44 yr old female. Diagnosed with a 4mm tumor in right lung, also evidence of scar tissue. Shortness of breath, fatigue, back and shoulder pain and headaches\. Peristent cough for 6 months.
Current CT shows enlarged bilateral axillary lymph nodes ("small") , and pretracheal and precarinal lymph nodes. Low attentuation area in the left kidney,
I started out with CT scan that showed the tumor with no symptoms. The symptoms started about 6 months ago and seem to be getting worse. I have a Pulmonologists and the attitude seems to be let's just wait and see......
I don't want to over react but I am not sure if this is the best advice. Any opinions?
A 4mm nodule is in the "very small" category and would almost never cause a cough and never would be responsible for shortness of breath and your other symptoms. It is ordinarily appropriate to wait and see on a nodule this small.
The lymphadenopathy may or may not be related to your symptoms but a wait and see approach may not be appropriate for these lymph nodes. In any event, your doctors should seek a cause for those symptoms and, once this is determined, it may cast the lymph node enlargement in a different light.
You might also ask your doctor if any of the nodes might be relatively accessible for biopsy. As an aside, it would be unusual for the disease sarcoidosis to present with this node enlargement without also having enlargement of the so-called hilar lymph nodes, the nodes adjacent to the large pulmonary blood vessels.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.