PaulaC Posted November 12, 2018 Share Posted November 12, 2018 I just received my pathology results from my lobectomy and now I'm a little confused. The results show that the upper left lung nodule was NSCLC with features compatible with Squamous Cell Carcinoma. My confusion is that all other test/biopsy showed adenocarcinoma of the lung. Why would it be different? Link to comment Share on other sites More sharing options...
Tom Galli Posted November 12, 2018 Share Posted November 12, 2018 Paula, If the adenocarcinoma finding resulted from a biopsy, determined by a pathologist, I’d be confused also. Here is what I’d do. Get the actual biopsy report and read it. Get the path report from the surgical resection and read it. If they don’t read the same subtype, have the ordering doctor ask both the biopsy and surgery sample be re-examined by a different pathologist. Tissue samples are normally kept quite a while so a re-exam should be possible. Stay the course. Tom Link to comment Share on other sites More sharing options...
PaulaC Posted November 12, 2018 Author Share Posted November 12, 2018 29 minutes ago, Tom Galli said: Paula, If the adenocarcinoma finding resulted from a biopsy, determined by a pathologist, I’d be confused also. Here is what I’d do. Get the actual biopsy report and read it. Get the path report from the surgical resection and read it. If they don’t read the same subtype, have the ordering doctor ask both the biopsy and surgery sample be re-examined by a different pathologist. Tissue samples are normally kept quite a while so a re-exam should be possible. Stay the course. Tom Tom, Thanks for responding and yes the needle biopsy showed adenocarcinoma and the lobectomy Squamous Cell Carcinoma. I will do has you suggested and talk to the doctors. Paula Link to comment Share on other sites More sharing options...
Robert Macaulay Posted November 12, 2018 Share Posted November 12, 2018 Paula This might help but i would be talking to the Doc as Tom mentioned. https://www.ncbi.nlm.nih.gov/pubmed/23348210 Link to comment Share on other sites More sharing options...
PaulaC Posted November 12, 2018 Author Share Posted November 12, 2018 17 minutes ago, Robert Macaulay said: Paula This might help but i would be talking to the Doc as Tom mentioned. https://www.ncbi.nlm.nih.gov/pubmed/23348210 I’ll update you guys Link to comment Share on other sites More sharing options...
Seventhson Posted November 13, 2018 Share Posted November 13, 2018 Very best wishes Paula. Sounds like you got some great advice there. My family doc called to say I had a carcinoma after getting report of biopsy. The pulmonologist called with results and said it was carcinoid. He was right. But just shows it could be as simple as a typo. I hope it makes more sense after you talk with them . You are keeping it straight which is great. Love and strength to you. Link to comment Share on other sites More sharing options...
PaulaC Posted November 14, 2018 Author Share Posted November 14, 2018 I called and talked to the oncologist's nurse and she sees what I did, The needle biopsy shows adenocarcinoma and the lobectomy Squamous Cell Carcinoma. I also had the PT nurse read my reports and she agreed... I'm waiting to hear back. Link to comment Share on other sites More sharing options...
Seventhson Posted November 14, 2018 Share Posted November 14, 2018 Well that's a step in figuring that out. Hopefully it will be the best possible scenario out of what it could be. Thinking of you. Hope they call back. Love ya and wish you all the best my sister. Link to comment Share on other sites More sharing options...
BridgetO Posted November 14, 2018 Share Posted November 14, 2018 Found this on the American Cancer society website: What does it mean if my carcinoma is called non-small cell carcinoma? In some cases, the cancer clearly does not look like small cell carcinoma under the microscope, but at the same time it is hard to tell whether it is a squamous cell carcinoma or adenocarcinoma. This distinction between squamous cell carcinoma and adenocarcinoma may be especially difficult in small biopsy specimens. The term non-small cell carcinoma is often used for these carcinomas until they can be more precisely classified by special lab tests(such as immunohistochemistry), or until the entire tumor is removed during surgery and then examined. Link to comment Share on other sites More sharing options...
