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Medical Forum / Diseases and Disorders / Cancer / April 2004

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Does a shadow on a x ray always mean lung cancer?

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steve - 18 Mar 2004 15:55 GMT
Hi,
Bascially i am worried sick as my mum got her x rays results back and
it shows a shadow(or something) on the right lung(hilum)
She now has to go for more tests including Bronchoscopy
Well i typed in Bronchoscopy to google and never been so scared in my
life as most of the results back were regarding lung cancer

I should point out my mum has smoked for 50 years,she gave up 4 weeks
ago when her cough became too bad!.She also suffers from heart
disease.And also gets bone scans to see if she has brittle bones

Anyway her latest troubles started about 6/7 weeks ago.
She got a really bad cold(she gets a couple a year),but this was a bad
one and it came with a really bad cough.Then she felt a pain in her
right lung and ribs.Basically she put this down to coughing all the
time.She now says the pain has gone away.I did ask her if she coughed
up any blood and she yes once.Also since she has gived up smoking she
has been more sleepy.I hope this is a symptom of giving up smoking.
The good news she hasn't lost any weight and seems to be eating
normally....

But as i say basically i have gotten it into my head she may have lung
cancer and she hasn't even had the test yet!And my bloody depressing
attitude is dragging her and my dad down and making everyone think the
worse.

Now i don't what false hope,i just need to know the shadow could be
something else.Researching the internet i think it could be....

Scaring from pneumonia
bronchitis
Emphysema
Collapsed lung (my aunty had similar symptoms and went thru the same
test)
Do people agree with the above,can it be anything else???

As i say i just need to know it might be something else as i searched
google newsgroups and only found one post were the guy thought he had
lung cancer and it turned out to be something else

Any imput greatly appreciated
Thanks
Ste
Dreamspinner3 - 18 Mar 2004 18:36 GMT
Two years ago my mother had a shadow on her lung x-ray and on her cat scan
but it was pneumonia.  However, two days ago she was diagnosed with lung
cancer in her right lung.  She smoked for 45 years and stopped smoking over
three years ago--she's 61 years old.  A shadow doesn't always mean lung
cancer but given your mother's history there is a good chance that it might
be.  Try not to jump to any conclusions until you get the test results back.
I know it is hard--God do I know.  Good luck.
steve - 16 Apr 2004 14:22 GMT
Hi,
Just a follow up from my post a month back
We received the results of the CT guided biopsy today
And it was confirmed my mum has non-small cell cancer,its probably at
stage 2
The type of cancer is squamous carcinoma and is about 2 inches long
The doctor said it hasn't spread anywhere else and it doesn't look
like its attached to the lymph nodes,he said this was a good sign...
The bad news is my mums general lung health is so poor surgery is not
an option as he would had have to cut away so much of the lung she
basically wouldn't be able to breath after the operation(that's if she
made it through the operation)
So we have been advised chemotherapy(if she is up to it) and radiation
in that order.But reading up on non-small cell it seems radiation is
the way to go first...?
Anyway so she will have a few more tests in the coming days,bone scan
etc
So i guess my question is can this cancer be cured by chemo and
radiation or is it just delaying inevitable?Any good websites i can
look at to get more info?
And finally i just feel numb and i am fearing the worse,while my mum
is putting a brave face on it and saying she will fight it and beat
it...
Thanks
Steve
Steph - 16 Apr 2004 16:28 GMT
> Hi,
> Just a follow up from my post a month back
[quoted text clipped - 21 lines]
> Thanks
> Steve

There isn't a jot of evidence that chemotherapy has anything to offer for
someone with a node negative non small cell cancer - but plenty of side
effects.
For patients who are not surgical candidates, radical radiotherapy alone is
the standard here in BC, and the retrospective results are as good as
surgery, though there are no randomised trials. T2 N0 as you describe, the
series in the literature show five year survivals of 15-20%, whether treated
surgically or by RT.
Tm n Kat - 17 Apr 2004 03:27 GMT
>Hi,
>Just a follow up from my post a month back
>We received the results of the CT guided biopsy today
>And it was confirmed

