Update on Surgery - Lung Spot turned out to be cancerous

Puggle
Puggle Member Posts: 88 Member
edited February 2012 in Head and Neck Cancer #1
My husband's 6 month PET showed all clear above the neck but the spot on his lung that they were watching got a bit bigger. Due to kidney issues caused by the chemo he can't get contrast with his scans so the RO referred us to a thoracic surgeon to have a bronchoscopy done. That came back negative but they didn't feel like they got a good sample because they couldn't see the abnormality through the scope so they performed a needle biopsy.

We just got the results on Friday and found out it is cancerous. If there is any good news in this it is that is did not spread from his neck. My husband is scheduled on Wednesday for VATS where they will remove the middle and lower right lobe of his lung. They will also check the lymph nodes and then we will get the staging. The doctor feels it is really early and said that when they did the needle biopsy they saw it was actually smaller than they thought and it was in a good place, meaning there wasn't too much around it. He also said that there is a really good chance that the surgery will take care of it all and no chemo will be necessary.

I guess I'll be popping over to the lung forums but please keep us in your thoughts and prayers.

Thanks... jc
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Comments

  • longtermsurvivor
    longtermsurvivor Member Posts: 1,842 Member
    Puggle
    Somebody who posts here has been down exactly this road before. I'm braindead today. Soccerfreak? That's not quite right for the name, the man who has the book-long blog. Still alive and kicking. I tried to look him up but failed, and haven't seen him post for a couple of weeks.

    Sorry to hear of the need for intervention. Glad to hear about the second primary, and its much improved prognosis. Keep up the good fight.

    Pat
  • ratface
    ratface Member Posts: 1,337 Member

    Puggle
    Somebody who posts here has been down exactly this road before. I'm braindead today. Soccerfreak? That's not quite right for the name, the man who has the book-long blog. Still alive and kicking. I tried to look him up but failed, and haven't seen him post for a couple of weeks.

    Sorry to hear of the need for intervention. Glad to hear about the second primary, and its much improved prognosis. Keep up the good fight.

    Pat

    One of my own fears
    As I have four lung spots of my own to keep watch of. There is some form of Helli-coil surgical procedures that have shown good success rates. I don't know that much about it but it is used in lung cancer surgery. I talk sometimes with a fellow on face book who has been going through this for some years now and seems to be doing remarkably well. If it's all on one lobe, that's a plus. Hang in there!
  • Hal61
    Hal61 Member Posts: 655
    Some good with the bad
    Very sorry to hear your husband will have to undergo yet another cure JC. It is indeed good news if they have detemined that the lung spot is not the result of spread from the original site. When docs go so far as to sound hopeful, then you can bet your husband's chances are good.

    The person you can email here, as Pat said, is "soccerfreaks." He's very knoweledgeable, and has a good grasp of the process. His fight has been a long one and he's helped a lot of folks with the details. If you email him (Joe), I imagine he will respond. He's posted recently.

    In my thoughts and prayers,
    Hal
  • hawk711
    hawk711 Member Posts: 566
    Hal61 said:

    Some good with the bad
    Very sorry to hear your husband will have to undergo yet another cure JC. It is indeed good news if they have detemined that the lung spot is not the result of spread from the original site. When docs go so far as to sound hopeful, then you can bet your husband's chances are good.

    The person you can email here, as Pat said, is "soccerfreaks." He's very knoweledgeable, and has a good grasp of the process. His fight has been a long one and he's helped a lot of folks with the details. If you email him (Joe), I imagine he will respond. He's posted recently.

    In my thoughts and prayers,
    Hal

    Hey JC
    Wishing you all the best.....The fact that they found it is very positive. That's why we get checked out, right? You two can do this, just give it the same effort your did already.
    Sending very positive vibes your way,
    All the best,
    Steve
  • Skiffin16
    Skiffin16 Member Posts: 8,305 Member
    Thoughts & Prayers
    Coming your way.....