PaulaC Posted November 15, 2018 Author Share Posted November 15, 2018 On 11/12/2018 at 5:30 PM, Robert Macaulay said: Paula This might help but i would be talking to the Doc as Tom mentioned. https://www.ncbi.nlm.nih.gov/pubmed/23348210 Bob, I don't know why but I'm having a hard time figuring out what this article is saying. Link to comment Share on other sites More sharing options...
Robert Macaulay Posted November 15, 2018 Share Posted November 15, 2018 Paula Biopsy-site changes can be identified in a significant proportion of lung tumors after core needle biopsy. Bob Link to comment Share on other sites More sharing options...
PaulaC Posted November 15, 2018 Author Share Posted November 15, 2018 5 minutes ago, Robert Macaulay said: Paula Biopsy-site changes can be identified in a significant proportion of lung tumors after core needle biopsy. Bob Thanks 😁 Link to comment Share on other sites More sharing options...
PaulaC Posted November 15, 2018 Author Share Posted November 15, 2018 2 hours ago, BridgetO said: Found this on the American Cancer society website: What does it mean if my carcinoma is called non-small cell carcinoma? In some cases, the cancer clearly does not look like small cell carcinoma under the microscope, but at the same time it is hard to tell whether it is a squamous cell carcinoma or adenocarcinoma. This distinction between squamous cell carcinoma and adenocarcinoma may be especially difficult in small biopsy specimens. The term non-small cell carcinoma is often used for these carcinomas until they can be more precisely classified by special lab tests(such as immunohistochemistry), or until the entire tumor is removed during surgery and then examined. This is good information. Thank you BridgetO Link to comment Share on other sites More sharing options...
PaulaC Posted December 3, 2018 Author Share Posted December 3, 2018 Just got home from my appointment with the oncologist and he basically said it’s possible to have both types of cancer. Squamish and Adenocarcinoma 🤷♀️. I know it’s weird but that was his answer after his discussion with the tumor board. The good news is I’m NED or has he stated no evidence of cancer. I’ll be in a watch and see program with my first CT scan in mid January. I’m excited, stunned and part of me is afraid to believe it. 🙏🙏🙏 Link to comment Share on other sites More sharing options...
Steff Posted December 3, 2018 Share Posted December 3, 2018 Hooray for NED! Link to comment Share on other sites More sharing options...
MBinOregon Posted December 3, 2018 Share Posted December 3, 2018 it really is confusing and weird! but who cares, let's focus on NED! YAY! 🤗🤩 Link to comment Share on other sites More sharing options...
Tom Galli Posted December 3, 2018 Share Posted December 3, 2018 Paula, My oh my - NED! My absolute favorite abbreviation. Enjoy! Stay the course. Tom Link to comment Share on other sites More sharing options...
Rower Michelle Posted December 3, 2018 Share Posted December 3, 2018 Hey Paula- Happy dance & thanks to God for your new friend NED. That’s awesome! You’re an inspiration- thanks for being there for us!! Michelle Link to comment Share on other sites More sharing options...
Roz Posted December 4, 2018 Share Posted December 4, 2018 So happy to hear that you are NED!!! Best, Ro Link to comment Share on other sites More sharing options...
LaurenH Posted December 21, 2018 Share Posted December 21, 2018 Paula, that’s wonderful news! We’re very happy for you! Lauren — Digital Community Manager LUNGevity Foundation Link to comment Share on other sites More sharing options...
PaulaC Posted December 22, 2018 Author Share Posted December 22, 2018 Thank you Lauren! Link to comment Share on other sites More sharing options...
hope16 Posted December 22, 2018 Share Posted December 22, 2018 Awesome news... Link to comment Share on other sites More sharing options...
Mark C Posted January 6, 2019 Share Posted January 6, 2019 Great to hear!! Link to comment Share on other sites More sharing options...
Road bum Posted February 16, 2019 Share Posted February 16, 2019 Best news in the world. Link to comment Share on other sites More sharing options...
Seventhson Posted February 16, 2019 Share Posted February 16, 2019 Great news good for you. Very happy for you. Link to comment Share on other sites More sharing options...
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