Hi,
I have written about this subject in another thread,but would really
like some imput from people going through similar experiences
My story is my mother(smoker for 50 years) had an x ray and a shadow
was found on her right lung (hilum).About 10 days later she had a
blood test/lung test/CT scan/Bronchoscopy.7 days later the result came
back as inconclusive.It could be a lung infection/scaring or cancer
Now the nurse told me quite a few tests come back as inconclusive
and my mother will need a further lung test and CT scan guided needle
biopsy to get a sample of the "shadow" .So it will be another 3 weeks
before we know if its cancer or not
So my concern now is why didn't the surgen just do a CT scan guided
needle biopsy straight away?As i now believe a Bronchoscopy cannot
reach certain parts of the lung.So why not just do a needle biopsy
first or on the same day??Because now my worry is if it is cancer its
been another 3 weeks without any treatment
I should point out my father was only allowed into the surgen's room
with my mother so i never had the opportunity to ask any questions
And my mother & father are not the type of people to question someone
judgement.Also even writing this i believe i have no right to doubt a
qualified surgen...
But what do people think,has the correct procedure be followed?
For people in similar positions did you or your relatives have the
same tests or did you have a CT aided needle biopsy straight away?
As i say i have no right to question a surgen i'm just worried that if
it is cancer it could of been detected 3 weeks earlier
Thanks
Steve
J - 28 Mar 2004 13:58 GMT
> Hi,
> I have written about this subject in another thread,but would really
[quoted text clipped - 31 lines]
> Thanks
> Steve
Steve,
I had a bronchoscopy (years ago). It's not an easy test even for a young
person but it was done as an outpatient in a consulting type environment.
Biopsy as far as I know requires an operating room environment. These
rooms have to be booked (ahead of time), where's there specialists and
special equipment and if there's complications and/or may even require an
overnight stay.
Some (of what I say above) is explained here
http://www.radinfonet.com/cme/williams/percutaneous_biopsy.htm
There's no point in putting her on chemo if she doesn't have cancer,
right?
So hang in there while the process happens.
J
J - 28 Mar 2004 14:18 GMT
You may want to try here
http://www.intouchlive.com/myths/lung/Lung04.htm
(unfortunately every Sunday morning, it seems, their server is down), so I
cannot look and see right now if they explain the various procedures.
J
Steph - 28 Mar 2004 18:22 GMT
> Hi,
> I have written about this subject in another thread,but would really
[quoted text clipped - 15 lines]
> first or on the same day??Because now my worry is if it is cancer its
> been another 3 weeks without any treatment
The sugeon doesn't do CT guided biopsies. A radiologist would.
A CT guided biopsy is more dangerous than a bronchoscopy, so it makes sense
to do the least invasive test first.
3 weeks is a completely irrelevant time with regard to a lung cancer.
> I should point out my father was only allowed into the surgen's room
> with my mother so i never had the opportunity to ask any questions
[quoted text clipped - 11 lines]
> Thanks
> Steve
Detection 3 weeks earlier won't make a difference to the outcome if it is
cancer.
slykitten - 28 Mar 2004 19:43 GMT
just out of curiosity.... when my grandma was diagnosed with lung cancer,
all they said was that it was "aggressive" to me, all cancers have a degree
of aggressiveness... so what is it that determines just how "aggressive" a
cancer is? I know that there's small cell lung cancer and a non small cell
lung cancer. how are they classified? what *exactly* is the difference?

Signature
"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,
[quoted text clipped - 40 lines]
> Detection 3 weeks earlier won't make a difference to the outcome if it is
> cancer.
Steph - 29 Mar 2004 00:37 GMT
> just out of curiosity.... when my grandma was diagnosed with lung cancer,
> all they said was that it was "aggressive" to me, all cancers have a degree
> of aggressiveness... so what is it that determines just how "aggressive" a
> cancer is? I know that there's small cell lung cancer and a non small cell
> lung cancer. how are they classified? what *exactly* is the difference?
Small cell lung cancer is more "aggressive" than non-small cell. It grows
faster, and metastasises earlier (on average)
It also responds to treatment better, but it's a perfect example of a cancer
which is very responsive to treatment, but not easily cured
slykitten - 28 Mar 2004 19:39 GMT
in my opinion, I think that you have every right to question a surgeon. When
my grandma found out she had small cell lung cancer, I asked for the number
to her doctor and called him. He skirted around telling me what was up, what
kind of treatment was recommended and his attitude was "your grandma's 72.
I'd be surprised if she made it another year." My response to that was
"you're right, she is 72 years old. She's a very strong woman who deserves
to be treated with dignity and respect. And you're right, if she makes it
another year, I'd be surprised too BUT don't you DARE make the decision to
not treat my grandmother because she's elderly! if you do that, I'll slap
you with a wrongful death lawsuit and a malpractice suit that will have you
digging yourself out of a financial hole until you are her age." When I
talked to my grandma again, I suggested she find another oncologist after I
told her what he told me. was I pissed? oh yeah... I was very mad. he knew
about the spot longer than my grandma did. it wasn't until she walked by and
saw her x-ray and saw that the first x-ray had a smaller spot, the second
x-ray had a larger spot and this was in the course of about a month. Once
she found a new oncologist, all they really could do was to keep an eye on
the tumors, do some pain management and if she was healthy enough, do some
chemo. if it weren't for that new oncologist, my grandma wouldn't have
lasted another 3 months...
so to say you have no right to question a surgeon or a doctor? well, all I
can say is that they're there to be questioned. I doubt they'd be insulted
if you did and if they are insulted, find a new doc.
just my 2 cents worth. hope it helps a little

Signature
"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,
[quoted text clipped - 32 lines]
> Thanks
> Steve