    As mentioned, finding it early is a good thing...now kick it's butt and get back on the road.

    Best,
    John
  • Hondo
    Hondo Member Posts: 6,636 Member
    Hi JC
    I am sorry to hear this but glad they got it early. Will keep you both in my prayers.

    Hondo
  • soccerfreaks
    soccerfreaks Member Posts: 2,788 Member

    Puggle
    Somebody who posts here has been down exactly this road before. I'm braindead today. Soccerfreak? That's not quite right for the name, the man who has the book-long blog. Still alive and kicking. I tried to look him up but failed, and haven't seen him post for a couple of weeks.

    Sorry to hear of the need for intervention. Glad to hear about the second primary, and its much improved prognosis. Keep up the good fight.

    Pat

    I am both a head/neck cancer
    I am both a head/neck cancer and lung cancer survivor, and the VATS technique was used to remove my lowest right lobe. Both of my cancers were squamous cell carcinoma and I was bluntly told that if they determine the cancer in the lung was metastasis from the head/neck, they would not do the lobectomy but would instead put me into palliative care, using only chemotherapy to try to hold off anticipated continuing growth.

    I was HOPING to wake from my biopsy without the lobe, and fortunately got my wish (it IS odd what we wish for as cancer survivors!). When I did, I had a rather small smiley face under my right arm pit along with two tubes in my side that extended to a machine that collected drainage.

    I do not recall any significant pain, probably because I received excellent pain management from my doctors. I did so well that I expected to be home on day 4 following surgery. Regrettably, the night before, I suffered what they thought at first was a pulmonary embolism, and then MRSA, the staph infection, but which turned out to be somewhat milder MSSA. Still, I ended up in the hospital for an additional month, approximately. This, of coure, is not what you or your husband should expect.

    At any rate, if they still do things like they did in early 2008, hubbie can expect to have some breathing toys to play with during and after his stay (a spirometer among them), and he may be coughing up chunks of stuff. Depending on the nature of his oral cancer surgery, he may find that the most difficult part of the entire experience is when they slide the breathing tube down his trachea, for which he is required to be awake.

    Once I escaped (:)) I had the option to undergo chemotherapy (carboplatin and taxol) to slay the strays as I call it, and I chose that route.

    I was dx'd with head/neck cancer in August of 05 and am all clear in that regard now, more than six years later. I was originally dx'd with lung cancer in June of 07 (a long story) and have been NED since, except that my most recent CT scan revealed "a 5mm opacity" in the lower left lobe. OncoMan seems not so concerned and wants to wait three months for another scan to see if it is growing.

    If I can be of any help, please let me know.

    It IS true, as longtermsurvivor indicates, that I have a "book-long blog" on here(:)) and if you are interested, it can be found doing a member search for soccerfreaks (one word, plural).

    Best wishes to hubbie and his family and friends.

    Take care,

    Joe
  • longtermsurvivor
    longtermsurvivor Member Posts: 1,842 Member

    I am both a head/neck cancer
    I am both a head/neck cancer and lung cancer survivor, and the VATS technique was used to remove my lowest right lobe. Both of my cancers were squamous cell carcinoma and I was bluntly told that if they determine the cancer in the lung was metastasis from the head/neck, they would not do the lobectomy but would instead put me into palliative care, using only chemotherapy to try to hold off anticipated continuing growth.

    I was HOPING to wake from my biopsy without the lobe, and fortunately got my wish (it IS odd what we wish for as cancer survivors!). When I did, I had a rather small smiley face under my right arm pit along with two tubes in my side that extended to a machine that collected drainage.

    I do not recall any significant pain, probably because I received excellent pain management from my doctors. I did so well that I expected to be home on day 4 following surgery. Regrettably, the night before, I suffered what they thought at first was a pulmonary embolism, and then MRSA, the staph infection, but which turned out to be somewhat milder MSSA. Still, I ended up in the hospital for an additional month, approximately. This, of coure, is not what you or your husband should expect.

