HealingWell
Search Close Search
☰

CT lung nodules - holy cow

Support Forums
>
Prostate Cancer
✚ New Topic ✚ Reply
❬ ❬ Previous Thread |Next Thread ❭ ❭
Posted 11/9/2013 5:58 PM (GMT 0)

I am reaching out again to the experts here in this forum... you are all so well respected and appreciated for your commitment and support blush   Please see updated signature. Went back for 6 month checkup in Sarasota expecting all clear smilewinkgrin with psa at 0.015. Routine CT showed all clear except for several lung nodules - (never before). Went for PET = 4 hot spots in left lower left lung - nodules in both upper lung don't light up- nothing else in body lights up. Report came back as lung mets shakehead Docs (Myers/Datolli)baffled as this is not usual PC path - suspicious for colon mets- went for colonoscopy at home in DE- all clear! Went for CT guided lung biopsy in DE as well- results insufficient tissue. Interventional radiologist thought he had enough when procedure (not comfortable - husband awake to be able to hold breath-local anesthesia for two needle biopsies) was performed - Rad onco not happy with fine needle aspiration as he wanted CT guided core biopsy (which takes actual tissue from nodule) - rescheduled for CT guided biopsy next week. Hoping for infection but sitting on pins and needles - trying to remain calm on for hubby. A new symptom 2-3 months ago right ring finger swollen (may be not related at all)-  but lung issues can cause symptoms in fingers.  Looking forward to your responses - with much appreciation!

Posted 11/9/2013 6:03 PM (GMT 0)
Sorry - see now for updated profile!
Posted 11/9/2013 6:07 PM (GMT 0)
Not sure why new saved signature is not showing up? See below

Age 59
PSA pre RP 14. All scans negative
RP June 2011 NYP, SVI, 2 pos nodes, 1 pos margin, G9
Post RP psa's
July 2011  0.7
Oct 2011  0.3
Dec 2011 0.4
Jan  2012 0.56
Feb 2012 0.63
May 2012 0.4
Oct 2012 0.6
Dec 2012 Sandlake testing - no mets
Jan 2013 0.8
Feb 2013 Radiation Dattoli w/3 mo HT
Aug 2013 0.015
Oct 2013 0.015 Yippee we think?

Posted 11/9/2013 6:13 PM (GMT 0)
With 2 positive nodes and a positive margin with a G9, that is definitely higher risk. But with a low PSA, it does seem unusual. Hopefully you will get some firm answers when they try a biopsy again. Best of luck to you.

Tom
Posted 11/9/2013 6:24 PM (GMT 0)
G9s can "underproduce" PSA.

Best wishes for speedy and accurate diagnosis.
Posted 11/9/2013 6:35 PM (GMT 0)
Hi Searchmode,
Lung mets from prostate cancer are not uncommon. After all, blood drainage from the prostate is pumped by the heart directly into the lungs. In a case of GS 9 that can be very possible. One important thing is that lung tissue does not seem a “fertile ground” for aggressive PCa growth. In simpler words, these mets although present in as many as 46% of patients do not have a lethal course and can me managed. Ironically, it is better for the patient that these mets are PCa and not colon or lung cancer. Potentially androgen deprivation can control this situation.

Wish you and your hubby the very best outcome,
RalphV

Source:
Bubendorf L, Schöpfer A, Wagner U, Sauter G, Moch H, Willi N, Gasser TC,Mihatsch MJ. Metastatic patterns of prostate cancer: an autopsy study of 1,589 patients. Hum Pathol. 2000 May;31(5):578-83. PubMed PMID: 10836297.
www.ncbi.nlm.nih.gov/pubmed/10836297
Posted 11/9/2013 9:40 PM (GMT 0)
One more thing. I added you to our G9 roster on this link:
www.healingwell.com/community/default.aspx?f=35&m=2863652&g=2863652#m2863652

You may find it interesting to read through the stories of some other forum members dealing with a G9 diagnosis.
Posted 11/10/2013 12:19 AM (GMT 0)
Benign lung nodules are a very common occurrence. According to the recent USPSTF report on lung cancer screening, nodules of 4-6 mm diameter in the lung identified on X-ray or CT (what kind of PET did he have?) only have about a 0.15% chance of being malignant. Most of us have these lung nodules and they are seldom due to malignancy. The only way to know for sure is to have that image-guided biopsy. Can they use an MRI rather than a CT for that? I think MRIs are better for soft tissue definition. I hope it turns out to be benign.

- Allen
Posted 11/10/2013 2:07 AM (GMT 0)
Gotta agree with Tall Allen. I've been wating CT spots on my lungs for over three years. They do not seem to grow ... I've finally reached the point of giving up on annual CTs.

Best wishes and good luck!
Posted 11/10/2013 3:06 AM (GMT 0)
I was gonna say, I never saw in your post that anything had been determined. I had a scare like that 20 years ago. When lung specialist came in after seeing X-ray The first thing he said was " I think we are going to be all right" . After that he went into straight doctor mode all official professional no bedside manner. No more encouragement. After 2 months of dis and dat they did a biopsy and it was benign. They never did figure it out sent it to CDC, thought it maybe tb. Anyway symptoms that prompted X-rays self resolved and was diagnosed with " non specific granuloma of the lung" Go figure. My money is placed on a post from you that will relieve your fears.
Posted 11/10/2013 3:13 AM (GMT 0)
On reread of your post I see he has symptoms , so I will share mine. Started with continuous stiff neck, n o cough, but a sensation i n lungs I couldn't describe, malaise and towards the end which baffled them all. A hive like rash on limbs. Yeah it was weird.
The thing I remember the most is after 3 months of tests biopsy, dis and dat. I was never treated or diagnosed till it had totally self resolved. I mean I never really had to ever go to a doctor, it just disappeared all by itself.
✚ New Topic ✚ Reply