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Medical Forum / Diseases and Disorders / Cancer / March 2004Needle Biopsy
Hello well I had my needle biopsy on my left lung done on Tuesday no deflated lung this time (hooray) but it is thursday and I am still coughing up small amounts of blood about the size of a dried green pea should I be concerned or is it still normal the Dr. did say he nicked my lung because the needle skipped a couple of times. I have no excessive pain or shortness of breath just an occassional slight cough. anyway my results will be back tomorrow and the Dr. will go over them with me on Monday hoping for the best. Any thoughts on the blood? Frank (aka) "stewburner" > Hello well I had my needle biopsy on my left lung done on > Tuesday no deflated lung this time (hooray) but it is thursday and I am [quoted text clipped - 6 lines] > > Frank (aka) "stewburner" Frank, All the very best of luck for your results tomorrow. I wish you well. Sinead > > Hello well I had my needle biopsy on my left lung done on > > Tuesday no deflated lung this time (hooray) but it is thursday and I am [quoted text clipped - 14 lines] > > Ditto Sinead's thoughts Hugs Alayne > Hello well I had my needle biopsy on my left lung done on > Tuesday no deflated lung this time (hooray) but it is thursday and I am [quoted text clipped - 6 lines] > > Frank (aka) "stewburner" Hi Stew, Thanks ever so much for changing your settings (now I can read your posts, which I was having an awful time trying to do because of the width AND reply w/o a big mess in my newsreader). Hooray ! According to this website about biopsies. http://www.healthatoz.com/healthatoz/Atoz/ency/lung_biopsy.html "Some coughing up of blood occurs in 5% of needle biopsies. " So you should be okay, but if you start getting "prolonged bleeding" or a fever, call the doctor. J > Hello well I had my needle biopsy on my left lung done on > Tuesday no deflated lung this time (hooray) but it is thursday and I am [quoted text clipped - 6 lines] > > Frank (aka) "stewburner" Hi Stew, I was just thinking that you might want to start a "Questions to ask" list? Mine would be (and I'm no expert, so if you think other better ones...): 1) do both lungs have lung cancer? 2) what type of lung cancer? 3) is there any evidence (from the scans) that there might be lymph node involvement? 4) is there any evidence (from the scans) of spread to other organs? 5) what size are the tumour(s) that you are able to see? What treatment choices do I have? Surgical: a) lobectomy of the left lung? b) wedge resection of the right? (if the recent biopsy comes up positive) c) have you ever done both in a patient? (and what was the result?) and can you recommend another specialist who has done many surgeries in both lungs at one time for a second opinion? d) what are the possible complications? e) am I in good enough health to survive such surgery? f) what can I do to prepare for such surgery? g) what is my current lung function? h) what should I expect for lung function, after I've recovered from the surgery? i) how long would I be in hospital? j) what would be the expected recovery time (after release)? Radiation oncologist a) what is the recurrence rate of my type of cancer? b) would I still need chemotherapy after surgery? c) can the tumour(s) be treated with radiation therapy? d) would I still need chemotherapy after the radiation therapy? e) would you recommend radiation therapy after the surgery? e) what are the (possible) downsides of radiation therapy (in my case)? f) would I need less strong (mix of) chemo, if I had the surgery or radiation first? g) how soon after the surgery, should I start with either/or (ie follow up with you)? These are just some ideas to maybe help you start a list. You'll have to add your insurance coverage/cost issues in somewhere there also, or if you think of other questions, modify it to your needs J >> Hello well I had my needle biopsy on my left lung done on >> Tuesday no deflated lung this time (hooray) but it is thursday and I am [quoted text clipped - 52 lines] >also, or if you think of other questions, modify it to your needs >J Thanks J Actually previously without a biopsy another surgeon offered to perform lobectomy on both lungs but also stated would ot know if there was anything else and I would have to cross my fingers and hope nothing else was in there but was in a hurry for an answer and had to have a answer now so I declined because they would not let me even get a second oppinion I got scared, maybe I should rethnk the opperation? Frank (aka) "stew" > Thanks J > Actually previously without a biopsy another surgeon offered to perform [quoted text clipped - 5 lines] > > Frank (aka) "stew" Hi Stew, It's very hard for patients to know what the right thing to do is. Especially when something is seen in the lung (or liver or brain) on imaging and has not been biopsied. You did what you thought was best. And in fairness, if I'm understanding your