Secondary cancer in lymph node’s

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Hi I have had oesophageal cancer which I have had chemo and op to try to cure finishing last March. 
on my yearly check up nodules were found in my lungs along with enlarged lymph nodes.  The lymph nodes in my chest and shoulder showed up on the pet scan as hot.  The consultant spoke to me about my cancer returning and that this time the aim of any treatment is containment, he has done a referral to oncology on this basis.  He did however refer me for a lung ultrasound and biopsy.  The specialist who carried out this procedure last week said he couldn’t see anything abnormal and didn’t do a biopsy, he did do a flush test.  
my question is could this mean it is actually an infection rather than cancer? I am really scared to get my hopes up but not sure what it means.  I am not sure when I will hear about any results/report but expect it to be next week.  
thank you 

  • Hi JacPoP

    My name is Alison and I am one of the Cancer Information Nurses with Macmillan Cancer support. Thank you for getting in touch with us and I hope you find the online community a helpful and supportive environment.

    I am sorry to hear that this has been an anxious time for you.  You state that on your yearly check up nodules were found in your lungs along with enlarged lymph nodes, and that your consultant spoke about your cancer returning and has referred you onto oncology.  Your lung ultrasound was carried out last week without doing a biopsy. The specialist performed a flush test, which would have been used to collect samples for further analysis.  If the flush test does not reveal anything abnormal, it could suggest, and infection is more likely than cancer.

    Enlarged lymph nodes due to infection or inflammation can appear as hot spots on a PET scan.  Infections such as tuberculosis, sarcoidosis, or other inflammatory conditions can cause this.  These conditions JacPop can lead to increased metabolic activity in the lymph nodes, mimicking cancer.  However, further evaluation is still necessary.

    You will hopefully get your results next week and then with these results can ensure that a suitable treatment plan is put in place for you.

     

    Best wishes

    Alison W, Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email

    Ref/ RH