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

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Many rt. Paratracheal/mediastinal, bilateral hilar nodes consistent w/metastasis. Right subcarinal metastatic node mass 3cm. Max suv 9.1. Lung cancer?

Many rt. Paratracheal/mediastinal, bilateral hilar nodes consistent w/metastasis. Right subcarinal metastatic node mass 3cm. Max suv 9.1.  Lung cancer?

Needs Biopsy: Is there a known primary cancer? If not, you will need a biopsy of one of the nodes. Your doctor may suggest a mediastinoscopy and biopsy to get a tissue specimen. There are other causes of mediastinal node enlargement such as infection and sarcoidosis so it is important to make a definite diagnosis. Good luck. ...Read more

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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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Stage non small cell lung cancer in left lung hilum region and lymph node involvement.

Stage non small cell lung cancer in left lung hilum region and lymph node involvement.

Depends: In order to give exact stage need size of tumor also other wise answer is presumptive lacks accuracy. ...Read more

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Could cancer metastase to distant regional lymph nodes before it metastase to the nearby lymph nodes?

Could cancer metastase to distant regional lymph nodes before it metastase to the nearby lymph nodes?

No: tumors metastasize to regional nodes before distant nodes, but what goes to nodal disease only stays nodal. When breast spreads to nodes, one pos. axillary node is said to have better prognosis that 10 nodes. This is not due to # nodes but more nodes means primary has been spreading over a longer period of time. If axilla speads it is only to supraclavicular nodes and no other site. ...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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Breast cancer with lymph node involvement prognosis?

Breast cancer with lymph node involvement prognosis?

Depends: Lymph nodes are one aspect of evaluation for stage and treatment of breast cancer. It depends on size of breast cancer itself, number of lymph nodes involved, hormone status of the tumor, and dna testing can also help identify breast cancer risks. If the lymph node involvement is small, then there is little additioanl risk to the patient. There are many factors involved in assessing breast cancer. ...Read more

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What causes lung calcifications? And lung lymph node?

What causes lung calcifications? And lung lymph node?

Several posibilities: Often this may be due to infections like histoplasmosis (which is quite frequent in the mid-west), but the best thing to do is to have this thoroughly evaluated by a pulmonary (lung) expert. It may require bronchoscopy after appropriate imaging studies, and possibly other procedures, but the importance of establishing a firm diagnosis cannot be over-estimated. Good luck. ...Read more

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Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?

Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?

Yes but: It could possibly spread to local lymph node but the chances are very low. The lymph nodes that are in thoracic cavity are even less likely to contain metastatic tumor from a stage 1a endometrial cancer, especially if it's a garden variety low grade lesion. In fact, long term survival is very good, like 95%. The other 5% may represent very high grade tumors. ...Read more

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Would a cancerous (lymphoma, breast cancer, etc.) axillary lymph node shrink?

Would a cancerous (lymphoma, breast cancer, etc.) axillary lymph node shrink?

No: A lymph node replaced with malignant cells growing as a primary lymphod tumor or metastatic from another site which has spread to axilla will not shrink without treatment, either chemo or RT. The node will enlarge further or if unchanged will spread to adjacent nodes. It does not have the potential to metastasize further to non lymphatic tissue such as liver or lung. ...Read more

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Does the mediastinal lymphadenopathy and Hilar Mass mean that's metastasized?

Does the mediastinal lymphadenopathy and Hilar Mass mean that's metastasized?

Yes, regional metast: If this is a case of lung Cancer, then lymph node spread to the hilar areas and mediastinum means regional spread of cancer. This is still treatable but patient needs to go see a Cancer specialist(Medical Oncologist) at a recognised Cancer Center or Medical center where expert specialists who treat Lung Cancer would be more easily available. ...Read more

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CTshows Spleen 17cm ,small Axillary Lymph nodes, retroperitoneal lymph nodes& mesentric lymph node noted, normal blood count &bone marrow,no infection?

CTshows Spleen 17cm ,small Axillary Lymph nodes, retroperitoneal lymph nodes& mesentric lymph node noted, normal blood count &bone marrow,no infection?

Many possibilities: The combination of enlarged spleen and internal lymph nodes could be any of several infections (mononucleosis, syphilis, HIV, and several others, of course depeding on risk); inflammatory conditions like sarcoidosis; various malignancies like lymphoma and others. The doctor(s) who have been evaluating this problem and requested the CT scan are the only ones who can answer accurately. Good luck. ...Read more

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Cancer with unknown primary tumor. Enlarged lymphnodes under armpits. Tumor find in breastbone. Ok ct Scan of lungs, abdomen, breast. Lymphoma?

Cancer with unknown primary tumor. Enlarged lymphnodes under armpits. Tumor find in breastbone. Ok ct Scan of lungs, abdomen, breast. Lymphoma?

Need biopsy done: A biopsy of one of the axillary lymph nodes may provide some guidance about the primary source of this tumor. It could be breast Cancer which sometimes would not show on a Mammogram(it is called an Occult Primary). Without obtaining tissue for microscopic exam it is difficult to proceed further. Ask his oncologist to provide you some answers and an understanding of this problem. ...Read more

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Is cancer in lymph nodes curable?

Is cancer in lymph nodes curable?

Depends upon type.: There are many types of malignancies / cancers that can be effectively treated when they involve lymph nodes. It is important to know what type of cancer and the overall stage of the disease. Don't give up! ...Read more

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Is colon cancer stage 3b pt4a pn1c, no lymph nodes involvement curable?

Is colon cancer stage 3b pt4a pn1c, no lymph nodes involvement curable?

Yes: Stage 3b usually means lymph nodes are involved, so i think your information might not be entirely accurate. However, even stage 3b colon cancer can be treated with surgery and chemotherapy and the chances of cure are good. ...Read more

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2 enlarged lymph nodes in the ant mediastinum, pet suv of abt 4.7, suspected thymoma nearby. Can this be lymphoma?

2 enlarged lymph nodes in the ant mediastinum, pet suv of abt 4.7, suspected thymoma nearby. Can this be lymphoma?

Depends on the size: You need to tell us what the ct scan shows in the mediastinum? Are the lymph nodes enlarged? What is their size? You need a follow up ct/pet scan in a couple of months, unless your lymph nodes are larger than 2cm size. Tell us more details. ...Read more

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What Lymph Nodes Does Lung Cancer Spread To?

Potential multiple: Depends on location of primary.but -- Intra lobar, mediastinal, para tracheal, Supraclavicular, cervical ...Read more

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To which lymph nodes can esophageal cancer spread?

To which lymph nodes can esophageal cancer spread?

Local and distant: The most common spread is to local nodes around the esophagus. But the spread, or metastasis can be more distant such as to nodes around the celiac plexus, the region where the blood supply to the stomach arises below the diaphragm. But distant metastasis can be to nodes in the neck, particularly associated with the lymphatic chain that drains into the subclavian vein on left behind clavicle ...Read more

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Lul non small cell hilum region with lymph node involvement on pulmonary artery. Pet scan negative. Please stage.

Lul non small cell hilum region with lymph node involvement on pulmonary artery.  Pet scan negative.  Please stage.

Need more info: To completely stage, would need more information. However, lymph node involvement excluded stage 0 and stage i. If lymph nodes are on the same side as the hilar tumor, the tumor is at least 2 cm from the carina (where trachea divides into r and l main bronchi) and the tumor is 5 cm or smaller, it is stage iia. If tumor is 5-7 cm, and the rest true, it is stage iib. After that, it is complex! ...Read more

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Dr. Riley Alexander
129 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