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Medical Forum / Diseases and Disorders / Cancer / February 2006

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Rib resection/lung

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Malteseowner - 12 Feb 2006 21:07 GMT
Hello all,
I am new to the group and am inquiring for my best friend of over thirty
years who has lung cancer and is computer illiterate.

 She had cervical cancer in 1994, had a radical hysterectomy and
radiation afterwards. She was cancer free until  2003 when a CT scan
discovered a growth in her upper right lobe, which the doctor originally
thought was a lung fungus, since she has never smoked in her life.  She
had VATS surgery which showed it was in fact lung cancer and was thought
to be a metastasis; less than a year later it returned and she had a
lung wedge resection at Memorial Sloan Kettering.  She was on
carboplatin and taxotere afterwards.  She has been complaining of pain
in her side for months and the doctors felt it was a result of the
surgery.  In early November the CT and afterwards, PET scans showed a
return in the lung as well as rib invasion.  She was put on cisplatin,
topotecan and zometa to be administered for three days in a row every
third week.  She had three courses then had a CT scan, which showed the
cancer was not reacting to the chemo.

She is now scheduled for surgery on Tuesday to remove the new tumor as
well as the rib resection.  Does anyone have any experience with rib
resection?  In addition to the lung surgeon operating, there will also
be a plastic surgeon to do the rib resection on at least two ribs.  She
is an avid horsewoman and the doctors told her she may not be able to
ride again, which really has her depressed.

Thanks in advance for any information you can give her.

Lorraine
Steph - 12 Feb 2006 22:22 GMT
> Hello all,
> I am new to the group and am inquiring for my best friend of over thirty
[quoted text clipped - 25 lines]
>
> Lorraine

Rib resection can be a small matter, or a very large one if a significant
area of chest wall is removed.
I would have thought that some local radiotherapy would be a less-invasive
alternative.
Malteseowner - 12 Feb 2006 22:26 GMT
>> Hello all,
>> I am new to the group and am inquiring for my best friend of over thirty
[quoted text clipped - 30 lines]
> I would have thought that some local radiotherapy would be a less-invasive
> alternative.

I'm assuming it's a large area, as she was supposed to have been
operated on Friday, but they couldn't schedule the operating room for
the 6-8 hours or more that it will be needed.  I know the plastic
surgeon talked to her about the replacement rib, which will have some
sort of cement in it.  She is worried about her mobility afterwards.
J - 13 Feb 2006 10:41 GMT
>  In early November the CT and afterwards, PET scans showed a
> return in the lung as well as rib invasion.  She was put on cisplatin,
[quoted text clipped - 8 lines]
> is an avid horsewoman and the doctors told her she may not be able to
> ride again, which really has her depressed.

Lorraine,
It's kind of late to be asking on the internet if she's basing her decision
to go ahead (or not) with the surgery.

I don't recall any recent posters having so many surgeries and/or there's
not enough detail, size /location; however there may be someone out there
just lurking and waiting for such a question, so watch for other replies
here.
You could also try one of the lung cancer lists at ACOR
http://www.acor.org/mailing.html?l=l
Click on the list to "join"
The list owner will email you when you ctart sending messages.

I would suggest that she follow the surgeons post-operative instructions to
the letter. He's the one going in and will know the risks of whichever
activity and follow her recovery period, as well.

Best wishes,
J
Malteseowner - 13 Feb 2006 15:36 GMT
>>  In early November the CT and afterwards, PET scans showed a
>> return in the lung as well as rib invasion.  She was put on cisplatin,
[quoted text clipped - 28 lines]
> Best wishes,
> J

I'm sorry I am not more accurate on the size, location, etc. but I am
just not sure how large the tumor is.  I know it is in her lung and has
somehow in the ribs as well.  The last CT report showed a pathological
fracture of the 3rd and 4th ribs.  She is definitely going in for the
surgery tomorrow as long as Sloan has the operating room time, which she
is now waiting to hear from them.  She is in quite a lot of pain since
they stopped the chemo and hopes the surgery can be done. She is
extremely sensitive to pain medication; it makes her very nauseous.  She
had a pain patch with a dose of 12.5 mg which helped a few months ago,
but when her pain returned and the doctor told her to try two patches
and he would then increase the dosage, she vomited and was sick for
days.  So she is afraid to try any stronger pain medication that the
doctor had prescribed.  She said she'll try two patches again tonight if
her surgery is cancelled, but she didn't want to go into the operation
being sick with nausea.

 Her main question was about how she will feel after the rib resection
and wanted to know if anyone else had any experience with this type of
surgery. This is one brave woman who has a 14 year old son, a wonderful
husband, and the world to live for.  This whole thing has me so
depressed.  I will be staying at her house to help care for her two dogs
and son while she is in the hospital and her when she returns from her
operation.
Malteseowner - 13 Feb 2006 15:38 GMT
>>>  In early November the CT and afterwards, PET scans showed a
>>> return in the lung as well as rib invasion.  She was put on cisplatin,
[quoted text clipped - 30 lines]
>> Best wishes,
>> J.

P.S.  Thanks for the link; I will check it out now.
J - 14 Feb 2006 09:28 GMT
> I'm sorry I am not more accurate on the size, location, etc. but I am
> just not sure how large the tumor is.  I know it is in her lung and has
[quoted text clipped - 19 lines]
> and son while she is in the hospital and her when she returns from her
> operation.

Thanks for explaining.
Chin up, hopefully all will go well with the surgery and with your help (and
possibly tips from the ACOR list), your friend will have a speedy recovery from
the surgery and symptom relief.
Hugs
J
 
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