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Doctor insights on: Paratracheal Lymphadenopathy Cancer Lung Treatment

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What are some possible causes of bulky mediastinal lymphadenopathy (other than cancer) involving subcarinal, bilateral hilar and paratracheal nodes?

What are some possible causes of bulky mediastinal lymphadenopathy (other than cancer) involving subcarinal, bilateral hilar and paratracheal nodes?

Sarcoid: Could cause adenopathy in those regions, as well as other granulomatous inflammatory processes. Infectious processes such as histoplasmosis could do it. Certain chronic exposures such as berylliosis and silicosis could cause mediastinal adenopathy, but usually the history and other findings make those diagnoses more obvious. Unfortunately, lymphoma is the major consideration in most cases. ...Read more

Dr. Barry Rosen
4,344 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


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Bronchoscope Dr said No cancer this am so what could it be if Hiler mass & Mediastinal Lymphadenopathy in lung? Tissue sent out after pathologist check

Bronchoscope Dr said No cancer this am so what could it be if Hiler mass & Mediastinal Lymphadenopathy in lung? Tissue sent out after pathologist check

A few possibilities: Several things other than cancer can cause such abnormalities. Various infections and sarcoidosis come to mind. There's no way for a forum doctor to say anything more. The doctor (s) treating you or who did the bronchoscopy are the best to ask. ...Read more

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What is the likelihood of lung cancer when CT scan shows pre-tracheal, subcarinal and right hilar lymphadenopathy. If cancer, is it stage 4 already?

What is the likelihood of lung cancer when CT scan shows pre-tracheal, subcarinal and right hilar lymphadenopathy. If cancer, is it stage 4 already?

Lung cancer: What did the CT show about the lungs and other organs?, That is usually the criteria for stage IV. Stage IV you have lung cancer in either more than 1 lung or lobe and another part of the body (liver, bone). Having cancer in lymph nodes can be stage II or III depending on size of the lung mass 3 cm. Biopsy would show cancer in lymph nodes, as they can also be enlarged due to inflammati ...Read more

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Is a paratracheal lymph node that has increased in short axis from 7mm to 9 mm in 2 years worrying? Is it worth monitoring, worried about lung cancer.

Is a paratracheal lymph node that has increased in short axis from 7mm to 9 mm in 2 years worrying? Is it worth monitoring, worried about lung cancer.

Worth watching: Not worth worrying. ..if your physician is concerned he/she will order advanced imaging eg: CAT scan with Contrast of your lungs/mediastinum!

Hope this is helpful
Dr Z ...Read more

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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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Swollen lymph nodes in chest and lung nodule, cancer? Reason to be scared?

Swollen lymph nodes in chest and lung nodule, cancer? Reason to be scared?

Maybe: Consult a specialist. May be anything from scarring through infection to cancer. You may need a biopsy or further tests such as a pet scan. ...Read more

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Could an eye orbital mass be metastatic lung cancer from a 11 mm lung nodule, with no swollen glands or other evidence of cancer?

Could an eye orbital mass be metastatic lung cancer from a 11 mm lung nodule, with no swollen glands or other evidence of cancer?

Time has taught me..: ..That with cancer almost anything is possible. That said, it would be unlikely for a 1cm lung "nodule" to go only to the orbit, especially if it is not proven to be cancer. I would suggest you discuss this with your doc (there may be details he/she knows that we don't) but seems to me that further imaging or maybe a biopsy are considerations if either of those 2 lesions are suspicious enough. ...Read more

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Can you tell me abute treatment lung cancer?

Can you tell me abute treatment lung cancer?

Depends: Lung cancer treatment is based on the stage at presentation. Treatments include surgery, radiation, chemotherapy, or supportive care only. The more advanced the stage, the more limited the treatments. ...Read more

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What is the treatment for small cell lung cancer?

What is the treatment for small cell lung cancer?

Small cell lung ca: In limited disease, tx would be combination chemo and radiation. In a very limited case, surgery can be done if size is very small, absolutely no spreading to any area/adjacent lymp glands etc. Prophylactic radiation to brain is recommended. In extensive disease, chemo will be the tx. Palliative radiation as needed. For chemo responder, prophylactic radiation to brain can increase survival. D/w md. ...Read more

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Could you tell me what are my chances of surviving lung cancer with treatment?