first post, it was complicated somehow by your insurance. It's difficult for me to know what your surgeon "knew" when he was looking at your scans. Of course you were scared, the thought of cancer scares most people. It's too late to revisit the "I should have" or "shouldn't have". All I was posting was "options" to be discussed with your doctors once you have the new information. It is true that surgeons look around once they are inside. Sometimes they have to remove more than they thought. Sometimes they open up and decide it's best not to remove anything. It is true that sometimes they remove a (some) lymph node during lung surgery. That helps to "Stage" a person's cancer. Perhaps once you have the new information, you'll decide no surgery. I don't know. Is there someone to go with you when you get the results and discuss your options? Try to think of someone calm who can go with you. Hang in there Stew, we'll try to be there for you, as best we can, step by step. J >> Thanks J >> Actually previously without a biopsy another surgeon offered to perform [quoted text clipped - 37 lines] > >J Well J I was called today with my Biopsy results My Dr. said what was pulled from the left lung was not cancer Something called Granuloma, they are re tumor boarding the right side side to see if an additional biopsy would be needed I am all for it. Said will cover treatment options on Tuesday with me for the Granuloma infection. I still am concerned because this did light up on the PET scan as did the spot on the right lung but when I ask are you sure she said yes we ran the tissue more than once. I am relieved to kow that the big one is not cancer and even the past surgeon was pleased no lymphnoids were lite up on the Pet or previous Ct so I guess I wait now and see about doing another needle aspiration on the right lession. I am still not sure what GRANULOMA of the LUNG is what I found on line seemed to be a STD I need to do better research. God Bless and Big Hugs for all Frank (aka) "Stew" > >> Thanks J > >> Actually previously without a biopsy another surgeon offered to perform [quoted text clipped - 60 lines] > > Frank (aka) "Stew" Stew So glad for you that the results did not indicate cancer. Have a good weekend :) Sinead > I was called today with my Biopsy results > My Dr. said what was pulled from the left lung was not cancer [quoted text clipped - 16 lines] > > Frank (aka) "Stew" Hugs back at ya Stew, Well, I've had one or more granulomas ever since I was a little one when I had pneumonia, so I think it's usually a benign lesion or nodule that they just keep on eye on for changes from one chest x-ray to another. So will watch for your update on your biopsy of the right one. Maybe it's just as well that you didn't rush to surgery, if they are not sure you have cancer. I'm scratching my head over that one because I thought I saw on one of your posts that they had biopsied it. A recheck sounds like a good idea to me. Have a good weekend J > I am still not sure what GRANULOMA of the LUNG is what I found on line > seemed to be a STD I need to do better research. Just some chronic inflammation, nothing more. > I was called today with my Biopsy results > My Dr. said what was pulled from the left lung was not cancer > Something called Granuloma, they are re tumor boarding the right side > side to see if an additional biopsy would be needed I am all for it. > Said will cover treatment options on Tuesday with me for the Granuloma > infection. That's good news, Frank. I don't know much about granuloma except that it isn't cancer, and that's the most important thing to know! > I still am concerned because this did light up on the PET scan as did > the spot on the right lung but when I ask are you sure she said yes we > ran the tissue more than once. Lighting up on a PET scan does not mean something is cancer, it means only that it is an area of higher metabolism than other areas. One cause of that can be cancer, but there are many other non-malignant causes too. > I am relieved to kow that the big one > is not cancer and even the past surgeon was pleased no lymphnoids were > lite up on the Pet or previous Ct so I guess I wait now and see about > doing another needle aspiration on the right lession. Yes, you do need to know what's in the other lung, but you have every reason for optimism. > I am still not sure what GRANULOMA of the LUNG is what I found on line > seemed to be a STD I need to do better research. http://pathweb.uchc.edu/eAtlas/RESP/1152.htm http://www.medhelp.org/forums/RespiratoryDisorders/messages/775a.html > God Bless and Big Hugs for all > > Frank (aka) "Stew" Good luck, Frank. Frank (the other) >> I was called today with my Biopsy results >> My Dr. said what was pulled from the left lung was not cancer [quoted text clipped - 35 lines] > >Frank (the other) Thanks for words of incouragement Frank Again God Bless and Big Huhgs for all Frank (aka) "stew" |
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