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Synovial Sarcoma - Online Support Group

Concern for pulmonary metastases


#1

I was diagnosed with SS in 2017. Had a tumor on my foot and did amputation on March 2017 followed by chemo. There was no mets initially and everything was fine till i got my recent CT results today. The found 2 tiny noncalcified pulmonary nodules measuring 4mm and 3mm and couple small other ones measuring upto 5mm. Really nervous and worried. Any suggestions advises? Your responses are most welcome.


#2

Sorry to hear that news. Hope you have consulted a synovial sarcoma specialist itself for your treatment. This is the most important aspect of this kind of tumor being a rare type.
What was the tumor size and grade of initial one? Didn’t they propose radiation therapy?
What’s your Dr suggesting for the newly found nodules?

My son was only 11 yrs when he got diagnosed with SS on this neck early this year. He finish surgery and radiation therapy. So far by God’s grace he’s doing perfect.

Prayer can do miracles, from what I read, those nodule may not be an issue it’s just that you need to closely monitor them. God bless and please be in touch.


#3

Hi Mito. Thank you :blush: The initial tumour was on my foot and was 4cm. They said it was grade 3, I can’t remember the grade exactly. But at that time my lung scans were all clear. I am in Canada and have been consulting a sarcoma specialist. I still haven’t got a chance to talk to to the doctor yet, hopefully today. I had the scans and out of scanxiety I got the results from my family doctor even before my specialist calling me. I am waiting to hear back from them today to see what the plan is.

You are absolutely right and prayer brings victory :blush: I will keep you all updated.


#4

I am sorry to hear about the nodules. I know it is very worrying . My daughter has nodules similar in size since her very first CT scan in August 2017. I know it is hard, there has not been a day that goes by that I don’t think about that. . They only way to fight it is to keep the same positive attitude that you had on this since the very beginning. You are are SuperGirl and since you joined the forum you have been very positive inspiration and you need to stay that way to fight this. Life is too short to waste it. I am letting my girl have as much fun as she can and you should do the same for you so you. Some people manage to live with METS for a very long time but you have to be very proactive.

There are a lot of treatments but probably your nodules are still too small for anything as well but you need to probably scan them again ASAP. I would recommend no more than 6 weeks even if you have to pay out of pocket for the scan just to make sure they are not growing rapidly. This things may have always been there but were too small for the CT Scan to pick up. Make sure they use 1.5 mm slices when they do your scans. Some places do 5 mm and that is not enough resolution.

In my daughter’s case after 6 scans they are still about the same in size so they are not recommending anything yet because they are too small for any of the treatments. I wanted to put her on Chemo right away but the 5 oncologist that saw her case in the first 3-4 months at several of the top hospitals in the nation said no. Now I am seeing just 2 oncologist to make sure I get more than one point of view. One lung Dr. wanted to open her chest wall and attempt with her hand to take a couple of the nodules that were close to the lung wall out. I decided to go against that.

Supposedly chemo is more effective when they are growing fast than when they are slow growing. Right now I don’t want to disturb the nodules and decided let my daughter enjoy her life as much as she can. For you, getting an idea if they are aggressive or not will be good to see what is the best action.

The treatments that I am aware off are (not in any specific order)

-Ablation
-Radiation (several types of radiation)
-Cryo-Ablation
-Extraction-Surgery
-Chemo
-Chemo with Immunotherapy (new trial at Miami I just heard a few weeks ago)
-Chemo with Votrient (fairly recent to try more than one drug at the same time)
-Immunotherapy
-Votrient alone
-A Miracle from God (they do happen)

Some of the nodules shrink for a time with Chemo but my understanding is that only removal gets rid of them completely but I have seen people on this forum claim that proton beam radiation worked on a specific nodule. When on any of the radiation treatments you have to also be careful. When they radiate the body try to heal itself. So tumors that are not being radiated or don’t show in scan yet may benefit from the healing process and grow while the tumor being radiated shrinks. Therefore if you do radiation, you still want to be scanned regularly as well.

Make sure that you send your tumor from the leg for analysis. I tried foundation one but unfortunately there was not enough tumor left for them to do the analysis. That will help to determine which trials you are able to join. or if new treatments pop up the treatments may be related to a particular gene.

I hope this helps. I will pray for you as I do for my daughter and everyone else fighting this disease.


#5

Hi I’m so sorry to hear you have lung nodules i read a book written by a woman who had synovial sarcoma and lung mets. I read that she used cryoablation which appears to have worked well for her - this is something that we would seriously consider. All the best!


#6

Hi Supergirl, How are you doing? Did you meet Dr?


#7

Hello Everyone, happy news to share :blush: I did meet with my specialist, he told me there was nothing to worry as the modules are very tiny with the biggest being 4.5mm. He said looks like this is from the heavy cold and infection I had during the time of my scanning. They are going to monitor me and scheduled me for another CT in the March - three months from this one. He said he wasn’t expecting Mets to happen considering the wide margin surgery amputation and the high dose chemo I underwent after that. I am very positive and I am sure my next scan would be clear. I will keep you all updated.
Thank you all for remembering me and my prayers and wishes to all of you :blush:


#8

That’s so great to hear. God bless you🙏


#9

Thank You Mito :slight_smile: Remembering everyone in prayers. The initial report before seeing the doctor was however a wake up call for me to have a healthy lifestyle. I have to focus more on being active and eating healthy. I am such a foodie and eating healthy is my most toughest part. Anyhow i will give it my best. Does anyone of you follow a particular diet plan? exercise?