Lung cancer diagnosis

Hello

Recently my 73 year old Mum went into hospital after fainting and breaking her leg. She has been in hospital for 5 plus weeks now being treated for postural hypotension that they think is causing her fainting. During the routine tests they found a lung lesion. They say they cannot do a biopsy because of it’s position. It showed as a very high suspicion of malignancy on a PET scan. Initially they said the next step would be to surgically remove the lesion and then send a sample for tests. However, now they are saying they first need a lung function test to determine whether she is fit for surgery. She has smoked a lot for 50 plus years, has COPD and her mobility and fitness in general have been bad for some years.

I wondered if anyone can explain to me what happens next if she is deemed unfit for surgery. How will they ever know what the lesion is without a biopsy and therefore how can they treat it? Do they re-scan to see if and how it is growing? Would that prove that it’s a malignancy? They are also not sure if she would be fit enough for radiotherapy. I presume this means ditto for chemo? So in this case, she is simply on palliative care?

thanks in advance for any help

  • Hello Hedgehoghaz and thanks for posting

    I am sorry to hear about your Mum being in hospital at the moment and that they have found a lung lesion they are concerned about. This understandably is a worrying time for the family and no doubt you have some questions.

    At the moment it sounds like the doctors are wanting to assess your Mum's lung function to find out whether she is suitable to have surgery. As they have explained to you the lesion doesn't seem to be in a position that they can easily access to take a biopsy from, and this is needed to confirm what this is. 

    Whilst a PET scan can in part diagnose a cancer, the biopsy determines the type of cancer according to the cells seen in the sample under the microscope. Therefore if a biopsy is unobtainable surgery is the next step to remove the lesion to find out more.

    Unfortunately as no one on here is directly involved in your mum's care it is difficult to say what will happen next if she is unable to have surgery. This is something only the nurses and doctors involved in her care can tell you.

    Some lung lesions are monitored at regular intervals ( known as watch and wait) to check for changes so if surgery isn't possible the doctors may decide this is a possible option.

    Treatments for cancer are different depending on the type, location and stage of cancer as well as a person's fitness levels. There really isn't a one size fits all approach to treatment as it really depend on the individual patient situation. Usually the information gathered from any tests and investigations is discussed by a team of specialists and the best way forward talked through with the patient and their relatives.

    There are instances when a patient sadly is unable to have treatment and when this happens the doctors and nurses will ensure the patient is kept as comfortable as possible.

    I hope this is helpful and you find out more very soon. Do get back in touch if you have further questions or alternatively give the nurses a call on 0808 800 4040 if you prefer to talk things through over the phone. We're here weekdays 9-5.

    Best wishes to you and your mum

    Naomi