Could you tell me what are my chances of surviving lung cancer with treatment?

Overall poor, but: As physicians we track, or read from studies that have tracked, survival from large numbers of patients with each type of cancer. So we could tell you the average survival after a diagnosis of lung cancer, which isn't very good. However there are several types of lung cancer and they can be caught at different stages, which each affect outcome. Individual prediction requires a lot more data. ...Read more

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Is there any treatment for stage 4 lung cancer?

Is there any treatment for stage 4 lung cancer?

Yes indeed: Today's chemotherapy may produce an excellent or good remission. There is talk of survival for years. Radiation may help bone pain. ...Read more

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Stage4 cancer mestastasize lungs, bone, liver. Any treatment is hopeless?

Stage4 cancer mestastasize lungs, bone, liver. Any treatment is hopeless?

It varies: Cancer at stage IV varies...Some can be cured (hodgkins, germ cell of the testis) others are very difficult to cure even at earlier stages. Chemotherapy and radiation can extend life significantly in some cases and if used well, can keep people in a state of high quality life. So, it is not hopeless always. ...Read more

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What is the treatment and effectivness of that treatment for stage III lung cancer?

What is the treatment and effectivness of that treatment for stage III lung cancer?

Wrong Forum: That answer, to give it justice, would require a forum much larger than this simple application. We only have 400 characters to answer your question. Can you be more specific with us with one concern? Or you may want to consider webmd. Com or the NIH website to start in learning about lung cancer. ...Read more

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My brother 51 years old has got lung cancer that has spread to bones spine, aggresive. No treatment worked but they don't no what cancer it is.

My brother 51 years old has got lung cancer that has spread to bones spine, aggresive. No treatment worked but they don't no what cancer it is.

Seek expert Help: We can help you if you send us his complete information. I suspect he has cancer of unknown primary site (?). It is called cup and it means the doctors are unable to find where it started and then spread into bones and lungs.
He could get a second opinion at a major cancer center where gene profiling can be done; that often indicates the primary site of origin of cup. This may further guide treatm. ...Read more

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What is the best treatment for lung cancer?

What is the best treatment for lung cancer?

Depends on stage: In the medically fit individually, the standard of care upfron therapy for stage I -iib nsclc is surgery. For stage iiia either chemotherapy +/- radiation followed by surgery or chemoradiation alone. For stage iiia - iv, therapy is chemotherapy +/- radiation. For early stage lung cancer, surgery can often be done minimally invasively. Http://bit. Ly/csjsqa. ...Read more

Dr. Que Chu Dr. Chu
2 doctors agreed:
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What is the best treatment for lung cancer?

Dr. Que Chu Dr. Chu
2 doctors agreed:

Lung cancer: Current literature revealed death from lung cancer in US is about 160, 000 a year, nearly haft are women. Two kinds of lung cancer: 1)non small cell lung cancer (NSCLC) and 2) small cell lung cancer (SCLC). Treatment for for stage 1 &2 NSCLC is complete resection of tumor if possible, and chemo to follow if indicated. Stage 3 and 4 chemo and radiation. For SCLC chemotherapy is treatment of choice. ...Read more

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I would like advise for lung cancer treatment?

I would like advise for lung cancer treatment?

What is the status?: Any advice would best come from YOUR cancer doctor, who knows all of the the very important genetic, cellular, and organ details of your cancer. Treatment for cancer these days is very complex, and lots of information goes into recommendations. Without knowing the specifics of your cancer, it's impossible to give you advice. Write down your questions, be specific, and talk to your doctor. ...Read more

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Could you tell me what happens during lung cancer treatment?

Could you tell me what happens during lung cancer treatment?

Depends: Found early stage, diagnose and surgical removal.
Found later, radiation, chemotherapy and possibly surgery depending on cell type, location, staging, etc. ...Read more

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What is the best treatment for lung cancer (nsclc)?

What is the best treatment for lung cancer (nsclc)?

Talk to your doctor: Depends on your health and the stage of the disease. In early stages, surgery is the best way to go. In later stages, chemotherapy is appropriate. Here it becomes way too complicated. In brief, certain tumor markers are very helpful in determining the appropriate chemotherapy to use. ...Read more

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Treatment for pulmonary stage four lung cancer?

