Doctor insights on:
Nodule On Lung And Liver
It is concerning.: While I'm unable to state anything with any degree of certainty based on hat description, we generally do not like to see individuals with diffuse lung and liver nodules or lesions. This does require immediate clarification of underlying process. An investigation needs to be done right away, including biopsy of any accessible nodules. ...Read more
This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more
My grandmother has just had a nodule (2cm) in lung and another between liver and diaphram along with elevated wbc - what is probability of malignant?
Unable to determine: It is difficult to determine malignancy risk without having a tissue diagnosis from one of the nodules. Close follow up with a pulmonologist is advised to determine your malignancy risk (based on smoking hx, fam hx, etc) and create a management strategy such as (but not limited to) biopsy, imaging surveillance, need to see oncologist. An elevated WBC should be evaluated by your PMD. ...Read more
If chemotherapy fails, and there is a tiny new lung nodule, 1 liver met and 1 node can anything b done in colon cancer pt aged 65?
Is it normal for 4cm nodule to go to full blown lung cancer in and spread to liver in just 4 months?
Commonplace: I am sorry about the situation. If anyone suggested that someone could ignore ANY lung nodule, let alone a 4 cm one, I am deeply disturbed. Oat cell is usually even faster. ...Read more
Possible: What you described is not normal, but quite possible. Small cell lung cancers can spread to other organs even before the primary lesion is detected. ...Read more
Is it normal for a 4mm lung nodule to go from that to full blown lung cancer and spread to liver in just 4 months?
Not uncommon: Metastatic lesions only with unknown primary (origin cannot be found) constitute a specific type of cancers. The point is that the size of the primary tumor is not predictive of the stage. Not to mention that in this type of scenario it is assumed that the lesions described are related, but that may need to be proven with biopsies. ...Read more
Mcrc patient had 1 liver met n 1 node. Irinotecan given, but a lung nodule 0.5 CM appears during the 4 months he on irinotecan. Is this fast spread?
I am not an oncologist and not the best to answer this question. Each cancer has their own growth rate. The key is to be on the best therapy, whether it be chemotherapy, radiation or surgery, for that cancer.
A new lung nodule means that the treatment is not controlling the spread of the cancer. You should consider an alternative treatment.
I do not treat and don't know Irinotecan. ...Read more
With a cyst in the liver, probably several tiny cysts and a nodule in the lung - can they be related (like Hydatid disease) or is this too far fetched?
More history needed: This a rare occurrence and more history would be needed to give a educated opinion. I hope all is well with you. ...Read more
Hello I have been diagnosed with a small module on my left lower lung. A low density lesion on my liver and a 6mm nodule on my right thyroid lobe.?
See below: Such multiple findings as you describe are not uncommon on various imaging studies such as CT scans of the chest, abdomen, pelvis that include the thyroid, lung, liver, and kidneys where small sub-centimeter (<10 mm) nodules are commonly noted which are most often benign and clinically insignificant but which often deserve a follow-up study in 6-12 months. You should discuss this with your doctor. ...Read more
Follow up CT: The importance of the findings may depend on why your ct scan was done. Current guidelines suggest Incidental single lung nodules between 4-6 mm in patients over 35 need follow ct scan, the interval between scans is dependent on the risk of cancer (smokers, exposure to asbestos, etc). 10mm (1cm) lymph note near trachea is upper limits of normal size. ...Read more
What is prognosis like for colon cancer pt with 1 liver met, 1 node and 0.5 lung nodule? Primary was resected last year. Cea 10. Bloodwork normal?
Prognosis: Prognosis is determined at time of diagnosis/treatment. Seems cancer is/was stage 4, which has a shorter prognosis than stage 1. If stage 4 is NEW, newly discovered liver metastasis, then prognosis will be negatively impacted compared to a year ago. Regardless of prognosis, talk with your docs. Take friend/family with you to appointments to help with understanding. Treatments exist. Be well. ...Read more
Could good quality images of a cta chest detect also detect lung nodules and coronary problems present in the thorax? They detected a liver angioma on mine for example, incidentally. ..
