I think my mum has lung cancer - waiting for formal diagnosis

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Hi everyone,

It’s a bit of a long story but I’m desperately worried about my mum. She had an incidental finding of a lung lesion on a CT scan last October (she was in A&E for sudden vision loss). She was diagnosed with wet Age related macular degeneration and went from being independent and able to drive to barely being able to see and not leaving the house.

The lung nodule didn’t seem like a big deal (no urgent follow up etc) and she didn’t tell me that she had a CT scan in early Nov last year. I’ve only just found out that due to her sight loss, she hasn’t been opening her mail, and missed three follow up appointments that were made for her very shortly afterwards. 

She was sent a letter dated 28 Nov that she only opened last week - a whole five months later. The letter has the results of the CT scan and references:

- a 16mm nodule in the left apex of the lung, which is concerning for early stage lung cancer

- a 10mm subsolid nodule in the right middle lobe of the lung which is also suggestive of early stage lung cancer 

- a 22mm cyst in the head of the pancreas that requires further assessment.

She had a PET CT contrast scan last week and they’ve called her in for an appointment with the lung cancer lead (the secretary’s words) next Thursday.

My head is spinning and I’m so worried for her. She has lupus and her health is really poor. She can’t walk far, has joint problems, and I just don’t see how she could cope with any treatment, if it is lung cancer. She’s only 71 and I cannot face the prospect of losing her.

I’m not sure what I’m asking for or why I’m posting. As other people have said, the waiting is so so hard. I guess it would be helpful to know if they can diagnose lung cancer from the PET CT scan alone? Or will they need to do a biopsy?

If they use the phrase “suggestive for early stage lung cancer” does that mean it almost definitely is or is there a chance it might not be? I’m guessing that because they’ve got her in so quickly, it’s likely to be a definite lung cancer diagnosis? At the moment, I’ve steeled myself for it to be cancer and to focus all my energy on supporting her.

I think I’m most worried that it’s just been left for 5 months. I’m so, so worried. 

Cathy xx

  • Hi    You sound so anxious, please try your best to take one step at a time. These scans are accurate and the experts know what they are looking at, but they will need to do a biopsy to inform them which form of cancer it is.  Once they find out which one it is a team will then decide which treatment will suit her best. Every person is accessed by state of health etc to the individual. She will be in good hands, these guys do a brilliant job. So once this process gets underway it will be more clearer to you what path you will follow. I wish you and your mum all the best. It’s a stressful tme for patient and family but there are many people hear to listen if you need backup for your sanity.  Best wishes EllaHeart

  • Thanks so much Ella. I really appreciate your kind words. This group looks like a lifeline and I’m so grateful to have found it. Heart

  • Hi Cathy,

    I am currently in the same situation with my mum.

    My mum's been having problems with her memory and missing appointments not telling anyone about letters since October last year.

    I took her to gp about her memory and he printed me off a letter saying they were concerned about lung cancer.

    We seen the respiratory clinic on Tuesday who took and X-ray and the area they are concerned about has grown, the Dr also told me that if it is cancer she wouldn't be fit enough for any treatment. She's only 59. They said they wouldn't want to give her treatment that would make her any more unwell than she already is. 

    We are waiting for a CT scan and the Dr wants to proceed with the biopsy after that, but I've said to her that if she won't be able to get treatment I don't want her to be put through any invasive tests if it won't change the outcome.

    She said if she can diagnose with just the CT she will, so it must be possible but the way she was talking it's not guaranteed that she can diagnose with CT only.

    This limbo of not knowing is horrible, I just wanted you to know your not alone. I think any suspicions are taken quickly for more tests, the Dr I seen said she will get the CT very soon. The sooner the better because my heads doing overtime and I feel like my whole worlds stopped.

    Treatment has come on so far with lung cancer, unfortunately my mum has already had throat cancer 13 years ago and has been a very unwell we lady for the past year with COPD and heart attack on top of it. And her memory issues too.

    1. I will be praying for both of our mums.

    Steph x

  • Oh Steph, I’m so sorry to hear about your mum. It sounds like an identical situation. Everything you’ve said resonates.

    My mum is also suffering with memory loss and impaired cognitive function. Which makes me worry about brain mets (there’s a 2cm legion in her brain). She’s also extremely claustrophobic so I can’t see her agreeing to radiotherapy.

    I’m really sorry for what you’re going through. Praying  that there’s some good news / hope for both our mums. Here if you ever want to chat. The waiting and head spinning is the worst. Everything crossed they get the CT done asap and you have a plan. Xx

  • just a thought   perhaps both of you ask your mothers team to cc you on all the letters etc.....just so you both know whats going on  take cake x

  • Aww thank you so much, I am also very worried that these brain issues could be related.

    The doctor has requested the CT to be of my mum's brain also so that's good she's doing that.

    The waiting is the worst, just simple conversations always have my brain going a million miles forward.

    The only blessing right now is my mum is forgetting things, she doesn't seem to be scared or worried. Well on the outside anyway.

    I am here if you ever want to talk, I'm sorry you are in this position too.

    All we can do is hope for the best possible news Heart

    S️teph x

  • Hi Ella,

    I am currently in the process of getting power of attorney in place but the lawyers want me to get a letter of capacity. And I'm not having much luck getting that from the Dr.

    I've made them aware about the issues and they have put my number on my mum's file so they can let me know about appointments.

    Her own GP surgery won't deal with me unless I have power of attorney in place and keep doing my mum and she doesn't remember .

  • hi Steph    this is the last thing you need at this time. Try contacting her Macmillan nurse and see if she can help you move forward with this   Sometimes these nurses can send you in the right direction. ( they also keep the oncologist informed, i know this because conversations i have had with the nurse in the past have been related back to them, when having my session with him) They are so good and caring and wouldn't like to know you are going through this situation, its unpleasant and worrying enough without these hurdles.  Im sure someone on this site can assist you. Im not a nurse myself, i too am a cancer patient but these guys will work hard to assist you  They are the best....

  • She doesn't have a mcmillan nurse or anything like that.

    I think she possibly did back when she received her treatment through the beatson years ago. 

    At the moment she's only got me trying to get appointments sorted on her behalf I'm sure once she's had the CT scan we will be in a better position.

  • there should be  a Macmillan hot line in your area give them a ring   or on this site   i'm sure they might be able to guide you in the meantime.       once the scan has been done and they have the results and moving forward she will be assigned one/group.   a worrying time for you.   Make sure you keep in good health  she will need you to be strong for her       we on here will look after you   good luck x