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need 2nd opinion lung surgery

Forums General Melanoma Community need 2nd opinion lung surgery

  • Post
    Terra
    Participant

      hi – derek has a metastasis in a right hilar node – it showed up on a pet scan 2 years ago and is now growing (although slowly) surgeon at our hospital says it is unresectable – would love a second opinion anyone ever have this done and who was your surgeon?

       

      we are likely starting Il-21 vs DTIC in a couple of weeks but if this is removable we want that option – derek is 37 and in otherwise good health

       

      thank-you

      hi – derek has a metastasis in a right hilar node – it showed up on a pet scan 2 years ago and is now growing (although slowly) surgeon at our hospital says it is unresectable – would love a second opinion anyone ever have this done and who was your surgeon?

       

      we are likely starting Il-21 vs DTIC in a couple of weeks but if this is removable we want that option – derek is 37 and in otherwise good health

       

      thank-you

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    • Replies
        acyr
        Participant

          Hi Terra,

          Did you contact Anthony at PMH for a second opinion on the resectable or not surgery?  I am sure he can provide one? It is hard for someone else to give an opinion without knowing the full details, but it is always worth getting a second opinion if there is time to do so.  I would encourage you to do so to give you better comfort in the path you both want to take.  Let me know if I can help.

           

          Annette

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          acyr
          Participant

            Hi Terra,

            Did you contact Anthony at PMH for a second opinion on the resectable or not surgery?  I am sure he can provide one? It is hard for someone else to give an opinion without knowing the full details, but it is always worth getting a second opinion if there is time to do so.  I would encourage you to do so to give you better comfort in the path you both want to take.  Let me know if I can help.

             

            Annette

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            ChrisB
            Participant

              I also have a met in the right hilar node.  I was told that it would cause me to loose an entire lung if they tried to remove it due to its location.

              Four years ago another patient posted that he did have his removed.  Here is the link to his post and followup questions:http://community.melanoma.org/cgi-bin/mpip/dbforum.pl?header=search&db=main_bb&post=337338

               

              My best to you and Derek,

              Chris

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                Terra
                Participant

                  Chris, did you think about the possibility of doing what the "1 lunger" did or was it not possible.  i have followed your posts for awhile – thanks for replying and hope you continue to do well on your trial.

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                  Terra
                  Participant

                    Chris, did you think about the possibility of doing what the "1 lunger" did or was it not possible.  i have followed your posts for awhile – thanks for replying and hope you continue to do well on your trial.

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                    ChrisB
                    Participant

                      Thanks for the well wishes Terra.

                      Yes, I've considered the possibility of going the same route as "1 lunger".  My onco was against it but has concurred that it is still a possibility if all else fails and a surgeon will do it.  Being that this hilar tumor is still active and tries to cause me grief every so often I may have to go that route.

                      All my best,

                      Chris

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                      ChrisB
                      Participant

                        Thanks for the well wishes Terra.

                        Yes, I've considered the possibility of going the same route as "1 lunger".  My onco was against it but has concurred that it is still a possibility if all else fails and a surgeon will do it.  Being that this hilar tumor is still active and tries to cause me grief every so often I may have to go that route.

                        All my best,

                        Chris

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                      ChrisB
                      Participant

                        I also have a met in the right hilar node.  I was told that it would cause me to loose an entire lung if they tried to remove it due to its location.

                        Four years ago another patient posted that he did have his removed.  Here is the link to his post and followup questions:http://community.melanoma.org/cgi-bin/mpip/dbforum.pl?header=search&db=main_bb&post=337338

                         

                        My best to you and Derek,

                        Chris

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                        Hi, in 2 weeks it will be 2 years since my husband was diagnosed with stage IV melanoma with inital mets to his rib, spine and lung. 3 oncologists all said that the lung met was unresectable, i asked them to refer me to a cardiotherasic surgeon who said it was easy surgery… don't take no for an answer unless you hear it from at least 2 people who will actually preform the surgery! If i was you I would get a 2nd opinion for the surgon. Regards Tina

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                        Hi, in 2 weeks it will be 2 years since my husband was diagnosed with stage IV melanoma with inital mets to his rib, spine and lung. 3 oncologists all said that the lung met was unresectable, i asked them to refer me to a cardiotherasic surgeon who said it was easy surgery… don't take no for an answer unless you hear it from at least 2 people who will actually preform the surgery! If i was you I would get a 2nd opinion for the surgon. Regards Tina

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                        jag
                        Participant

                          Well, sad to say, that the only treatment for hilar node metastases is pneumonectomy(as far as I know).  If you look through my patnet, you will see that I went through a lot to keep that lung, but to no avail.  Unfortunately IPI was not available at that time.  I definitely would have gone for that.  That said, if he has more than just a hilar node metastasis, probably better off trying systemic therapy.  My philosophy has always been to get rid of melanoma to minimize metastasis.  At first, living with one lung was  a tough deal (for about a year), I hardly even notice now and I am still alive.  My Doctor was Raja Flores at MSKCC, I investigated cyberknife to see if that might work, but he explained to me that if I did that, it might weaken the vessels in that area, and make the lung unresectable if that were the case.  I would be happy to correspond with you if you have any further questions.

                          John

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                          jag
                          Participant

                            Well, sad to say, that the only treatment for hilar node metastases is pneumonectomy(as far as I know).  If you look through my patnet, you will see that I went through a lot to keep that lung, but to no avail.  Unfortunately IPI was not available at that time.  I definitely would have gone for that.  That said, if he has more than just a hilar node metastasis, probably better off trying systemic therapy.  My philosophy has always been to get rid of melanoma to minimize metastasis.  At first, living with one lung was  a tough deal (for about a year), I hardly even notice now and I am still alive.  My Doctor was Raja Flores at MSKCC, I investigated cyberknife to see if that might work, but he explained to me that if I did that, it might weaken the vessels in that area, and make the lung unresectable if that were the case.  I would be happy to correspond with you if you have any further questions.

                            John

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