts: 140
Joined: Wed Mar 03, 2021 11:37 am

Re: Vats for lung nodules

Postby catstaff » Tue Sep 14, 2021 9:19 am

Knock on wood (very much), it seems to have been mooted for us for now, because yesterday's CT showed the lymph-node mets resolved. Seemingly the L5 is the last met standing. That definitely doesn't mean they can't come back when he goes onto "maintenance" since there's certainly no guarantee that every single cancer cell was killed in those nodes. So I may become interested again in the future.
D/H Dx 10/2019 RC age 61
Clinical T4bN2M1a (common iliac and para-aortic lymph nodes)
MSS KRAS G12D
CRT 11/19-1/20 FOLFOX 3/20-7/20
Pelvic exenteration w/LAR 8/20
ypT4bN0Mx G3 0/14 nodes LVI not seen PNI-
CEA 10/19:20, 1/20-11/20:1.6, 4.3, 3.4, 2.7, 2/21:9.0 3/21:18,40 4/21:28,19, 5/21:13.3,8.6
PET 3/21 recurrence in distal nodes, L5 vertebra, pelvis
FOLFIRI+bev 3/21-

IsmailMehdi
Posts: 36
Joined: Sun May 02, 2021 5:52 pm

Re: Vats for lung nodules

Postby IsmailMehdi » Tue Sep 14, 2021 11:22 am

Wow, great news, knock on wood. Glad to see some positive news from you catstaff, you keep pushing DH towards complete NED!
52M DX: RC lower rectum, guessing now 2cm from AV 4/27/2021
T3N0M0 signet ring-cell carcinoma
Tumor size 30mm
Tumor grade: G3
Baseline CEA 1.0
MSI status: MSS pMMR
Started Folfox 5/12/2021
Switched to FOLFIRINOX from session 2. 8 rounds total.
CT+MRI tumor contained shrunk 80%, no spread to other organs.
CRT started xeloda + 28 days Radiation 9/27


Return to “Colon Talk - Colon cancer (colorectal cancer) support forum”



Who is online

Users browsing this forum: Google [Bot] and 54 guests