    At any rate, if they still do things like they did in early 2008, hubbie can expect to have some breathing toys to play with during and after his stay (a spirometer among them), and he may be coughing up chunks of stuff. Depending on the nature of his oral cancer surgery, he may find that the most difficult part of the entire experience is when they slide the breathing tube down his trachea, for which he is required to be awake.

    Once I escaped (:)) I had the option to undergo chemotherapy (carboplatin and taxol) to slay the strays as I call it, and I chose that route.

    I was dx'd with head/neck cancer in August of 05 and am all clear in that regard now, more than six years later. I was originally dx'd with lung cancer in June of 07 (a long story) and have been NED since, except that my most recent CT scan revealed "a 5mm opacity" in the lower left lobe. OncoMan seems not so concerned and wants to wait three months for another scan to see if it is growing.

    If I can be of any help, please let me know.

    It IS true, as longtermsurvivor indicates, that I have a "book-long blog" on here(:)) and if you are interested, it can be found doing a member search for soccerfreaks (one word, plural).

    Best wishes to hubbie and his family and friends.

    Take care,

    Joe

    Your book
    No offense intended Joe. I've read and enjoyed every word of it.

    Pat
  • soccerfreaks
    soccerfreaks Member Posts: 2,788 Member

    Your book
    No offense intended Joe. I've read and enjoyed every word of it.

    Pat

    :)
    No offense taken, Pat. One friend here suggested that I should warn people to bring the large barrel of popcorn and the extra-large soda before attempting to read all :).

    And thank you for the kind words.

    Take care,

    Joe
  • Jimbo55
    Jimbo55 Member Posts: 590 Member
    Puggle
    Positive thoughts your way for excellent results on Wednesday. Stay strong. Cheers

    Jimbo
  • Skiffin16
    Skiffin16 Member Posts: 8,305 Member

    :)
    No offense taken, Pat. One friend here suggested that I should warn people to bring the large barrel of popcorn and the extra-large soda before attempting to read all :).

    And thank you for the kind words.

    Take care,

    Joe

    Joe.....
    Hey Bud.....

    Juat wanted to say Hello, and let you know that you are in my thoughts for continued good health and longevity.

    JG
  • Puggle
    Puggle Member Posts: 88 Member
    Thanks everyone
    Thanks everyone for the well wishes and information. I did read through your blog Joe (soccerfreak). Very interesting but you definitely had a rough time! I did laugh out loud when you were going on about losing your hair during the chemo. I needed that!

    Hopefully we will not have complications through the surgery. He has already been through so much with the side effects from the H&N chemo. It seems like as soon as he starts improving something else comes along.

    My husband and I were talking the other night and we believe that the doctors knew or at least strongly suspected that this was cancer from the start but didn't want to say anything until he completed the H&N treatment. Thinking back his PCP said the spot on the lung was probably cancer but the RO and MO said that they were just going to monitor it and needed to concentrate on his neck cancer. Since he has recovered from the rads and chemo and gained his weight back we're assuming they figured his body can handle getting this taken care of. Once we're through it all I'll ask the RO and see what he says.
  • soccerfreaks
    soccerfreaks Member Posts: 2,788 Member
    Skiffin16 said:

    Joe.....
    Hey Bud.....

    Juat wanted to say Hello, and let you know that you are in my thoughts for continued good health and longevity.

    JG

    John...
    Your thoughts are greatly appreciated. I wish you the same and, it appears to go without sayin judging from recent pics you have posted, keep on fishing!