Treatment for pulmonary stage four lung cancer?

Chemo/radiation: Chemotherapy mostly, +/- radiation if the tumor is bulky and causing any local problems or a lot of pain. Prognosis is not good. Depending on the age, comorbidities and overall condition, palliative care is also a good option. ...Read more

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Can lung cancer resist treatment and move to the brain?

Can lung cancer resist treatment and move to the brain?

You bet!: There are 100k brain metastasis per year, and lung cancer patients compose about half of them. It is a very common first site of relapse, and can have serious consequences. Preventitive brain radiotherapy is indicated in all responders in small cell, but the trial in non-sclc showed reduction in frequency of brain metastases, but no survival benefit. Thus, many insurers will not pay for it. ...Read more

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My cancer in the lungs has moved to the uterus. What are my treatment options?

My cancer in the lungs has moved to the uterus. What are my treatment options?

Some options.: Stage IV lung cancer is often considered too widespread for surgery to work. However, if the lung disease is limited and has spread to one isolated area, such as the uterus only, then surgery could potentially be an option depending on age, lifestyle, desire for future fertility, etc. The majority of stage IV lung cancers are treated with some combination of chemotherapy and targeted therapy. ...Read more

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Is cow pee treatment helpful to treat lung cancer.

Is cow pee treatment helpful to treat lung cancer.

Risky choice: The 'holistic healers' that tout this option do so without any science and with very small numbers of patients successfully treated, making predictability of results questionable. Would recommend sticking to allopathic treatment options (chemo / radiation) from an oncologist, but could add as adjuvant option. More info here: http://cowurine. Com/index. Html. ...Read more

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What is the best treatment I have small cell lung cancer that has spread to the brain I have ten tumors what are my best options?

Multidisciplinary: Small cell cancer is challenging even in early stage. All small cell cancer should be treated through a multidisciplinary thoracic oncology program with a targeted and individualized approach. Clinical trial enrollment when possible. The following link discusses general approach to treating nsclc and small cell, our best wishes are with you: http://goo. Gl/s6eme. ...Read more

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What is the longest time you can live with stage 111 lung cancer and no treatment. Had a lobectomy in April this year. Also have COPD too.?

What is the longest time you can live with stage 111 lung cancer and no treatment. Had a lobectomy in April this year. Also have COPD too.?

God only knows: That is a question that no doctor or anyone else can answer for you. There are averages but the best thing is to speak to your oncologist. Also read DrAtul Gwande's book "Being Mortal". ...Read more

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My great grandmother has stage 4 lung cancer and is on oxygen and won't be taking any treatment. How long can we expect her to live? Non small cell

Varies: But 1-2 years from time of diagnosis. Poorer prognosis the more advanced it is (larger, spread more places, having complications due to invovlement of the liver or brain). ...Read more

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Best guess what would is the prognosis of an 87 y/o w/ metastatic bladder cancer that spread to the lung without treatment and is otherwise healthy?

Best guess what would is the prognosis of an 87 y/o w/ metastatic bladder cancer that spread to the lung without treatment and is otherwise healthy?

Enjoy each day: She may develop pneumonia and be gone at any time. Or it may stay almost stable and allow her several more good years. Cherish however much or little time you have with your loved one. There is no predicting the time left. ...Read more

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My mom has lung cancer, and will be finishing up radiation treatment in a couple of days, yet she still smokes, should I just let it go & let her alon?

My mom has lung cancer, and will be finishing up radiation treatment in a couple of days, yet she still smokes, should I just let it go & let her alon?

Psychological addict: Looks like your mother's cigarette addiction needs to be tackled at the psychological level, to make the real difference. Remember, she needs to be convinced in her own mind to stop smoking. ...Read more

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Gallbladder cancer n diffuse lung mets, with oxygen at home, need an onchologist opinion abt chemo, she is 60, advanced stage, I heard gb ca has treatment?

Yes, there is treatm: There is some treatment which can help you. Ask your oncologist to help you and use chemotherapy with a drug called gemcitabine in combination with cisplatin. A british trial reported recently showed this treatment regimen to provide fairly good benefit in about half of the pateints...So you might be luck and benefit from this intervention. ...Read more

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My father has lung cancer and has been on chemo but doesn't change much. Now he is really skinny due to his appetite. Could u advice what other safe treatment?

