I wish to seek advice please re the following.
My elderly relative, 89 yrs old femaie ex smoker, has a pulmonary nodule of 6 mm which is deemed malignant on repeat Ct scans over 4 months. Grown from 4 to 6 mm in that time. Has no symptoms and was picked up routinely. Mediastinal lymphadenopathy, on same side, also on CT scan.
A PET scan was considered but there is a refusal for insurer to pay.
Also has vascular dementia for 2 years, with poor orientation,minimental score of 10, has full time carers 24 /7 over the last 6 months.. Recognises all of family and has reasonable quality of life.
Frail physically and mobile but needing assistance at times or can walk with aid.
Blood work up shows longstanding poor kidney function at about 30% functioning of normal - investigated previously and deemed to be a decline of old age.
No other significant medical history.
Oncologist recommends no further investigation or treatment feeling she will poorly tolerate any such interventions and also feels previous suggestions of a PET scan will add nothing further.
Can I please ask your views on this and in particular whether there is any advantage in pursuing a tissue diagnosis and whether there any other views on treatment here.
Also can anyone give some guidance on prognosis here..