Newly diagnosed (partially)

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Hello all,

i had a routine lung cancer screening, which showed up 3 abnormalities in different lungs.  

At initial respiratory consultation he said i needed pet/ct scan and biopsies before they can formally diagnose me, but didnt deny the likelihood that at least 1 was malignant.

I had the scan and lung function test and had f/u appointment this morning.  So i will have a needle biopsy of left lung on what was described as adenocarcinoma next wednesday, followed by surgery to remove it before xmas.  It’s only stage 1 (13.5mm) but right on the edge of the lung and protruding into the pleura, which is why they will defo remove it.

Something at the back of my throat lit up during the PET, so i’m being referred urgently to ENT and having a head  scan when i go for my biopsy.

The right lung bronchoscopy is being left until after left lung surgery.  It’s also believed to be malignant, but unrelated.  It was first seen 15 years ago, but not thought problematic.  It was 18mm then and is now 31mm, so is seen as slow growing and less urgent than left lung.

My big worry in relation to the biopsy is that i have an insensitivity to  local anaesthetic (a feature of Ehlers Danlos syndrome, which i have).  Sometimes L.A. just doesn’t work, other times i need multiple injections of it. Fall back position is that it would be biopsied at same time as surgery if they can’t numb me next week. 

I’m also worried about having to tell other people.  I had thought i would wait until after the biopsy result,but as its being removed whatever, there’s no reason to wait.  Also i keep having rehearsal conversations going round and round in my head non stop.

Apologies for the length of this ramble.

Good wishes to everyone

  • Hello and sorry to hear what you're going through right now. It’s a lot to deal with on your own so can i suggest you call the lovely folk at MacMillan who I’m sure will be on hand with advice and support.
    With regard to your worry about local anaesthetic being ineffective due to your Ehlers Danlps condition, perhaps you could request twilight sedation but if it’s done at the same time as your surgery you’ll be under general anaesthetic. Discuss this with your specialist. 
    i’m sure your head must be spinning with all that’s going on and others in this group will no doubt respond with support and advice. 
    Apologies not needed at all. 

  • Thanks for your reply, comments and suggestions - very much appreciated.

    although i haven't heard the term twilight sedation, i think i must have had that when i had a spinal cord implant a few years ago - i have no memory of it, unlike a endoscopy i retchedn my way through, desperate to tell them to stop, but unable to!!

  • Hi   welcome to the group, but sorry you have found yourself here. I know it will not feel like it at the moment, but this is why the new lung screening is so important. With lung cancer, you often have no sign it is there, and early diagnosis is so important for a cure. 

    It can be very hard to tell people what is going on, and having to tell people over and over again can be very upsetting for you. Is there someone close to you that you can nominate to be the one to tell people. I have known people to do this before, so you are not bothered by endless questions, they can ask the nominated person instead. 

    I can imagine you are feeling anxious about the local anaesthetic especially after your previous experience. Can you ask to have this done under a general, tell them how concerned you are about it. 

    “Try to be a rainbow, in somebody else's cloud” ~ Maya Angelou
    Chelle 

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  • Hi Chelle,

    Thanks for your reply.

    My Sister is the only person who knows so far and she came to the second appointment yesterday with me.  She has said she will let people know if I want her to, particularly family members.  But she is having her own tough times and is also shocked/stressed by the news. We're both single now and live alone and are each other's main support person.

    It is the thought of all the follow-up questions that feels hard.  Maybe a WhatsApp group for friends who know each other will be a way forwards after the initial telling and. my sister can be part of it.

    They won't do the biopsy under G.A, unless it is done during the actual surgery, which is the back up plan.

    It does feel helpful to have joined here and feel I have a space to say what I need to.

    Thank you

  • Unfortunately the reply I tried to post has just disappeared.....so will come back later to redo it!

  • I can see your reply. I think a WhatsApp group sounds like a good idea. At least you won’t have to repeat yourself to multiple people. 

    Im glad you have found the group. Here is the only place you can talk to people who fully understand what you are going through. 

    “Try to be a rainbow, in somebody else's cloud” ~ Maya Angelou
    Chelle 

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  • Hello there,

    I have a family group so I only have to tell people what is going on once. I find it far less stressful than talking to them all individually. Of course, sometimes people ring to ask questions but that’s ok too. They just want to show their love and care and so they can pass the info on to others that I know.

    Wishing you all the best Daisy x

  • It sounds like you had twilight sedation for your spinal cord implant as it means you’re unaware of pain and stress whilst having a procedure. Also cancels memory of the procedure so it’s well worth asking your specialist/anaesthetist about it. 
    hope that helps. 

  • Thanks, I will research it a bit more and suggest it.

    i have now told a close friend via FaceTime and it felt good that she knows.  We share a black sense of humour which helped!  I also told a small, close family WhatsApp group.  

    Having a number of people knowing now makes me feel less in control of my own narrative….though in many ways that is inevitably true at the moment