her records read
5cm mass in right upper lobe also right hilar lymphadenopathy but adrenals were normal as well as liver. No thyromegaly or cervical lymphadenopathy. neurological scan completely normal. Left lung clear. Confined to chest area. N2 disease.
spot on stomach - behind liver, very subtle . because of location biopsy almost impossible without going through lung. pet scan possible lighting. Not 100% sure it is cancerous. Because of the possible metastasis to stomach stage IV.
based on lymph node and stomach involvement non surgical candidate. Very difficult to remove all lymph nodes, even if stomach is not cancerous due to lymph node involvement surgery not an option.
recommendation chemo every three weeks, carboplatin and taxol. Recheck after 3rd treatment. (she has had 2 treatments so far, last one 3-26-03) prognosis 9-12 mo life expectancy.
lung cancer with hilar adenopathy is the most likely explanation.
Non small cell carcinoma
radiation not an option due to the possible metastasis to the stomach and lymph nodes.