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What Does "left Hilar And Infrahilar Masses, Most Likely Lymph Node Metastatic Disease"mean?
Question: on the pet scan the impression stated: 1) left hilar and infrahilar masses, most likely lymph node metastatic disease. the primary tumor may be the area of consolidation in the medial left lower lobe or may be contiguous with one of the hilar metastases. 2) no evidence of distant metastatic disease. the right lung is clear. there is no abnormal FDG activity in the abdomen or pelvis. Physiologic activity is seen in the kidneys, ureters, bladder and bowel. does this appear to be caught early enough to find solution to do something to fix the problem or does this seem unlikely that anything could be done. could this possibly be stage 4 by the PET impression. thank you. an
Brief Answer:
biopsy and follow up
Detailed Answer:
Hi XXXX
Welcome back to Healthcare Magic.
One thing is pretty sure that it is Not stage lV but it is not that much Early either.
It is a bit late rather, as the mass has infiltrated local lung parenchyma and the zonal lymph nodes. These changes indicate that the mass has been there for quite some time.
Now it is the time for a tissue diagnosis through biopsy, so to know the nature of the mass, if tumor then type and grade of it can be done.
Your local onchologist will know these interventions and will be able to chart out a plan for you after the reports.
I hope that will be helpful for you.
biopsy and follow up
Detailed Answer:
Hi XXXX
Welcome back to Healthcare Magic.
One thing is pretty sure that it is Not stage lV but it is not that much Early either.
It is a bit late rather, as the mass has infiltrated local lung parenchyma and the zonal lymph nodes. These changes indicate that the mass has been there for quite some time.
Now it is the time for a tissue diagnosis through biopsy, so to know the nature of the mass, if tumor then type and grade of it can be done.
Your local onchologist will know these interventions and will be able to chart out a plan for you after the reports.
I hope that will be helpful for you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
the surgeon basicely is saying what you are saying,if the cancer wasn't there on 9/3/13, why do you say it is a bit later? I am having surgery July 1 to do the following as I understand it. I) incision in my neck 2) go down my throat 3) open up along the rib cage (about 8" incision) he will do that after biopasey. if it is to big, I will take chemo and then do surgery. does that make sense? he also said he feels it is stage 2. can it grow to stage 4 by July 1st? is it possible it is not treatable? I realize there are all types of cancer and not that much early either, is it possible nothing can be done. they want to make sure my heart is fine so I am doing a treadmill which will be no problem. havnt lost or gained weight. are the odd s of being a survivor in this stage very good or the stage doesn't mean much. thank you, XXXXXXX
this the question I would like answered. also Dr XXXXXXX said not stage 4 but it is not that much early either. what does that mean? please answer along with my question 14 hours ago, thank you for showing me how to hit "my dashboard" . sorry for being though on my inquiries. I really think the questions need to be answered by an oncoligest.
this the question I would like answered. also Dr XXXXXXX said not stage 4 but it is not that much early either. what does that mean? please answer along with my question 14 hours ago, thank you for showing me how to hit "my dashboard" . sorry for being though on my inquiries. I really think the questions need to be answered by an oncoligest.
Brief Answer:
Final diagnosis after biopsy
Detailed Answer:
Hi XXXX
Welcome back.
09/03/13 was more than a year back!... In cancer clock does not run that comfortably. For an aggressive nature cancer even a time period of 2-3 months may be a too late. When I say it's not early either only means that your tumour does not seem it has started few weeks back and you have caught it. The reason in this belief is that it has a reasonable primary size and had opportunity to involve nearby node as well. This is not early for sure.
Your surgeon is right in getting biopsy for a concrete diagnosis and then to resect it. If it is big and vascular or aggressive nature inside then it's also wise to tame it and make it weaker before handling so to avoid further detrimental turn of disease spread and a modest reduction in bleeding.
i hope it should be amenable to surgery but cancers may go there own way despite every effort and may cross all anatomical boundaries.
Stage always bears significant meaning in cancer and scope of recovery will be more clear once your biopsy and surgery are over.
I am not an oncologist but I am a Physician and Critical care specialist and get approximately 3-4 operated cancer patients every week in my joint care with oncosurgeons.
I hope the advise will be helpful for you.
Final diagnosis after biopsy
Detailed Answer:
Hi XXXX
Welcome back.
09/03/13 was more than a year back!... In cancer clock does not run that comfortably. For an aggressive nature cancer even a time period of 2-3 months may be a too late. When I say it's not early either only means that your tumour does not seem it has started few weeks back and you have caught it. The reason in this belief is that it has a reasonable primary size and had opportunity to involve nearby node as well. This is not early for sure.
Your surgeon is right in getting biopsy for a concrete diagnosis and then to resect it. If it is big and vascular or aggressive nature inside then it's also wise to tame it and make it weaker before handling so to avoid further detrimental turn of disease spread and a modest reduction in bleeding.
i hope it should be amenable to surgery but cancers may go there own way despite every effort and may cross all anatomical boundaries.
Stage always bears significant meaning in cancer and scope of recovery will be more clear once your biopsy and surgery are over.
I am not an oncologist but I am a Physician and Critical care specialist and get approximately 3-4 operated cancer patients every week in my joint care with oncosurgeons.
I hope the advise will be helpful for you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
DR. XXXXXXX thank you for your opinion and I understand what you mean. the only thing that may be misunderstood is the last cat scan was on 9/3/13. I took another cat scan on 6/10/14 just because of getting other checkups. that is a hair over 9 months. that when it showed some change. that being the case, is that still a long time in your opinion. thank you, XXXXXXX
Brief Answer:
Intermediate still!
Detailed Answer:
Hi XXXX
Welcome back.
I see it was a misundertanding due to your mm/dd/yy pattern, we in XXXXXXX mostly understand dd/mm/yy way.
Anyway your mass in lungs needs further definitive diagnosis, It is Not early but not too late either.
If we assume it to be a tumor only, and look it's time line then over 9months it could have caused much damage if it were very ominous.
Let the surgical things and other planned intervention happen.
I think you have fair chances.
Good luck.
Intermediate still!
Detailed Answer:
Hi XXXX
Welcome back.
I see it was a misundertanding due to your mm/dd/yy pattern, we in XXXXXXX mostly understand dd/mm/yy way.
Anyway your mass in lungs needs further definitive diagnosis, It is Not early but not too late either.
If we assume it to be a tumor only, and look it's time line then over 9months it could have caused much damage if it were very ominous.
Let the surgical things and other planned intervention happen.
I think you have fair chances.
Good luck.
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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