Puzzlement after poor communication

Two years ago, lung nodules were incidentally discovered in a scan for something else. I was called into hospital for further scans and then had an urgent appointment with a consultant who told me that I was to have an urgent lung capacity test with a view to my being referred to surgeons to remove the lower lobe of my RH lung. Shocked, I queried this and was told that the probability was of cancer but they could not be certain until after surgery. When I asked why I could not have a biopsy, I was told 'because we do not have a needle long enough'.

Because of going to my employers and warning them that I might need a chunk of time off, I lost my job. I then had to live for 2 years, on my own, believing that I had lung cancer.

I was fortunate to then have a biopsy part of a trial of navigational bronchoscopy. The report said that I had cancer but 'the right sort' as mitoses of less than 2 meant it was currently indolent. This was then confirmed by a Dotatate PET scan. Since then I have had 6-month follow-up CAT scans which have identified further nodules of varying sizes.

I have now been moved to another team, the leader of which has written to me to say that he has looked at my scans and thinks my nodules are benign so I am being discharged with no further follow up. I appreciate that this is very good news but I do not understand it. I wrote back about 3 months ago to point out that I had a biopsy and a dotatate scan, and to ask questions, but have receeived no reply. Should I not have at least annual follow up? Do indolent nodules stay indolent or do they progress to something malign?

Has anybody else had similar experiences?

  • Hello and thank you for posting.

    I am so sorry that you have gone through all this and I can understand you would want to have your questions answered.

    Unfortunately, we can not give a medical opinion as we are not doctors. However, I would recommend that you contact PALS (Patient Advisory Liaison Service) at your hospital trust and explain you have unanswered questions about your care. You could also contact your GP to see if they know of any further information.

    An indolent (non-active, mainly benign) cancer is progressing very slowly and is a nodule that the patient is likely to die with, rather than off. This is why all nodules need to be thoroughly assessed, and watchful waiting or surveillance is used, as otherwise 'over-treatment' (treatment that is not needed) can occur.

    I am sorry we are unable to help further. If you want to talk things through with one of the nurses on our helpline the number to call is Freephone 0808 800 4040. The lines are open from 9 am till 5 pm, Monday to Friday.

    Sarah.