My father has lung cancer and has been on chemo but doesn't change much. Now he is really skinny due to his appetite. Could u advice what other safe treatment?

Stage 3-4: Chemotherapy +/- radiation, is the main therapy for stage iii, IV lung cancers and small cell (oat cell) carcinomas. However staging indicates that the disease process is systemic. Therefore, in advanced stage lung cancers, the patients are usually weak from malnutrition with low pre albumins, and maybe also post obstructive pneumonia. Try to help his nutrition withpulmocarechilleddrinks. Oncologist. ...Read more

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Uterus cancer spread to liver n lungs. Hw long can she survive with treatment?

Uterus cancer spread to liver n lungs. Hw long can she survive with treatment?

It varies: Once metastatic, uterine cancer is unlikely to be cured. Most such patients liver for 12 to 18 months, but some can clearly live longer if they respond well to the treatments being given to her now, which can sometimes add one or two more years to life. But we can not be any more exact in an individual especially not knowing about the extent of her tumors/cancer at present. ...Read more

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My mom has stage 4 lung cancer with no biopsy no chemotherapy or treatment what is her life expectancy?

My mom has stage 4 lung cancer with no biopsy no chemotherapy or treatment what is her life expectancy?

Its Very Bad cancer: The life expectancy is limited but it depends on where her cancer has spread to. Most patients die due to distant metastases into vital organs. Once cancer has gone outside the lungs, the survival is 6 to 12 months, but can be over one year with rare exceptions. ...Read more

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Non small cell lung cancer stage 111a. Had lobectomy but cancer remains in chest wall and lymph node. What is life expectancy without treatment?

Non small cell lung cancer stage 111a. Had lobectomy but cancer remains in chest wall and lymph node. What is life expectancy without treatment?

Variable outcomes: It is not entirely clear whether your cancer is truly stage-3A (it means completely resected, no residual cancer left behind). If there is indeed some tumor left behind in the chest wall, then there is high risk of recurrence which will likely cause you problems within 6 to 12 months. This can be controlled with radiotherapy combined with chemotherapy. So you should reconsider your decision. ...Read more

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I heard about baking soda, maple syrup or molasses for shrinking tumors& cancer treatment. Is it helpful? Can I use it? I'm stage4 lung cancer patient

I heard about baking soda, maple syrup or molasses for shrinking tumors& cancer treatment. Is it helpful? Can I use it? I'm stage4 lung cancer patient

I am sorry: But I am sure that will not help cancer. Continue with the therapy that your doctor has recommended, eat a healthy diet, exercise regularly to reduce stress, and enjoy your time. ...Read more

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Can you have adeno and squamous lung cancer at the same time? What is the significance for treatment? 2 biopsies --- one from main lung mass showing squamous, one from lymph node showing adeno.

Can you have adeno and squamous lung cancer at the same time? What is the significance for treatment? 2 biopsies --- one from main lung mass showing squamous, one from lymph node showing adeno.

Yes...: It is possible that there are two different cancers. It may also be that the primary tumor is a combination of the two (adenosquamous) and the biopsy only sampled one part. Adenosquamous tumors contain adenocarcinoma and squamous cell carcinoma. And either or both types of cancer may spread to lymph nodes. ...Read more

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Should I take a full strength of chemo. When only 1/3 of the strength causes bad chest pain I have only about 15% of my heart and 20% of my kidney. I have lung cancer, the no cell cancer, with each treatment it has affected my heart. But if I don't take t

Should I take a full strength of chemo. When only 1/3 of the strength causes bad chest pain I have only about 15% of my heart and 20% of my kidney. I have lung cancer, the no cell cancer, with each treatment it has affected my heart. But if I don't take t

It's a choice: Nobody can make this decision for you. It is important that you have an honest and open discussion with your cancer team. You will need to ask what are the reasonable expectations from treatment vs non-treatment? Ultimately, the question only you can answer, after thorough discussion with your team, "will treatment be worse then cancer? What quality of life can I expect after treatment? ". ...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


Dr. Steven Ginsberg
988 Doctors shared insights

Swollen Glands (Definition)

Swollen glands = inflamed lymph nodes (doesn't actually ...Read more