Pt is 65. We are stuck as they reluctant to give chemo due to 5 fu chest tightness. They are also refusing to ablate or operate. The liver met is single and small and lung nodule is 0.5 cm. There is a aortocaval node too. Should we get a 2 nd opinion?
Yes...: Always get a 2nd opinion in a case like this ...Read more
After diagnosis with C.T scan Abdomen results were liver cyst - small left lung base nodule, my mother have pain symptoms every four days pls advice?
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
2cm liver mass, tiny lung nodules, tiny brain lesions. Found 2 1/2 yrs ago and still stable. Dr's say unrelated, but No biopsies. Please help. Cancer?
Focal nodular: Hyperplasia is a benign liver lesion, and unrelated to lung nodules or brain lesions. Tiny lung nodules in an average risk patient that are stable for 2 1/2 years can be considered benign. No way to opine about the brain lesions without more info, but stability over 2 1/2 years likely also indicates benignity. ...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
28f. Lesions on brain, liver, pancreas, uterus, nodules on lung. No symptoms. Normal bloodwork. Drs don't know what's going on. Please help!! Metastatic?
My sister has fluid on her lungs, she has cancer in her abdomen wall and has spread to her nodules. How long to live?
Life span: There is no one but God that knows the number of days we each have but you are describing someone with a terminal disease process. I would advise your sister to get her affairs in order. There is no way to know exact how long she will live. Best of luck to you and your sister. ...Read more
Why didn't mt. Surgeon mention that there was 4 nodules found on my liver before lung surgery for a carcinoid tumour?
May be related: Depending on the findings associated with the primary tumor, resection of a primary carcinoid is reasonable even in the setting of disease in the liver. Disease in the liver can become a problem and therefore clarification of what the lesions represent and how to watch them over time should be discussed with the md. ...Read more
I had lung nodule found on ct of abdomen. They r going to do full ct. I recently had clean X-ray of chest. What should I think?
It depends on: The characteristics of the nodule and your risk profile. If you are at low risk (i.e. a nonsmoker), and the nodule is a small smooth rounded incidental nodule, likely it will mean follow up at 6 or 12 months for a couple of years to confirm stability, since the vast majority of these are benign. If it is large and irregular in shape, and you are at higher risk, it becomes more suspicious. ...Read more
Lymphocytes 12.6. Levaquin (levofloxacin) course last month. Wbc is 7.2. Lung nodules, lympadenopathy in chest and abdomen. EBV lab 2.80. Sed rate 21. Virus? Concerns?
Lymphadenopathy: I am really concerned about your lymphadenopathy in the chest and abdomen along with pulmonary nodules Please see a hematologist for further evaluation Do you have other nodes like in the neck or axilla? ...Read more
Inflamed uterus, nodules in endometrium, pain low back, sharp stabbing pains in left abdomen, left chest, left armpit, and ice pick headaches related?
Cyst? Cancer?: You are a young woman very unlikely to have cancer but still a slight risk, but high risk if smoke, do you smoke?? if so stop now before too late, your health will come back, if not great. Get a pulmonologist to review your cat scan or whatever found this nodule, needs to be found out. Pray it is ok ...Read more
No, almost NEVER: A 5 mm lung nodule, even in a high risk person (heavy long time smoker) has a (much) less than 1% chance of being cancer as opposed to a benign scar or 'granuloma'. Nobody should be doing surgery to remove a 5 mm nodule except in the rarest of circumstances, too complicated to discuss in 400 characters. ...Read more
It depends: Not all lung nodules are alike. The odds that a nodule is cancer depends in the appearance and size of the nodule, the medical history of the patient, the smoking history of the patient, and how the nodule changes over time. Radiologists, pulmonary physicians and thoracic surgeons are best qualified to determine the risk that a particular nodule is cancer. ...Read more
Generally no worries: These are likely "healed" TB or fungal infection that the body has "walled off" and calcified. Usually called calcified granulomas. Very common, especially in certain parts of the world where specific fungi are endemic in the environment - in those areas, nearly every one has them and they do no harm. ...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