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Respiratory Disorders  (Expert Forum)
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Mass in Right Lung
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Mass in Right Lung

by mela55, Feb 23, 2006 12:00AM
I was just confrimed with a 3cm mass in the right lung. Afer PET scan it was assigned a rating of 1.8. I also had one paratachael lymph node light up and it was assisgned a 3.  Just had a brochcosopy (yek),needle biobsy to lymph node and they did a lavage while in there because the rt lung mass is inaccessible.  The test all came back negative. That I think is good news.  But still have the mass to contend with.  Anyone having similar situation?  The cancer fear hanging heavy here.  Any thoughts would be great.

by National Jewish, Mar 02, 2006 12:00AM
Unfortunately the negative needle biopsy and lavage only tell that what was obtained was normal.  They do not rule-out serious disease, including cancer.  It is possible that the needle biopsy missed the specific lymph node.

Whatever is required to get tiny pieces of tissue from the mass or the lymph node, called a biopsy, must be done.  Then it can be looked at under a microscope to determine the real problem.  Talk with your doctor to see which of these would be most helpful.
· CT-directed transthoracic needle biopsy is a procedure where CT is used to guide the needle biopsy.
· Mediastinoscopy is a procedure in which the area in between the lungs is examined through a scope with a small video camera at one end of a flexible tube.
· Video-assisted thoracic surgery (VATS) is a minimally invasive surgical procedure in which the lung and surrounding tissues are examined through a scope with a small video camera at one end of a flexible tube.  This scope is placed through a small incision between the ribs into the chest.
· Open lung biopsy is a surgical procedure that requires general anesthesia.  It allows several different pieces of lung tissue to be taken for testing through an incision.

Good luck.
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