Top
20
Doctor insights on: Cancer Pleural

Share
1

1
What is outcome for patient with end stage metastatic lung cancer & extreme pleural thickening (benign)? Has to have injections to liquefy & extract.

What is outcome for patient with end stage metastatic lung cancer & extreme pleural thickening (benign)? Has to have injections to liquefy & extract.

Metastatic lung Ca: ...Is fatal in nearly all circumstances but the time course varies on tumor type, treatment and what organs are involved in the spread. The fluid in the chest may or maynot have cancer cells, but is likely malignancy associated at least. Repeat drainage procedures are reasonable. A catheter that remains in place is an option if it recurs frequently. Pleurodesis is option, but look at risk/benefit. ...Read more

Dr. Barry Rosen
4,316 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


2

2
Stage IV metastatic breast cancer and pleural effusion. What is treatment?

Stage IV metastatic breast cancer and pleural effusion. What is treatment?

It depends: Breast cancers come in many "flavors", and this will determine the treatment. Usually it's a form of chemotherapy given by mouth or by vein. Xeloda is given by mouth, and there are many intravenous chemotherapies. Sometimes hormone blocking medications are very effective if the cancer has the estrogen or Progesterone receptor on its surface. Herceptin (trastuzumab) is useful if it has her2 on its surface. ...Read more

See 2 more doctor answers
4

4
Which cancer indications commonly cause pleural effusions? Which do not?

Which cancer indications commonly cause pleural effusions?  Which do not?

How can we help you: It is good to tell us who has pleural effusion and what has been done by the local doctor?. Then it may be easier for me to list the causes for a Pleural effusion which is often caused by TB(in developing countries) and by cancer in the wetern countries but we can not be certain of the diagnosis till the fluid has been sampled and examined with various tests, like, protein level nad cytology(?cult ...Read more

5

5
What does it mean to have a small pleural effusion? Cancer?

What does it mean to have a small pleural effusion? Cancer?

May be due to spread: Plural cavity ( the space around lungs) normally will have very small amount fluid for lubrication around the lungs and chest wall. When detectable amount accumulates could be due to cancer cells deposits or could be due to heart&lung diseases( non cancers). ...Read more

6

6
I have pleural lung mass 5cm in left lung..doc told me its rare ..biopsy was insufficient...are all pleural mass cancer..is surgery a good decision?

I have pleural lung mass 5cm in left lung..doc told me its rare ..biopsy was insufficient...are all pleural mass cancer..is surgery a good decision?

Mgt: Not all pleural masses are cancerous, but some maybe. This is one reason to use a VATS procedure to obtain a sample. Other causes include infections such as TB. Have you had a TB skin test? Sometimes after an infection, there can be an area of scar tissue. The CT can be uploaded to your virtual EMR during a virtual appointment for further details. ...Read more

7

7
Lung xray shows pleural thickening. Is that precursor to cancer?

Lung xray shows pleural thickening. Is that precursor to cancer?

Perhaps: There are many reasons for pleural thickening. Visit with your doctor; a ct scan may be useful to find out why you have this thickening. ...Read more

See 2 more doctor answers
8

8
Is a pleural effusion serious? Is it usually a sign of cancer?

Sometimes: Pleural effusions can occur for a variety of reasons. Cancer is a cause of pleural effusion. How serious it is generally depends upon the underlying cause and the amount of fluid. Temporary relief can be achieved with drainage of the effusion (called thoracentesis). ...Read more

See 3 more doctor answers
11

11
I have pleural mass in left lung 5cm I did the biopsy needle but the result was insufficient..how can make sure that mass is cancer or not?

Repeat biopsy: The way to make sure is with an adequate tissue specimen (from a biopsy). It is unfortunate that you had one, and it was insufficient. If you are willing to try it again, that may be your best choice. I'm assuming the biopsy was done with CT guidance. If it was not, then a biopsy with CT guidance may be helpful in confirming needle placement. ...Read more

12

12
Lung pleural mass 5 cm.. pet show no evidence of cancer.solid mass..do I need to do surgery to remove it or I can leave it as it is..really confused?

Lung pleural mass 5 cm.. pet show no evidence of cancer.solid mass..do I need to do surgery to remove it or I can leave it as it is..really confused?

