Adenocarcinoma removed but new Ground Glass Opacities Showing

Mlyford2
Mlyford2 Member Posts: 2 *
in Lung Cancer #1

Hi, I'm new here. I had a glass opacity turn into an adenocarcinoma. I had a lower left lobe lobectomy in Sept. of 2024. My new Cat scan this week shows a new glass opacity in my right lung. I worry that this new opacity will also turn into lung cancer. Should I insist on further treatment? I'm not comfortable just watching it until it turns into cancer again. Does anyone have any thoughts? Thanks so much.

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  • Mlyford2
    Mlyford2 Member Posts: 2 *
    #2
  • eDivebuddy
    eDivebuddy Member Posts: 115 Member
    edited February 27 #3

    I completely understand your concern, especially given your history. While not every glass opacity turns into cancer, ground-glass opacities are a hallmark of multifocal lung adenocarcinoma. Often overlooked by clinicians, the latest edition of the TNM staging guide made significant changes to reflect this.

    90% of all lung lesions are benign. In lung cancer survivors, maybe 50% of new lesions are benign. However, in patients with multifocal lung adenocarcinoma, most new lesions are or will become malignant, though many remain indolent for years and normally do not require treatment right away if ever. Multifocal adenocarcinoma is a lifelong process where slow-growing lesions appear over time. The key is monitoring and only intervening when necessary.

    Since multifocal lesions can remain indolent for years, immediate treatment isn't normally the best approach. It’s about balancing careful observation with preserving lung function for the long run. If this new opacity starts showing signs of progression, then treatment can be considered at that point.

    Right now, there's no way to determine if this lesion is cancerous or what type it might be without a biopsy or surgery. Unfortunately, there aren’t effective treatments for an unidentified lesion. Treatment depends on knowing exactly what you're dealing with.

    Losing more lung function is also something to consider, as it could impact future treatment decisions. Have you discussed additional imaging, a biopsy, or molecular testing with your doctor to better understand your options? Deviations from the standard of care can be difficult to justify to a doctor and nearly impossible to get approved by insurance.

    Good luck to you.

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