lung cancer surgery

hello

, my mum who is 59 has recently been diagnosed with NSCLC squamous cell carcinoma in her right lung, it has been staged as stage T1A NO MO (the earliest possible stage) this is the clinical stage, she is due to have a upper locetomy this month to remove the tumour, however the doctor says that during the operation they will do a frozen biopsy on the lymph nodes in the lung and if the cancer has spread to these they will stop the surgery there and not remove part of the lung, and look at other treatments. I was wondering why dont they just take out the lymph nodes that carry the cancer (if they do) and carry on with the operation and as this is the best chance to cure it? She has also been told that she may have chemotherapy after the surgery as this gives a 5% chance of preventing reurcurrence, is this worth it as iv'e heard there are alot of side effects with this treatment.

  • Hi Artois

    I can't help you with the logic behind the operation but we do have a lot of people who come on terrified of chemo and side effects.

    In truth there are many many different types of drug used in chemotherapy and many types of cancer and as such people have different experiences of it.

    My wife had a day or two of flu-like syptoms a couple of days after each treatment and the hair loss but that was about it, there are many other people on here also doing really well with their chemo. Of course others have much more difficulty with side effects it can be hard to predict but what I can say is that if you get a recurrence the outlook can be, well not great. 

    Your mum has been so lucky to have had this caught so early. It's quite rare that people come on here and say that someone has been diagnosed at this stage, mostly you hear of people who have been diagnosed at stage 3 or 4.

    I would say anything you can do to lower the risk of a recurrence even by 5% has got to be worth it. I know afterher first series of chemo treatments if someone had come to my wife and offered her a 5% reduction of the chance of a recurrence we'd have bitten their arm off at the elbow to take them up on it.

    Good luck to her I really hope the operation goes ahead and there's no lymph node involvement.

    When is the operation?

    Do stay on and tell us the result - especially if it's good news - there's nothing we like more than hearing success stories of people who are fighting this and winning
     

  • Hi Graham, thankyou for the quick reply, I have spoken to my mum and she has decided to have the chemo as any chance that stops a recurrence is better then none at all, thanks for the advice on chemo her operation is booked for the 12th April, the reason it was found at such an early stage is because she had a very rare lung disease 3 years ago which the doctors thought was cancer but it turned out it wasn't and since then my mum has regular screenings and that's why they found it early before it spread. I shall post an update after the operation . Thanks again, Sam.

     

     

  • hi artois 2602.sorry to hear about your mum.i have nsclc it was found at stage 3.the tumour was 5 half cm in my left lung.no spread.i had 5 rounds of chemo which shrunk the tumour to 2cm.i have just had op to remove it two weeks ago.dont feel to bad at the moment.they took the lymph node at same time.just waiting to hear if the lymph nodes are clear.so hoping they are.if there are cancer cells in them will have to have more treatment.so praying they are clear.best wishes to you and your mum.hope everything goes well.kate x

  • Hi , if I didn't know better I would say you were my daughter talking about me! I have the same diagnosis as your mum although I have been told they will be removing lymph nodes at the same time as the surgery. Did your mum have a bronchocopy? Cos I understood that test were done on lymph nodes during this procedure.

    I agree with you that what your mum has been told seems to make no sense I have yet to meet with the surgeon I hope this theory is not the norm. Wishing your family the best please continue to ask questions 

    Dee

  • Hello, I'm sorry to hear about your mum. It might, and only might be because squamous cell carcinoma is usually in the lining rather than a visible tumour so it's possibly in places you can't see? I don't understand why they don't just carry on. I always think to myself why don't they do this or that, just get the tumour out but I guess it's not that simple. If it's in the lymph nodes it had the potential to travel anywhere. I hope it all goes well for your mum and others who are fighting.