    Take care,

    Joe
  • Puggle
    Puggle Member Posts: 88 Member
    Update on surgery
    Well the surgery went well but just took longer than expected. There were adhesions all the way up the ribs connected to the lungs from an old car accident. The doctor really wanted to complete the whole surgery with the scope so he took 2 hours to cut through and clear all of the adhesions before he could actually start the real surgery. Thank God for a doctor that has extreme patience! We were at the hospital at 7am, took him back to the OR at 9 and didn't get to see in in recovery until 5:30. Long day! The middle and bottom right lobes were removed which gave ample margin tissue as well as a lot of lymph nodes for testing. Hopefully he will not need follow up chemo. He was fully off of the ventilator and breathing well on his own but the doctor wanted him in ICU at least over night. Just really glad the surgery is over and hopefully this will be the last of the cancer!
  • longtermsurvivor
    longtermsurvivor Member Posts: 1,842 Member
    Puggle said:

    Update on surgery
    Well the surgery went well but just took longer than expected. There were adhesions all the way up the ribs connected to the lungs from an old car accident. The doctor really wanted to complete the whole surgery with the scope so he took 2 hours to cut through and clear all of the adhesions before he could actually start the real surgery. Thank God for a doctor that has extreme patience! We were at the hospital at 7am, took him back to the OR at 9 and didn't get to see in in recovery until 5:30. Long day! The middle and bottom right lobes were removed which gave ample margin tissue as well as a lot of lymph nodes for testing. Hopefully he will not need follow up chemo. He was fully off of the ventilator and breathing well on his own but the doctor wanted him in ICU at least over night. Just really glad the surgery is over and hopefully this will be the last of the cancer!

    Good news.
    Bet you're exhausted. Here's to a favorable pathology report.
  • Skiffin16
    Skiffin16 Member Posts: 8,305 Member
    Puggle said:

    Update on surgery
    Well the surgery went well but just took longer than expected. There were adhesions all the way up the ribs connected to the lungs from an old car accident. The doctor really wanted to complete the whole surgery with the scope so he took 2 hours to cut through and clear all of the adhesions before he could actually start the real surgery. Thank God for a doctor that has extreme patience! We were at the hospital at 7am, took him back to the OR at 9 and didn't get to see in in recovery until 5:30. Long day! The middle and bottom right lobes were removed which gave ample margin tissue as well as a lot of lymph nodes for testing. Hopefully he will not need follow up chemo. He was fully off of the ventilator and breathing well on his own but the doctor wanted him in ICU at least over night. Just really glad the surgery is over and hopefully this will be the last of the cancer!

    Prayers
    Coming your way, waiting for some good news and clear scans...

    Best,
    John
  • Greg53
    Greg53 Member Posts: 849
    Skiffin16 said:

    Prayers
    Coming your way, waiting for some good news and clear scans...

    Best,
    John

    Positive Energy
    Puggle,

    Positive energy being sent your way for good news!

    Greg
  • IAmStrong
    IAmStrong Member Posts: 58
    Greg53 said:

    Positive Energy
    Puggle,

    Positive energy being sent your way for good news!

    Greg

    Praying!!!
    I'm a huge believer in prayer and the power of it! I will make yours a part of my Lenten obersvation as well. God Speed! Awaiting the positive news.
  • jim and i
    jim and i Member Posts: 1,788 Member
    praying
    You are definately in my pryaer for healing and that they completely removed the cancer.

    Debbie
  • Pam M
    Pam M Member Posts: 2,196
    Puggle said:

    Update on surgery
    Well the surgery went well but just took longer than expected. There were adhesions all the way up the ribs connected to the lungs from an old car accident. The doctor really wanted to complete the whole surgery with the scope so he took 2 hours to cut through and clear all of the adhesions before he could actually start the real surgery. Thank God for a doctor that has extreme patience! We were at the hospital at 7am, took him back to the OR at 9 and didn't get to see in in recovery until 5:30. Long day! The middle and bottom right lobes were removed which gave ample margin tissue as well as a lot of lymph nodes for testing. Hopefully he will not need follow up chemo. He was fully off of the ventilator and breathing well on his own but the doctor wanted him in ICU at least over night. Just really glad the surgery is over and hopefully this will be the last of the cancer!

    Hoping for Smooth Recovery
    and, of course, hoping the surgery did the job.