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stage i now what

joep531857's picture
joep531857
Posts: 32
Joined: Feb 2011

Hi my name is Joe, 53 year old retiring postal worker. Recently diagnosed stage 1 adenocarcinoma left lung. 7mm tumor. Had vats for left upper lobectomy on Jan 18, 2011. No lymph node involvement. I just found this site and was wondering if anyone else is in this situation, so i can know what to expect for follow-up. My next oncology appt is Feb 14th, do i need chemo? will it be offered? any one with experience i would be eternally grateful. Peace Out

Joe

z's picture
z
Posts: 1251
Joined: May 2009

Hi Joe, Welcome sorry you have to be here. I also was stage 1A NOMO, and had VATS on 9-23-10, lower right lobe was removed. The nodule was 7mm them grew to 11mm so they decided it needed to come out. Squamous cell. I had a follow up ct on 1-17-11 and it was clear, and my next ct will be in July. I didn't require chemo or radiation as it was caught so early. This is the standard treatment for stage 1a. I hope this helps. Lori

joep531857's picture
joep531857
Posts: 32
Joined: Feb 2011

Lori,

Just a thank you for first responding to my question. Secondly, for the positive direction of you treatment. It helped.

Peace Out
Joep

lekkerone
Posts: 199
Joined: Jan 2011

I also had your diagnosis. I had the lobectomy on Dec. 1...lower left lobe. The cells were contained so they got it all and my nodes were clear. I needed no further treatment. I have an x-ray after three months at which time I will have a video conference at my local hospital with my surgeon who lives in another city.

cabbott
Posts: 1046
Joined: Aug 2006

I was also diagnosed with an adnocarcinoma with BAC tendencies stage 1-A in 2006 and after a VATS removal of my middle lobe of the right lung I had no chemo. Since then I've done a little reading. Some hospitals will do some testing on the removed tissue to try to determine just how aggressive the cancer appears to be. Usually no chemo is recommended when cancer is caught so early, but there are a few exception so ask your doctor. Even if no chemo is recommended, aggressive followup is needed. By that I mean CAT scans about 4 times a year the first two years, then twice a year for two years, and then either a CAT scan or xray every year for life. Your doctor may have a slightly different schedule but whatever it is, follow it. If there are other nasties in the area, they are most likely to pop up the first two years. If they do, then you and your doctors can decide if they warrent more surgery or chemo at that time. Chemo has a lot of side effects so it is not recommended unless it is obviously needed. The research I've read says chemo does not buy more time if you have it before symptoms show up. I have read posts by folks that insisted on having chemo and they were given it. Oncologists can give you the probablities based on other folks' history, but there is no way they can tell you exactly what will happen to you. Statistics can't predict what will happen to any individual. In my case the pulmonary oncologist told me to keep doing the followup, see a pulmonologist if I had concerns about breathing, and don't come back to her unless the cancer returned and caused problems.

lekkerone
Posts: 199
Joined: Jan 2011

I also had your diagnosis. I had the lobectomy on Dec. 1...lower left lobe. The cells were contained so they got it all and my nodes were clear. I needed no further treatment. I have an x-ray after three months at which time I will have a video conference at my local hospital with my surgeon who lives in another city.

catcon49's picture
catcon49
Posts: 388
Joined: Aug 2008

I had stage 1a adenocarcinoma in the lower right lobe no lymph node involvement surgery 9/08. I had no chemo. Dr said I didn't need it. I also tested positive for the BRAC 1 mutation that causes breast and ovarian cancers, so the doctors went easy on scans. I recieved a chest xray 6months after CAT Scan 6 months after that the cycle repeated for the 1st year 1/2. Then I went to CAT Scan yearly. Just had my 2 1/2 year CAT Scan. It was very good nothing in the lungs. So now I don't go back for 1 1/2 years. The oncologist that I saw agreed with the no chemo. Surgeon told me I had a 85 to 90% chance of being cancer free in 5 years. Oncologist said she would go as high as 95%. I do aerobic exercise and go to the gym regularly. I walk 1 1/2 miles at least 3 times a week. I hope this helps you, if you have anymore questions let us know. Good luck and God Bless

catcon49's picture
catcon49
Posts: 388
Joined: Aug 2008

Forgot to mention I am also a postal worker.

annie60
Posts: 56
Joined: Feb 2010

I too was stage 1A. Surg for removal of upper left lobe 12/11/09. I am doing well. scans clear for a year. I went back to work 1 month after surg and have to say I feel very good rarely short of breath. No chemo or radiation. Best wished to you

joep531857's picture
joep531857
Posts: 32
Joined: Feb 2011

Hi, I am joe and back with an update. stage 1a turned to stage 1b after surgery. The cancer was touching my pleural sack. 15 doctors ranging from radiologist, to my primary physician have decided on a course of 16 weeks of chemo. So the offer of chemo was basically decided for me which only made me more scared. I have finished the first 2 weeks of cisplatin and vinorelbine. Most side effects have been nausea, tiredness, and awful metallic taste in my mouth. I am generally tolerating it well. So only 14 more weeks to go and then a ct scan to make sure. Taking life day by day and living it the best of my ability. Still scared but being here helps so very much. thank you to all of you for your thoughts, ideas and understanding. Peace out!!

Joe

Kimmiann
Posts: 46
Joined: Feb 2011

Hi Joe,

I was diagnosed with Stage 1B adenocarcinomna after my VATS of right lower lobe on 1/26/11. I had a 14mm tumor that was just touching the elastic membrane of my pleura. They thought I was Stage 1A also until I had surgery. I will be starting chemo on 3/15/11. I am getting 4 rounds of cisplatin/taxotere. 1 round every 3 weeks. I am really scared too. Take Care.

Kim

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