I appreciate your response. I had a lung needle biopsy the day before you posted your
reply and was in the hospital for 4 days due to a pneumothorax. Unfortunately the biopsy was inconclusive but the few cells they were able to get were defined as "abnormal". Are you a physician? You seem to know alot about this. Do you have a personal experience with Carcinoid syndrome or bronchial carcinoid adenoma?
I am scheduled for an endoscopy and colonoscopy on Jan 26 and hope
to have more information made available to me.
Hilar region is an area present between the two lungs by the side of mediastenum where bronchial airway,bloodvessels to lungs,lymph nodes (important for metastatic spread)of lungs,nerves,cluster all together at this region.This region is very important to observe cancers in lungs which leave doctors some evidences suggesting them spread of cancer from other organs or cancers originated in lungs or other related complications.So thats the reason why doctors advice us to get a chest X ray,CT,PET scans done to observe this area.
As you stated that you had been undergone a colonoscopic removal of carcinoid,medically called apudomas,it suggests me to a different explanation and relation to your present problem.The carcinoid is some kind of a cancer that is some what malignant.These carcinoid tumors produce a chemical called Serotonin which is neutralised by liver.But if the serotonin is not neutralised then it gets into blood and finally ends up in lungs.This serotonin deposit may be a the key generator of some nodules in lungs which is called bronchial carcinoid adenoma.It can also be presented as Carcinoid syndrome,known clasically,which is a very important and frequent complication of colon cancer.It may be presented as symptoms like asthma,chest pain,dyspnea,wheezing,weight loss, for which you have been admitted into hospital.So carcinoid tumor SUV reportys suggest a malignant spread to lungs which shows us the relation between colon cancer and lung cancer.
So finally there could be metastatic spread of there enterochromaffin cells or serotonin from the previous colon cancer before you underwent surgery.or it may be recurrence of another cancer in the colon.So I advice you to get a chest xray taken and related tests for the staging of the present cancer in lungs.If its recognised early it is so easy to manage such problem.Early chemotheray suggested by an oncologist and pulmonologist expertised in oncology of lungs is needed immediately.