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High probability of Adenocarcinoma in Lung?
Hello. I am not feeling well at all to begin with. My mother age 62 probably has Well-differentiated lung adenocarcinoma ( said the report). I am seeking experts advice. Please help. Of course i got at least 4 opinions face to face with different doctors. I want to know if the cancer has not spread ( metastasis), what is the expected lifespan, with at least decent life for her.
Here are some results. By Friday and Monday we are going to have TC scans in other parts of her too, to determine that there is no metastasis.
here we go:
CHEST CT SCAN
The examination was performed on a multi-sectional axial tomographer of 64 sections, 5 mm thick each, from the sternum manubrium to the xiphoid process; the patient was in supine position, breathing deeply. No IV contrast substance was administered due to the allergic background of the patient. The study of the image sequence shows the following:
Reactive type axillary lymph nodes bilaterally.
Single lymph node on the right, adjacent to the trachea, at the level of its bifurcation, 12 mm in diameter.
Fibrosclerotic lesions of the apices bilaterally.
Presence of small plural nodules in both upper lobes.
Emphysematous central lobe type lung lesions bilaterally.
There is intra-pulmonary infiltration in the posterior region of the right upper lobe, 3.8 x 1.8 cm in dimension, with irregular borders, which is surrounded by bronchectasias and emphysematous lesions, which needs to be further investigated by harvesting biopsy samples bronchoscopically.
No other distinct intra-parenchymal focal lesion observed in either of the lungs.
No pleural effusion is observed.
Upper abdominal organ images indicate two (2) stones in the right kidney. US co-assessment is recommended.
Clinical assessment and further investigation recommended.
Findings: (bronchial tree chart)
A round mass with smooth borders and intense blood supply
fully obstructs the posterior part of the right upper lobe.
Conclusion: Mass, probably benign
----------------------------------------------------------------------------------
HISTOPATHOLOGY EXAMINATION REPORT
MACROSCOPIC DESCRIPTION
--------------------------------------------
Several yellow-white pieces were delivered, the longest diameter being 0.1 - 0.2 cm.
MICROSCOPIC FINDINGS
--------------------------------------------
These are bronchial mucosa tissue pieces infiltrated by well-differentiated adenocarcinoma. Immunohistochemically, neoplastic cells express TTF-1, keratin 7 and 8/18, while they are negative to keratin 5/6 and 20, p63, WT1, CD 56, oestrogen and progesterone receptors.
CONCLUSION: Well-differentiated lung adenocarcinoma.
-----------------------------------------------------------------------------------------
RESPIRATORY FUNCTION EVALUATION 2
Par. (BTPS) Meas. %Pred. Pred.
FRC 1.29 -49.38 3.21
TLC 3.06 13.47 5.70
RV 1.22 16.91 2.23
RV/TLC 39.83 104.24 38.14
FRC/TLC 42.12 65.10 56.82
RAW 1.34 VC ERV
1.84 0.07
COMPLIANCE 0.39
ACIDIMETRY: 98% without O2
RESPIRATORY MUSCLE FUNCTION EXAMINATION: PImax 122 cmH2O – PEmax 132 cmH2O
COMMENTS:
AUSCULTATION: CRACKLES FROM BOTH LUNG BASES – SPIROMETRY: RESTRICTIVE SYNDROME.
AN APPOINTMENT SHOULD BE MADE WITH A RADIOLOGIST FOR CHEST CT SCAN DUE TO EXACERBATION OF THE INTERSTITIAL NETWORK AND UNCLEARLY DELINEATED REGION IN THE RIGHT UPPER LOBE.
--------------------------------------------------------------------------------------------
I am seeking an experts opinion. They said there is high chance for a surgery and a good life. But how long is that if there is no metastasis? Please help me. Thank you for your support.
PS. Bone scan was done yesterday, and everything was totally clear. Now CT full scan is left and is going to do it this Monday.
Here are some results. By Friday and Monday we are going to have TC scans in other parts of her too, to determine that there is no metastasis.
here we go:
CHEST CT SCAN
The examination was performed on a multi-sectional axial tomographer of 64 sections, 5 mm thick each, from the sternum manubrium to the xiphoid process; the patient was in supine position, breathing deeply. No IV contrast substance was administered due to the allergic background of the patient. The study of the image sequence shows the following:
Reactive type axillary lymph nodes bilaterally.
Single lymph node on the right, adjacent to the trachea, at the level of its bifurcation, 12 mm in diameter.
Fibrosclerotic lesions of the apices bilaterally.
Presence of small plural nodules in both upper lobes.
Emphysematous central lobe type lung lesions bilaterally.
There is intra-pulmonary infiltration in the posterior region of the right upper lobe, 3.8 x 1.8 cm in dimension, with irregular borders, which is surrounded by bronchectasias and emphysematous lesions, which needs to be further investigated by harvesting biopsy samples bronchoscopically.
No other distinct intra-parenchymal focal lesion observed in either of the lungs.
No pleural effusion is observed.
Upper abdominal organ images indicate two (2) stones in the right kidney. US co-assessment is recommended.
Clinical assessment and further investigation recommended.
Findings: (bronchial tree chart)
A round mass with smooth borders and intense blood supply
fully obstructs the posterior part of the right upper lobe.
Conclusion: Mass, probably benign
----------------------------------------------------------------------------------
HISTOPATHOLOGY EXAMINATION REPORT
MACROSCOPIC DESCRIPTION
--------------------------------------------
Several yellow-white pieces were delivered, the longest diameter being 0.1 - 0.2 cm.
MICROSCOPIC FINDINGS
--------------------------------------------
These are bronchial mucosa tissue pieces infiltrated by well-differentiated adenocarcinoma. Immunohistochemically, neoplastic cells express TTF-1, keratin 7 and 8/18, while they are negative to keratin 5/6 and 20, p63, WT1, CD 56, oestrogen and progesterone receptors.
CONCLUSION: Well-differentiated lung adenocarcinoma.
-----------------------------------------------------------------------------------------
RESPIRATORY FUNCTION EVALUATION 2
Par. (BTPS) Meas. %Pred. Pred.
FRC 1.29 -49.38 3.21
TLC 3.06 13.47 5.70
RV 1.22 16.91 2.23
RV/TLC 39.83 104.24 38.14
FRC/TLC 42.12 65.10 56.82
RAW 1.34 VC ERV
1.84 0.07
COMPLIANCE 0.39
ACIDIMETRY: 98% without O2
RESPIRATORY MUSCLE FUNCTION EXAMINATION: PImax 122 cmH2O – PEmax 132 cmH2O
COMMENTS:
AUSCULTATION: CRACKLES FROM BOTH LUNG BASES – SPIROMETRY: RESTRICTIVE SYNDROME.
AN APPOINTMENT SHOULD BE MADE WITH A RADIOLOGIST FOR CHEST CT SCAN DUE TO EXACERBATION OF THE INTERSTITIAL NETWORK AND UNCLEARLY DELINEATED REGION IN THE RIGHT UPPER LOBE.
--------------------------------------------------------------------------------------------
I am seeking an experts opinion. They said there is high chance for a surgery and a good life. But how long is that if there is no metastasis? Please help me. Thank you for your support.
PS. Bone scan was done yesterday, and everything was totally clear. Now CT full scan is left and is going to do it this Monday.
If there are no mets, lung cancer is curable, but the probability of a reoccurrence is still high. No doctor will be able to predict if and when the cancer returns. You can only hope that it doesn't.
P.S. This is not the experts' forum. If you want an expert's opinion, I believe there is a fee.
P.S. This is not the experts' forum. If you want an expert's opinion, I believe there is a fee.
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