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Doctor insights on: Lung Mass Metastatic To Lymph Nodes Mediastinum Adenocarcinoma

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Neck MRI showed "several top-normal diam lymph nodes scattered about the left jugulo-digastric chain, most notable at left Level II" as well as lymphadenopathy. This is where my doc felt the supraclavicular "mass", as he called it. Also, I have been havi

Neck MRI showed "several top-normal diam lymph nodes scattered about the left jugulo-digastric chain, most notable at left Level II" as well as lymphadenopathy. This is where my doc felt the supraclavicular "mass", as he called it.  Also, I have been havi

Not sure of question: It sounds like your doctor found a "mass" in your neck above your collar bone and recommended an MRI. This confirmed the presence of lymph nodes in the same area, some of which were slightly large, at the upper ("top normal") limit of normal. These could be reactive... responding to some inflammation/infection nearby or neoplastic (tumor). Depending on other symptoms, observation or biopsy is next ...Read more

Lung (Definition)

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


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Mom has adenocarcinoma, stage4but not sure of the primary cancer.Has cancer in neck, spine, jaw, liver, lungs, lymph nodes&hips.1round chemo.How long2live?

Mom has adenocarcinoma, stage4but not sure of the primary cancer.Has cancer in neck, spine, jaw, liver, lungs, lymph nodes&hips.1round chemo.How long2live?

Discuss this issue: With her oncologist who knows best.God bless ur mom! http://m.Cancer.Org/treatment/treatmentsandsideeffects/complementaryandalternativemedicine/herbsvitaminsandminerals/index?Sitearea=eto. ...Read more

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My granpa is diagnosed with a enhncing mass in left lung which is 8 CM in dia. And 7cm in length and is spreading toward liver n lymph nodes. Pls help?

My granpa is diagnosed with a enhncing mass in left lung which is 8 CM in dia. And 7cm in length and is spreading toward liver n lymph nodes. Pls help?

May be malignant: Lung masses, especially when associated with spread to lymph nodes, is almost definitely malignant (and serious). He needs an immediate consult with a pulmonologist (lung doctor) and/or oncologist. I biopsy needs to be done, and the treatment based on the results. Don't delay. ...Read more

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I have had swollen lymph nodes on my neck and parotiditis, now they found a mass in my lung and half is not working?

I have had swollen lymph nodes on my neck and parotiditis, now they found a mass in my lung and half is not working?

Maybe sarcoidosis?: ..Usually a benign condition, but can cause lung or other organ scarring in a small % of patients. It also sounds like you have a doctor, and for the complex situation you describe, you are better off asking questions of docs who know your history, than trying to figure it out online. I tell my patients, use information from the internet to get the questions to ask your doc, not the answers. ...Read more

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Have a 3cm ant mediastinum mass and 2 enlarged lymph nodes. Can docs tell if it's lymphoma or thymoma? Weight loss and bad cough as well.

Have a 3cm ant mediastinum mass and 2 enlarged lymph nodes. Can docs tell if it's lymphoma or thymoma? Weight loss and bad cough as well.

Medistinal mass: No, doc can not give you histology diagnosis without a biopsy. Given your symptomatic medistinal mass, enlarged lymph nodes, and weight loss, you should see your doc to arrange a biopsy. ...Read more

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What is left axillary lymph node metastatic adenocarcinoma?

What is left axillary lymph node metastatic adenocarcinoma?

Regional spread: Many tumors, as they evolve, develop the potential to spread. The lesions develop matrix metalloproteinase which forms small e-cadherin from the cell cement and allows for spread. Regional nodes are a common site and for lesions on the arm and chest, spread is to the axilla. Lt. breast carcinomas as they grow and spread frequently are noted in the left axillary lymph nodes as metastatic adenoca ...Read more

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87 yr old dad just had partial gastrectomy for adenocarcinoma. 26 lymph nodes removed & 9 tested positive. Is there hope w/ that prognosis? What next?

87 yr old dad just had partial gastrectomy for adenocarcinoma. 26 lymph nodes removed & 9 tested positive. Is there hope w/ that prognosis? What next?

N3 disease: What is the stage exactly? With 9 lymph nodes being +, his stage ranges from iib to iiic- with 5 year overall survival range from 33% to 9% with surgery alone. He would be ideally needing an adjuvant therapy post surgery- however the case is not that simple. His age and other medical problems have to be calculated. Discuss further with your oncologist re- pros and cons of radiation+chemo vs obs. ...Read more

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What does nodular peripherad enhancement mean on a mri. My husband had a cancerous mass (adenocarcinoma of lung) removed from calcaneus previously?

If there was an: Original lung cancer, and a cancer found in a bone (calcaneus = heel bone), and now a "nodule" with "peripheral enhancement" some place, it is somewhat likely that it is a metastatic deposit from the original lung caner. Hs he had a pet scan? Is this a brain mr? A lot more questions than answers...See the doctor that ordered the mr for details and options. ...Read more

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Top onco says 5-FU for 6 months is best protocol for 87 yr man.W/adenocarcinoma of stomach. Had partial gastrectomy & 9\26 positive lymph nodes. True?

Dubious: Unaware data supporting benefit of sole 5fu (fluorouracil) adjuvant therapy of n3 gastric adenocarcinoma after complete resection ( negative margins). If a "young" 87 yo deemed able to tolerate aggressive treatment-then give standard rx(see nccn guidelines-but note 87 yo were not studied). While your onco well intentioned, consider second opinion and quality of life. Survival possible without chemo. ...Read more

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Dr. Riley Alexander
121 doctors shared insights

Adenocarcinoma (Definition)

Adenocarcinomas arise from glandular or secretory tissues. They are the common type of tumors (as opposed to sarcomas, from connective tissue) and include the common types colon, lung, ...Read more


Mediastinum (Definition)

It is the central space between the two lungs. It is again ...Read more