I’m still trying to find my way around this forum. I don’t know how to respond to my replies individually, so I’m going to respond to both of you (Lexiecat and Judy M2). Thank you so much for taking the time to respond. I really appreciate the information and encouragement. My mass is in my left lower lobe. Initially there was some discussion of a needle biopsy or a bronchoscope biopsy). My mass is positioned near the wall of my lung, right between two ribs. The needle biopsy seemed to be the appropriate route, however there seemed to be some concern that they wouldn’t be able to obtain a sufficient sample. The oncologist consulted a surgeon and he suggested a wedge biopsy. They felt it was the best way to obtain a biopsy and perform curative surgery at the same time. If the mass is not found to be malignant, they’d close me up after just the wedge resection. If malignant, the surgeon would do a segmentectomy. This opinion comes from a surgeon at Inspira, in NJ. I’m going for a second opinion at the University of Pennsylvania this Wednesday. I met with his PA two weeks ago (she felt strongly that it was scar tissue from an old pneumonia) and scheduled a repeat CT scan in 4 weeks. We’re hoping the mass will be smaller... if not, they would also recommend a wedge resection. She said that at Penn, they do a lobectomy (rather than a segmentectomy) if cancer is found. The Inspira surgeon said that he hasn’t seen improved outcome with lobectomy vs segemtectomy. He also said that in all cases where he’s removed the mass while at stage 1, he hasn’t had any recurrence ! Depending on size, they do a short course of chemotherapy post op.
Lexiecat, I live in Franklin Twp (Newfield) NJ. (Gloucester county). We’re practically neighbors. Thank you for your information about the VATS surgery - I was expecting a more painful post op course than you’ve described, so that’s encouraging.
Judy M2, my doc talked to me about the biomarkers and mutations that can be utilized to treat cancer. Your experience with immunotherapy is very encouraging ! I’m very happy for you - for both of you. I will keep both of you in my prayers.
I pray that I get lucky and my mass shrinks. If this turns out to be cancer, my greatest concern is for my son. He’s 25, so clearly an adult, lol. He’s currently living in CA, attending graduate school at UC Irvine, pursuing his PhD in physics. I haven’t told him about the mass, because I’m still hoping it will turn out to be an infection or inflammation. Why have him worry about the possibility of cancer when I don’t have my answer yet ? He’ll be home for a visit the week after my repeat CT scan. If surgery becomes necessary, I’ll be able to discuss it with him then. My doctor thinks I should give him some information before he comes home - that he’ll be blindsided otherwise ... but I as far as I’m concerned, there’s no definitive information to tell him at this point. I’m really concerned that his concern for me could derail everything he’s worked so hard for. What do you folks think ?
I apologize to all for the long post. I promise not to make it a habit ! ❤️