Help needed STAT: Lung nodules and next steps

Portal Forums Lung/Thoracic Cancer Screening / Prevention Help needed STAT: Lung nodules and next steps

This topic contains 27 replies, has 3 voices, and was last updated by  cbwriter 3 weeks, 5 days ago.

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November 21, 2017 at 8:16 am  #1293535    

cbwriter

Okay that makes total sense. I really appreciate your expertise and willingness to take the time to answer me.

I will ask about all this. She sees the radiation oncologist again in February to see if the radiation zapped the tumors with a repeat CT scan and get a complete picture at that time.

You are wonderful and my best for a blessed Thanksgiving.

November 21, 2017 at 8:20 am  #1293536    

cbwriter

PS I know they didnt do any sort of genetic testing on the FNA biopsy from October, so we will ask about that. Maybe because this was so contained?

Is non small cell lung cancer the same as AIS? She is told she has NSCLC adenocarcinoma stage 1. Do people just live with all these nodules and GGO and simply monitor them?

November 21, 2017 at 8:40 am  #1293539    
JimC Forum Moderator
JimC Forum Moderator

Adenocarcinoma in situ is a form of NSCLC. And yes, it’s possible to monitor a slow-growing cancer for quite some time.

Best wishes for a Happy Thanksgiving for you and your family.

JimC
Forum moderator


Jul 2008 Wife Liz (51/never smoker) Dx Stage IV NSCLC EGFR exon 19
4 cycles Carbo/alimta, 65% shrinkage
Tarceva maintenance
Mar 2010 progression, added Alimta, stable
Sep 2010 multiple brain mets, WBR
Oct 2010 large pericardial effusion, tamponade
Jan 2011 progression, start abraxane
Jun 2011-New liver, brain mets, add Tarceva
Oct 2011-Dx Leptomeningeal carcinomatosis; pulsed Tarceva
At rest Nov 4 2011
Since then: http://cancergrace.org/blog/jim-and-lisa

November 21, 2017 at 8:53 am  #1293540    

cbwriter

Okay got it. She was told it is adenocarcinoma NSCLC but they didnt say in situ. Does that make a difference?

I am probably needlessly anxious but I love having the information in advance of doctors appointments, so thanks.

November 21, 2017 at 5:43 pm  #1293545    
catdander forum moderator
catdander forum moderator

Usually GGOs that are found to be nsclc are BAC (AIS) and are often quite indolent (GGO or ground glass opacity is a description of how it looks hazy on a scan. BTW it’s also how pneumonia looks on a scan. Typical nsclc is completely opaque or solid.). It makes a difference because pure BAC is can be indolent and require little to no treatment where as typical adeno that isn’t BAC is almost always aggressive and often spreads outside the lungs. A person can have a mixture of BAC and nonBAC.. To be really confusing, pure BAC can transform over time into a more aggressive form of nsclc. There is much variability even throughout one person’s full experience with it. A medical oncologist who specializes in BAC will have seen and treated many cases and will have the best feel for how to treat each individual case.

Keeping you in my thoughts and sending positive vibes your way.
Janine

November 21, 2017 at 5:46 pm  #1293546    

cbwriter

Janine, thanks so much for replying to me, I appreciate it.

The two nodules being radiated with SBRT at this time are solid and were biopsied via FNA with CT guidance.

She had a PET scan and no spread at all outside the lungs, no lymph node involvement. Brain scan is clean.

I appreciate this very much.

November 21, 2017 at 5:49 pm  #1293547    
catdander forum moderator
catdander forum moderator

Congrats on the clean PET! We encourage celebrations of all good news :)

November 21, 2017 at 5:50 pm  #1293548    

cbwriter

Aww thanks! I have set a positive intention that I am grateful for early detection and treatment.

Her colonoscopy, mammogram and brain MRI were all also clean.

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