renee_ky Posted July 31, 2004 Share Posted July 31, 2004 There is a 4.0x3.8 cm diameter lymph node located between the superior vena cava and trachea that measured only 10x12 mm in diameter on the previous CT scan. This lymph node has quadrupled in size since the last scan and could impinge on the superior vena cava restricting the return flow of blood from the upper half of the body, as well as compressing the trachea increasing breathing difficulty. There are multiple new lymph nodes in the anterior mediastinum (Anterior mediastinum is the area in the center of the chest, between the lungs that contains heart and large blood vessels entering and leaving the heart, trachea, esophagus and several lymph nodes). This mass is surrounding and decreasing the blood flow to the left lung as well as the blood flow returning to the heart from the left lung. Furthermore it is "clogging' the main airway supplying the left lung (left mainstem bronchus). This essentially means the right lung is doing most, if not all of the breathing. There is a tiny pericardial effusion that is new. This means the sac which contains the heart and usually contains only a few drops of fluid has filled up with fluid. When severe enough this can limit the ability of the heart to expand properly. There is a new mass in the left upper lung lobe There is volume loss in the left lung and there are patchy reticulondular opacities throughout the left lung that appear essentially unchanged and remain suspicious for lympgangitic tumor spread within the lung. The left lung can't hold as much air as is used to. The opacities means the cancer cells are traveling through the lymphatic sytem forming densities in addition to distince masses. This was already known based on the bulky mediastinal lymph nodes. There is a metastasis to the rib that has eroded the rib causing a blood clot to form adjacent to the sac the lung is in. Rib # 6 is broken, metastasis in rib #4. There is tumor metastases in the pelvic bones which are destructive and increasing in size. pre-existing tumor nodules in the liver have doubled in size and new nodules have appeared. There is small, approximately 1.5x1.3 cm diameter enhancing mass in the left adrenal gland that is new and suspicious of metastasis lesion. The right adrenal gland remains within normal limits. By enhancing they mean it takes up contrast dye which indicates increased blood flow, and likely indicates a tumor metastasis. Quote Link to comment Share on other sites More sharing options...
JaneC Posted July 31, 2004 Share Posted July 31, 2004 Renee, I'm so sorry for the discouraging CT results. Hopefully the new treatment will turn things around. Praying for you, Jane Quote Link to comment Share on other sites More sharing options...
Don Wood Posted July 31, 2004 Share Posted July 31, 2004 Renee, so sorry. My prayers are with you both. Don Quote Link to comment Share on other sites More sharing options...
Donna G Posted July 31, 2004 Share Posted July 31, 2004 This CT was before Chemo, praying the chemo really knocks its socks off. Donna G Quote Link to comment Share on other sites More sharing options...
kimblanchard Posted July 31, 2004 Share Posted July 31, 2004 My goodness. But as Donna said, this is the starting place. Crossing fingers, toes, eyes that VP-16 is exactly what he needs right now. Keep us posted and best of luck. Margaret Quote Link to comment Share on other sites More sharing options...
brm1949 Posted July 31, 2004 Share Posted July 31, 2004 My prayers also that the treatment turns everything toward the good. Quote Link to comment Share on other sites More sharing options...
Guest bean_si (Not Active) Posted July 31, 2004 Share Posted July 31, 2004 Renee, My prayers go out to you and your husband. May God guide the physician. May He hold you both in his hands so that you know comfort. Cat Quote Link to comment Share on other sites More sharing options...
Margaret Posted August 1, 2004 Share Posted August 1, 2004 Prayers that this treatment program will work and the next scan will show vast improvement. Margaret Quote Link to comment Share on other sites More sharing options...
mhutch1366 Posted August 2, 2004 Share Posted August 2, 2004 Renee, Prayers........ I cannot speak more eloquently than cat, nor more directly to the matter. XOXOXOXOXOX Prayers always, MaryAnn Quote Link to comment Share on other sites More sharing options...
Ann Posted August 2, 2004 Share Posted August 2, 2004 Praying that the new treatment will be very successful!!! Have faith and never give up on miracles!!!! Quote Link to comment Share on other sites More sharing options...
karenl Posted August 3, 2004 Share Posted August 3, 2004 Renee I was saddened to hear the discouraging results. I hope that the course of treatment is able to turn things around. Karen Quote Link to comment Share on other sites More sharing options...
stand4hope Posted August 3, 2004 Share Posted August 3, 2004 Renee, I thought I had already responded to this. Guess not. I, too, am sorry you got these results. Please know that you are both in my prayers. Love, Peggy Quote Link to comment Share on other sites More sharing options...
Connie B Posted August 3, 2004 Share Posted August 3, 2004 Dear Renee, Just wanted to add my prayers that the chemo will kick some butt! I'm sorry you both had to hear that bad news, but we don't ever give up HOPE! Stay strong and keep us informed. Love, Hope and Hugs, Connie B Quote Link to comment Share on other sites More sharing options...
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