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Smoker, weight loss, TURP surgery for enlarged prostrate, bronchoscopy to rule out cancer - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2204 Questions
Doctor :   How can i help you ?
Doctor :   Are u there ?
User :   I have recently had a couple of chest X-rays and CT scans as part of general investigations into ongoing stomach problems. I had scans done 12 months ago prior to a TURP operation, which showed no cancer but did indicate prostatis. The X-ray and scan in February referred to shadowing in upper right lung and the one in April seemed to indicate the shadowing being more mass like. I am a smoker, but do not have a cough or chest pains nor do I get breathless. I have lost wait over 12 months or so but believe this is due to ongoing helath problems
Doctor :   So the CT showed a mass like lesion ?
Doctor :   Have u had any symtoms like blood in sputum ?
Doctor :   may i know your age ?
User :   No blood in sputum but blood tests (CPR 48) and urine sample indicated an infection
Doctor :   since you have not had any symptoms, the chances of the mass being lymph nodes could be high, unless the CT has specific description of the mass being a tumor
Doctor :   location of the mass being peripheral or larger then 3cm in diameter, could be associated with lung tumors
Doctor :   can u provide me the exact description in the CT scans ?
User :   I saw a copy of the scan but was unable to make a judgement. Could anythingelse cause shadowing
Doctor :   yes,
User :   What for example?
Doctor :   pneumonia (infection), pulmonary embolism, etc can cause shadowing
Doctor :   but they do present with major signs and symptoms
Doctor :   any chest wall deformity , fractures etc also cause such shadows
Doctor :   Are u there ?
User :   Is it possible to have had pnemonia and not have any symptoms
Doctor :   it is very unsual , to have pneumonia, showing up on a CT or Xray and not have symptoms
Doctor :   but prior episodes of infection, with lung scarring can also cause shadows on the scans
User :   Is it likely to be cancer and would blood test reveal this?
Doctor :   the best test, would be a bronchoscopy, and examination of the brochoalveolar secretions
Doctor :   blood tests , are not usually specific for detecting lung cancer
Doctor :   the best imaging study , is a Costrast enhanced CT
Doctor :   Are u there ?
User :   What is a contrast enhanced CT
Doctor :   u there ?
Doctor :   a CEct IS A investigation
Doctor :   where contrast is innjected into the body
Doctor :   and then imaging is done
Doctor :   this helps to get a clear image
Doctor :   and is better than a normal CT
Doctor :   You there ?
User :   THis is what I had done I think because I was injected with something (iodine I think)
Doctor :   ok
Doctor :   in that case, if you know the CT finding
Doctor :   then we can know the exact cause
Doctor :   blood tests are not definitive for detecting lung cancers or tumors
User :   The CT finding simply refers to shadowing rather than something specific
Doctor :   in that case, a bronchoscopy and evaluation of the brochioalveolar lavage fluid may help
Doctor :   if there are no symptoms, and you are completely fit, there might be nothing to worry about
Doctor :   In case your doctor has not mentioned about any test, then there might be nothing to worry about
User :   A number of other tests have been mentioned but can't remeber what they are
Doctor :   that is fine,
Doctor :   as long as the test results are normal
Question is related to
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