Biopsy?: That is very good news the PET scan does not suggest the presence of cancer I'd still recommend the mass be positively identified. At that point your doctors will be able to counsel you better as to whether it should be removed or not. If you'd like a 1-1 consultation to discuss this please write me at: www. Healthtap.com/drsaghafi Use Key Code: PDXFNR to make a calendar appointment ...Read more

13

13
Is nano knife a good option to remove mets from Colon cancer ? Mets are- 1 in liver , 1 node ,1 sub pleural nodule . All small and chemo Not Worked .

Is nano knife a good option to remove mets from 
Colon cancer ? Mets are- 1 in liver , 1 node ,1 sub pleural nodule . All small and chemo
Not
Worked .

Only certain lesions: Mets from colon cancer when smaller than 5 cm and exta hepatic in orign are good targets for nano knofe therapy. In the liver when there is no response to chemo one has many options including chemoembolization, isotope infusion or infusion with rasiolabelled microspheres. When chemo fails one can also add the newer immunotherapeutic agents. ...Read more

14

14
Pleural effusion in a pt with lung cancer. Do you drain it?

Pleural effusion in a pt with lung cancer. Do you drain it?

Only if symptomatic: High likelihood for recurrence so only if severe short of breath. ...Read more

See 2 more doctor answers
15

15
5cm Pleural mass in right lung..pet scan show not cancer...is surgery still necessary and what are the risks ..thanks?

5cm Pleural mass in right lung..pet scan show not cancer...is surgery still necessary and what are the risks ..thanks?

Lung mass: Something is missing! There must have been symptoms that led to a pet scan. Unless a biopsy was performed how could your doctor simply say that there was no cancer? I hope there was indeed no cancer but the symptoms that led to the pet scan should be a cause for biopsy. Do the doctors have any idea what the pleural mass might be? Please keep me informed. ...Read more

16

16
Colon cancer pt with 1 met in liver , 1 node, 1 sub pleural nodule. Chemo resistence.. Tried Xeloda (capecitabine) and irinotecan both. Can anyting be done ?

Colon cancer pt with 1 met in liver , 1 node, 1 sub pleural nodule. Chemo resistence.. Tried Xeloda (capecitabine) and irinotecan both. Can anyting be done ?

Try HT Concierge: Marilyn, given your situation, you need more advice that can be given in short answers like this. I would recommend a second opinion in England, In whatever regional center is best. In addition, consider health top concierge. Several excellent oncologists are available by searching. Hang in there! ...Read more

17

17
CT scan Several pleural tags in bilateral upper lobes & 7mm groundglass nodule lower. What are Pleural tags? common? Can tags be Cancer? from Radon?

Ask your PCP: The CT scan was done for a reason, and ordered by a practitioner. I hope you are following up with them. As you will find on most search engines, pleural tags are often associated with cancer, and ground glass nodules may be. Regarding radon, and your other very appropriate questions, best to query your own doctors. ...Read more

18

18
Is it possible that CT scan shows no pleural masses while I have lung cancer and massive effusion?

Is it possible that CT scan shows no pleural masses while I have lung cancer and massive effusion?

Unusual but yes.: CT scans have limited resolution. They do NOT see everything. Usually large pleural effusions come from significant disease, but not always cancer. The only way to tell is to have the pleural effusion drained & sent for cytology & other testing (culture). The lab techs can spin down the fluid, isolate cells or bacteria that may be causing it. Talk to a pulmonologist or your primary doc. Good luck! ...Read more

See 1 more doctor answer
19

19
I had breast cancer a year ago and had a right mastecnomy. Now they have found pleural nodules in right and left lower lobes 5mm, 4, 8mm, 2, 4mm, 4.5mm should I be worried about lung cancer.?

I  had breast cancer  a year ago and had a right mastecnomy. Now they have found pleural nodules in right and left lower lobes 5mm, 4, 8mm, 2, 4mm, 4.5mm should I be worried about lung cancer.?

While these are: Quite tiny, this appears ominous. It would help to know the facts at dx: tumor size, nodal status; er, pr, her-2-neu status. These would influence probabilities. Some treatment, particularly taxanes, can cause pulmonary findings. Go over this with you team, primarily medical oncologist. ...Read more

See 1 more doctor answer