Doctor insights on:
Alternative Treatments For Lung Nodule
Can a few lung nodule disappear / cannot see in cxr over a year if you undergo treatment or something?
Yes: "lung nodule/s" is a radiographic finding and not a diagnosis. The presence of nodules does not indicate cancer and the vast majority of nodule are in fact benign (not cancer). They can be inflammation, infection, scar, and numerous other possibilities. As such, yes, many nodules to shrink, "resolve", and/or disappear. ...Read more
Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more
I try to avoid toxic drugs and treatments. What can I try before I go for traditional medical care for lung nodule?
Nothing: 50% of lung nodules may be neoplastic. The only way to establish tissue diagnosis of a non calcified lung nodule is to remove it, and give it to a pathologist to examine under a microscope. The diagnosis of cancer is done under the microscope by a pathologist. Needle biopsy will miss the diagnosis of cancer in a large percent of biopsies. So a negative needle biopsy does not rule out cancer. ...Read more
Depends: Depends on what caused the lung nodule. Even among cancers, there are different types with different prognosis. If it is lung cancer and you don't treat it, generally you will die from it but your life expectancy may vary greatly depending on the type and spread - from months to 5+ years. If it has not spread and you take it out, you have a good chance of being cured. ...Read more
If chemotherapy treatment fails for metastic colon cancer pt, what else can be done for a liver met, 1 node and a tiny lung nodule?
Remove lung lesion: At age 34 attempt at cure should be made. If liver met small and primary already out, liver met to be resected or microwave ablated. Usually chemo is only of temporary value and if all fails, the FDA protocol for monoclonal antibody Neo102 is available for treatment of metastatic colon cancer having failed chemo. The small node and lung lesion can be removed by laparoscopy/thoracoscopy. ...Read more
Can anything b done for a liver met, 1 lung nodule and a lypmph node if chemo fails? Does this mean no treatment for colon cancer pt? Primary removed
Metastatic colon CA: Typically, metastatic cancer (cancer that has spread to organs/areas beyond where it started) is considered incurable. There are some exceptions; if colon cancer has a single metastasis to the liver OR a lung, then chemotherapy & surgical removal of the met might be successful (perhaps 50%).For more than one organ, chances are less, & treatment frequently shifts towards comfort if chances poor/none. ...Read more
Make the diagnosis,
could be benign!
no treatment needed.
If malignant some are treatable once source is known.
Some kidney lesions with lung lesions have resolved as an example when primary removed. ...Read more
My 62 yo father have Kidney RCC and metastasized to lung, nodules are seen in scans. Please explain Stage, treatment, life expectancy, outlook?
Here are some. ..: Some 10% of RCC with spread to lung can make it up to 5 years. But, cancer grade under microscope and personal general health play the most important role to determine the survival, but it's still worthwhile to try the available options of Rx such as immunotherapy, chemotherapy, targeted Rx... For detailing, ask medical oncologist to collaborate with urologist or interventional radiologist... ...Read more
Back in 1972-74, I was on a U.S Navy shift aircraft carrier, which was full of asbestos. In 2005, I was diagnosed with that left lung nodule, which was removed in 2008. In your personal opinion, do you think that may have caused my lung nodule? If so, ple
Many types of tumor: If a lung lesion was noted as solitary and no previous history of underlying disease with bx of mesothelioma then Asbestos has been associated with such lung lesions. Squamous Ca usually derived from smoking and adenoCa from a viral source. At this time worth while to get PET/CAT to assure all path absent from lung or metastatic foci. ...Read more
In 72'-74', I was on a U.S Navy ship, which was full of asbestos. In 05', I was diagnosed with that left lung nodule. May this have caused my nodule?
You're still alive: If the nodule was found ten years ago, and you had no illness as a result, then this is not cancer. If it were cancer, you might have a pretty good case. I'm glad it's not. Asbestosis itself presents as diffuse thickening of the lung texture, or of the pleural surfaces. Most lung nodules in non-smokers (hope that's you) are old histoplasmosis, which is harmless. Thanks for your service. ...Read more
Almost always, yes: Depends on your history and the appearance/location/shape of the nodule, but most often a follow up CT scan is the most appropriate test. Occasionally, if your doctor is concerned a PET scan may be useful for 8mm, but if its negative it is less helpful than when you have a larger nodule, for which PET is more reliable at excluding the likelihood of cancer. ...Read more
Small, but: Small but big enough to have a work-up or follow-up. See a lung specialist for that. Do you smoke? ...Read more
Unfortunately, no: Lung cancers are often diagnosed quite late because patients may not have symptoms for a long time. Eventually, people will have a cough, cough up blood, lose weight, have chest pain or shortness of breath. If a nodule is benign, the presence of symptoms probably depends on the exact location (whether it blocks an airway, for example). ...Read more
Depends: Depends on what the nodule is? First you need appropriate diagnosis. This is best by a multidiscipline comprehensive thoracic surgical lung nodule program. If the nodule is a tumor, treatment will depend on type and staging if malignant. ...Read more
Get it TNM staged.: If there is a lung nodule, and it appears solitary, it still needs to be evaluated to see if there is no metastasis, etc. Ct scan and an ENT (ears, nose, and throat) exam are done. The ct helps determine if there is lymph node involvement. An aspiration biopsy of the lesion can be taken to determine its histology. Surgical resection in localized cases is done for all types except small cell. ...Read more
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