So sorry Steve.  Kathy J
slykitten - 18 Mar 2004 21:38 GMT
My grandma fractured a rib when she tried to get up from the table....
that's from the osteoporosis.... She went to the doctor to get a chest X-ray
done to find out where the break was and if it was healing.... The doctor
muttered something about a "Dark spot" in one of her lungs. As she told me
this, immediately, my guts tightened and I asked her, "Grandma, do you have
lung cancer?" She chuckled and said no. 3 days later, the doctor called her
and told her she needed to have a biopsy done as well as a CT scan and an
MRI to rule out pneumonia. When she said this, I then asked her if she was
coughing or out of breath, how about tired, appetite and how many cigarettes
she's been smoking lately.  her answers were; yes, yes, no, ok, 2 a day....
all in that order. I couldn't shake that nagging feeling that Cancer was
going to be the diagnosis.... I'd seen X-rays as she described hers to look
like in many of my patients. Every one ended up being cancer.
I don't want to scare you or fuel your fears. I'm just sharing my
experience....
In the end, the dark spot in her X-ray was cancer.... a bone scan and biopsy
showed another kind of cancer.... bone cancer.... about 3 months into the
diagnosis, she decided to take chemo. it began having undesireable effects
so she stopped.... she had some good many weeks where she felt great. then
she found herself on 12L of O2 and another diagnosis of congestive heart
failure. Not too long after that, she developed horrendous headaches. An MRI
showed tumors in her brain. Radiation helped with the pain by shrinking the
tumors but couldn't get rid of them. We said our good byes and she went off
of the RT. She went downhill so fast.... within 3 weeks she was gone.... She
had a wonderful last year with us.... I know this because when I saw her
again to say my final physical good bye to her, her face was so at peace....
she even seemed to be happy..... A sense of sadness and relief flooded me.
Sadness because I'd never be able to hug her again.... relief because I knew
she was now no longer in pain. She was for the first time in more than 30
years, free from pain. I wouldn't trade that for anything.... I know she had
a good life.
Hang in there... you're in my thoughts! I know it's not easy.... the wait is
the worst part....
(((((((((((((((((((((Steve)))))))))))))))))))))))

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"Many have forgotten this truth, but you must not forget it.
You remain responsible, forever, for what you have tamed."
~Antoine de Saint-Exupery

> Hi,
> Bascially i am worried sick as my mum got her x rays results back and
[quoted text clipped - 39 lines]
> Thanks
> Ste
Mike Radcliffe - 19 Mar 2004 05:39 GMT
> Hi,
> Bascially i am worried sick as my mum got her x rays results back and
[quoted text clipped - 39 lines]
> Thanks
> Ste

A shadow on an xray is something that should be investigated further, as it
is, but until you get the results of the further investigations that is all
it is, a shadow. Won't stop you fearing the worst and worrying but there is
nothing you are anyone else can do until the other results come in.
Hopefully it's one of the other things you listed, just hang in there
MIKE
steve - 26 Mar 2004 12:23 GMT
First,thanks for the replies!

My mum had her CT scan/ Bronchoscopy last week
Today we went for the results...
Well the result was inconclusive we still don't know if its cancer,was
not expecting this result...
The reasons given were the doctor couldn't see anything thru the
Bronchoscopy,the fluid wash? came back clean or they couldn't tell
anything from it.The CT scan showed no shadows anywhere else in her
body,just the original shadow over the right lung
They did find out she does have some Emphysema,but this isn't causing
the shadow
So the shadow can either be 3 things... Infection/scarring from an
infection or cancer
Anyway she has been prescribed 10 days worth of very strong
antibiotics and in 2 weeks time she will have to have another CT scan
and a needle biopsy thru the chest direct to the shadow
But of course we hoping at the moment it is an infection and the
strong antibiotics will clear up the shadow

But as i say i was really surprised the test came back inconclusive
But surely the CT scan showing no other shadows is good news and my
mum is still eating well and seems in overall better condition that
she did a few weeks back

Has anyone else been thru a similar experience.Is it a good sign or
are we back at square one.What it does mean is more waiting,which is
terrible....

Thanks
Steve

>> Hi,
>> Bascially i am worried sick as my mum got her x rays results back and
[quoted text clipped - 46 lines]
>Hopefully it's one of the other things you listed, just hang in there
>MIKE
Msrebug - 26 Mar 2004 14:22 GMT
To me, your news sounds promising.
Has she been ill lateley with an infection?  Does she smoke? What caused her to
have the xray in the first place?  Wouldn't the cat scan show if the shadow is
a tumor?

We are waiting for the results of my husbands cat scan.  A shadow was found on
routine xray.  The dr said he couldn't tell if its just an exaggerated normal
shadow or a problem. He is a smoker.
steve - 26 Mar 2004 19:27 GMT
>To me, your news sounds promising.
>Has she been ill lateley with an infection?  

About 8 weeks ago she had a really,really bad cold.And her cough
became a lot worse.After 7 days on antibiotics the cough was no better
so the x ray was done

Yep she has smoked for 50 years,but gave up 6 weeks ago because of the
bad cough.About the cough on one occasion there was a bit of blood in
the sputum,but otherwise when she coughs in the morning it is a
yellowish colour and becomes more and more clear throughout the day

I don't know why the Dr cannot tell if its a tumor from the CT
scan....

