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if there is smoke is there fire ?

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  • if there is smoke is there fire ?

    Okay gang just got back from my first ct scans since I went on Surveillance;



    I do have good news there is no lymph invasion.


    Here is the issue that worries me:
    as per the MD:
    "Conclusion: Stable tiny nonspecific indeterminate pulmonary nodule 2mm in the right lower lobe just posterior to the major fissure on image #33 and this is unchanged (i guess from my last CT"s although I dont recall this being noted on my last CTs) , possibly postinflammitory. No new nodules are seen. There is no evidence of lymphadenopathy."

    If any of you recall 2 days ago I posted a concern about pain in my lower right rib cage.

    So as you can see I can see some smoke here does anyone think I have a fire to put out?
    10/09/06 -- pT1-pNx-Mx-S0

  • #2
    Originally posted by clyde_on
    So as you can see I can see some smoke here does anyone think I have a fire to put out?
    I seriously doubt it, but they'll keep an eye on it.
    Scott, [email protected]
    right inguinal orchiectomy 6/5/2003 > nonseminoma, stage I > surveillance > L-RPLND 6/24/2005 for recurrence, suspected teratoma but found seminoma, stage II > chylous ascites until 9/2005 > surveillance and "all clear" since


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    • #3
      Needle Biopsy?

      Clyde_On,
      Have you requested a CT Assisted Needle Biopsy?
      Joe
      Stage III. Embryonal Carcinoma, Mature Teratoma, Choriocarcinoma.
      Diagnosed 4/19/06, Right I/O 4/21/06, RPLND 6/21/06, 4xEP, All Clear 1/29/07, RPLND Incisional Hernia Surgery 11/24/08, Hydrocelectomy and Vasectomy 11/23/09.

      Please see a physician for medical advice!

      My 2013 LiveSTRONG Site
      The 2013 Already Balders

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      • #4
        I am against a needle biopsy

        I am against a needle biopsy.

        For the reason of possible spread.

        I have to believe that GOD will help me on this one and together we will get through this.


        I did not know of what you spoke of and I thank you for the help.
        So in many ways u have helped me.
        10/09/06 -- pT1-pNx-Mx-S0

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        • #5
          Clyde on,

          If I were you, I would be scared... but only because I'm a lot like you, and we are both at the beginning of our surveillance, so EVERYTHING is scary or worrying right now .

          Among mine:

          Multiple hypointense regions on kidneys (likely cysts)
          A prominent diaphragmatic cruz (means nothing to anyone)
          Possible Kidney Pyelitis
          ...etc

          ...and those are only from the CTs!

          The MRI that I requested because I was convinced that my back pain was due to seminoma spread revealed:

          3 regions in L3, L4, and S1 vertebrae consistent with small hemangiomas.

          What probably happened in your case is that it was noted during your second CT scan, the radiologist then went back and looked at it on your first scan and confirmed that it was there on that one as well, so you should probably be ok. I'd ask your onco about it to be sure, but 2mm is tiny tiny. Barely a speck and probably at the limits of CT.

          Best of luck!

          djm
          Detected mass 10-6-06, Radical left I/O 10-10-06, Stage I seminoma, 1.5 cm primary, No LV invasion, No Rete Testis Invasion... Currently on Surveillance.

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          • #6
            Originally posted by clyde_on
            I am against a needle biopsy.

            For the reason of possible spread.
            This is not valid, clyde_on. If a needle biopsy reveals seminoma, you won't care were it spread to because you would get chemo regardless. And it would kill both the met and any cells that had spread. Having said that, it's unlikely that any doc would seriously consider doing a biopsy on something so small.
            Detected mass 10-6-06, Radical left I/O 10-10-06, Stage I seminoma, 1.5 cm primary, No LV invasion, No Rete Testis Invasion... Currently on Surveillance.

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            • #7
              sure I am worried

              but at leat I know it is there.
              And 2mm is tiny so it does cause some concern but with GOD on our side we will be okay!
              10/09/06 -- pT1-pNx-Mx-S0

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              • #8
                I would keep an eye on it but don't lose any sleep. My son has unchanged lung spot from the very first scan. Even though we can't rule out a cancer relationship our oncologist tells us that about 10% of the population has spots that aren't related to anything. The people who live in the Ohio River valley have a much higher rate of spots because of an unusual mold that grows in that area and all of the population is breathing it in.
                Son Jason diagnosed 4/30/04, stage III. Right I/O 4/30/04. Graduated College 5/13/04. 4XEP 6/7/04 - 8/13/04. Full open RPLND 10/13/04. All Clear since.

                Treated by Dr. Rakowski of Midland Park, NJ. Visited Sloan Kettering for protocol advice. RPLND done at Sloan Kettering.

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                • #9
                  A needle biopsy of a 2mm nodule is impossible!
                  However, a mass of cells that size would double very quickly if it were mets, so rest assured it is nothing.
                  As for the pain, doubt something that size would cause pain, and we all have chest pain from time to time related to musculoskeletal strain, which is part of everyday life. The pain will go away. The mass will be the same size on next scan-my bets anyway.
                  Robin

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