Don M Posted January 10, 2007 Share Posted January 10, 2007 I had a bronchoscopy last Wednesday. I have an appointment this Monday in Seattle to discuss the results. I expect it to be inconclusive because the doc told my wife he could not get the scope all the way down to where the apparent tumor growth is. He did irrigate the area with a saline solution in hopes of sucking up some cells for the lab to look at. I don't think he collected any tissue if he could not get the scope down there. He told my wife that they would probably have to rethink the next step. The docs at Swedish think that it is very unlikely that the uptake on the scan would be from dying tumor inflammation 6 months after the radiation, but they also think that it is very unlikely that I would have the tumor more than triple in size in the last 3 months right after some hard core treatment, and when the tumor had been at 1 cm more or less the previous 12 months. They refer to it as a "head scratcher". They don't want to recommend more treatment unless they have physical evidence that the tumor is actually growing and they don't want to pat me on the back and tell me not to worry either. I suppose a needle biopsy could be the next step, but there is a risk now because I have only one lung and it could collapse. The next step could be to wait for a month and do another PET/CT scan to see if the uptake glow has shrunk or is getting bigger. It has been almost a month now since my last scan. I am not too freaked out about waiting another month to see because I think the tumor is dying. I really don't like the idea of doing more treatment and not knowing for sure if I really need it. If I had not had the recent treatment, the uptake would almost certainly be from cancer and I would have started treatment immediately. The tumor is too deep within my lung to do a wedge resection biopsy. Another possibility is that the glow could be caused by radiation recall. The oncologists don't know if alimta does this or not, because it is a new drug. I am in a bit of a limbo. Don M Quote Link to comment Share on other sites More sharing options...
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