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Sinus and large mass in lung - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   My father was diagnosed with a severe sinus infection. After having a head and chest x-ray, a large mass was found on the upper part of a lung 8.3. I think they said something about soft tissue. A CT scan was done this morning. After the doctor talked to hom today, it looks like some of the lymph nodes are swollen. Doc said it could be because of infection. There is no other symptoms. Does this necessary sound like a malignant cancer.
Doctor :   Hi
Doctor :   Let me read your query
Doctor :   No
Doctor :   Not at all
Doctor :   It more like a confined spot of infection foci#
User :   The mass is near the breathing airway and there is no way they can do a neddle biopsy. We know it is sinus infection because doc said the head x-ray showed severe sinus
User :   what is a confined spot of infection foci#
Doctor :   Rather an MRI would confirm the same
Doctor :   Any infection which stays concentrated to a particular region
Doctor :   The most possible cause could be an TB infection'
Doctor :   Does your father smoke?
User :   He is scared-he is 72 and we are also suppose to see a surgeon on Monday but will be probably be referred to an oncologist.
Doctor :   I guess he need not worry
Doctor :   The mass could be most possibly due to infection
User :   Also, he had a scope ran down in June because he has a history of getting choked and he got choked eating. Doc said everything was okay. Since this has come up, we found out that the mass showed up and the first two lines on report was foloow up with ct scan. Why would both docs not tell us this
Doctor :   As far as mlaignancy is concerned he should have associted weight loss/losss of appetite
User :   until the sinus infection, there was no symptoms no loss of appetite, no pain, nothing
Doctor :   ok
Doctor :   Does have it now?
Doctor :   Was an MRI done too
User :   no. just the breathing problem in his head. no an mri was not done
User :   how can a biopsy be done for this.
Doctor :   When there is an inflamatory change in the lungs its obvoius ther will some difficulty in breathing
Doctor :   Can be done
Doctor :   An ultrasound guided biopsy
User :   what are the chances w/o knowing results of test, that this is not maliginant
Doctor :   IF he has weight loss/ loss of appetite then chances are 50%
Doctor :   Or else negligible
User :   no weight loss, no loss of appetite, nothing.
Doctor :   I meant along with respiratoey distress
Doctor :   Then there are minimal chances of malignancy
Doctor :   See in cancerous growth the CT will show growth in surrounding areas too
User :   no, ofcourse the last few days, he has, but I think that is because of what is going on and the uncertainty.
Doctor :   Probably due to stress and anxiety
User :   his blood work was a little off this morning, kideys, so they did not use dye. CT was not as plain as they had hoped
User :   no blood work done on white cells
Doctor :   I guess an PET scan will be more confirmatory
Doctor :   Ok
User :   what is a pet scan
Doctor :   Its a higher scan type will identify cancerous cells by staining methods
User :   do you think
User :   do you think we have anything to worry about
Doctor :   Positron emission tomography.
Doctor :   I am suggesting a way to confirm the finding and sort the issue
User :   i am sorry my father did smoke
Doctor :   Ok
Doctor :   That could also have lead to consolidation of lung
Doctor :   Destruction of particular region of the lungs
Doctor :   Which appears as patches in xray
User :   ok i guess we can kinda rest easy and pray for the best
Doctor :   I wish the same too
Doctor :   There are very minimal chances for malignancy
User :   thanks for your help
Doctor :   Just keep him well hydrated and with extra care
Doctor :   So that has no episodes of respiratoey distress un noticed
Doctor :   He will do fine
Doctor :   Wishing him a speedy recovery
User :   will do. thank you have a blessed day
Doctor :   Thanks for consulting me
Doctor :   Bye for now
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