What has worried me is why wasn't a Percutaneous needle biopsy done on
the same day as the bronchoscopy as i was told by a nurse a lot of
time a bronchoscopy cannot reach the "shadow".
So why not just do a Percutaneous needle biopsy first?
(This is a question i wished i had asked the nurse!)
As now i am worrying that if it is cancer,its another 3 weeks without
any treatment...

Anyway many thanks for the reply and i hope your Husband gets the all
clear

Cheers
Steve

Does she smoke? What caused her to
>have the xray in the first place?  Wouldn't the cat scan show if the shadow is
>a tumor?
>
>We are waiting for the results of my husbands cat scan.  A shadow was found on
>routine xray.  The dr said he couldn't tell if its just an exaggerated normal
>shadow or a problem. He is a smoker.
Msrebug - 26 Mar 2004 23:47 GMT
Steve,

My husband's CT showed no evidence of lung disease.  So, a shadow on an xray
certainly does not mean lung cancer.  I don't understand either why the CT does
not answer the questions for you.  But, apparently nothing is showing
conclusive so that has to be a good sign.  It is my understanding that a CT is
supposed to show tumors.  Also I believe yellow in sputum is indicative of an
infection, and if you cough long and  hard enough you might bring up a little
blood.  But, in my husband's case the shadow on the xray turned out not to be
something else, but nothing at all. So try not to worry.  My husband has smoked
for 30 years, and coughed all the time. I think he is scared straight now.
steve - 28 Mar 2004 12:07 GMT
>Steve,
>
[quoted text clipped - 7 lines]
>something else, but nothing at all. So try not to worry.  My husband has smoked
>for 30 years, and coughed all the time. I think he is scared straight now.

Thanks again for the reply
cheers
Steve
steve - 13 Apr 2004 13:21 GMT
>Steve,
>
[quoted text clipped - 7 lines]
>something else, but nothing at all. So try not to worry.  My husband has smoked
>for 30 years, and coughed all the time. I think he is scared straight now.

Hi,
Thanks for the reply.
My mother finshed her course of antibiotics about a week ago her cough
improved greatly(she was coughing about 20 times per hour,now about
3/4 an hour)
Anyway she still needed the  CT guided Biopsy and lung test.The doctor
said he got 2 good tisue samples so he should be able to tell either
way on friday
What is worrying me is the nurse my mother is under seems to pass on
bad vibes(basically hinting its cancer,maybe just preparing us for the
worse...)
But 8 weeks ago she was feeling terrible(with the bad cold) and now
she is ok(tho i think she is getting another cold!) and also she has
gained 2 pounds in weight,so is eating fine
So i am hoping she is ok as i cannot believe if she had cancer 8 weeks
ago how her health would improve(just hope i am not kidding myself)
Anyway should find out on friday,unless its inconclusive

Cheers
Steve
Tm n Kat - 14 Apr 2004 01:21 GMT
>Subject: Re: Does a shadow on a x ray always mean lung cancer? update and a
>little advice please (new update)
>From: steve steve@ra88.fsnet.co.uk
>Date: 4/13/2004

>Anyway should find out on friday,unless its inconclusive
>
>Cheers
>Steve

Thanks for the update Steve and good they are checking it out just to be safe.
Kathy
Belinda - 22 Apr 2004 16:43 GMT
My husband has been told he has a shadow on his left lung and the x-ray
also shown it as cloudy and bulkey they are the words they used on the
report.
Can anybody please explain to me what this means,he has smoked for 40
years but gave up quite recently,he has also been complaining of pain in
his rib cage on the left.
He has to go again for another x-ray next week,can anybody help me?Thank
you.
matt weber - 23 Apr 2004 03:22 GMT
>My husband has been told he has a shadow on his left lung and the x-ray
>also shown it as cloudy and bulkey they are the words they used on the
[quoted text clipped - 4 lines]
>He has to go again for another x-ray next week,can anybody help me?Thank
>you.

There are a number of sources of shadows on the Lung, and the question
is how long has it been there, and their other reasonable explanation.
for example a patience with a history of a serious Cocci infection,
the presence of tumor like shadow appearing within a couple of years
of the infection would hardly raise an eyebrow. The pathology is well
understood, and a calcified lesion of an infected area is very
probable.

In the absence of likely alternatives, and the presence of well known
risk factor such as smoking, the chances that the shadow is a tumor
are very high.

Abnormal lung tissue takes on a somewhat different X-ray appearance,
in fact a good radiologist can spot the difference between bacterial
pneumonia, and a mycobacteria, or fungal pneumonia.  The Fungal and
Mycobacterial infections product what is called a diffuse infiltrate
appearance.

I am neither a Radiologist or a Physician, but lung abnormalities in
the absence of other obvious causes, but with a long history of
smoking has a very high probability of being something very bad.
 
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