The Roy Castle Lung Cancer Foundation
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NSCLC, results of CHART

My Mum has NSCLC in one lung. Following an intense course of radiotherapy and a Ct scan the results show today that the tumour has not shrunk, does this mean that the radiotherapy is still working, the last dose of radiotherapy was in Feb 18. Good news that the cancer has not spread to other organs but we have informed that there is an additional 1cm tissue that is concerning them attached to the original mass and could be the start of new cancer activity. It is a 12 week wait for a further CT scan. My question is how likely could this be and if no shrinkage in the original tumour mass in 4 months could the radiotherapy still be working or in my mum's case can this cancer be kept isolated and contained. Discussion with consultant if there is new cancer activity new treatment of systemic would be offered, she was previously informed that immunotherapy was not an option as my mum would not be receptive to this type. This is my first post and I and my mum are really worried of our news today. I would be grateful for any comments or advice and thanks in advance. Louise X X

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Morning! Firstly I’m sorry you and your mum are in this position I know exactly how your feeling right now. My mum in law of 28 years was diagnosed 2 years in June with nsclc. She firstly had 3 rounds of chemo because it was in her lymph nodes. If your mum has had radiotherapy first correct me if I’m wrong but that’s says it’s not in your mums lymph nodes if so that’s really good news.

My mum in law went on to have radiotherapy last November and like your mum it didn’t shrink straight away but the radiotherapy works over months, my mum in laws shrunk by 1 cm and it hasn’t grown since and that was 6 months ago. Keep your mum well, eating good foods and take her and do some fun things with her all the while she is well.

My mum in law has stayed well for the last 2 years it’s just now she’s having a few troubles.

Sounds like your mum has caught it pretty early, I would say though any change in your Mum make sure you tell the doctor or oncologist. If you don’t mind asking how old is she?

Good luck sending positive thoughts. 🌸

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Hello, I am so pleased to hear your mother in law is doing well and the C is being controlled. Yes for my mum no mention of infection in the lymph nodes. It is reassuring to hear although the tumour may only shrink by a small amount that the person can still live a relatively normal life. Thanks for your positive comments much appreciated Louise x

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Hi Ellie2106 I'm sorry to hear about ur mum luv .my hubby was diagnosed n October 2015 with the 7cm nsclc he had surgery to remove this on 6 Jan 2016 by then it was over 9cm an spread into 6 limb nodes so he was to get chemo but oncology said no as chemo would kill him as he's bad diabetic and has epelpsie. So he was getting scans every 3months to keep check and on the second 3month check they found a spot on the remaining part of lung said they didn't think it was any thing then 6 months later it had double n size still did nothing .then in Feb of this year he had a scan and was told it was in cm so it was defo cancer bk and inoperable they can only do high dose of radio 20 sessions over 4weeks.he just finished on 20 April this year. He was hospitalized for 4 weeks during it as it stoped him from eating .So wee don't no nothing yet wether it worked r not have an appointment next week just to see how he is but they don't rescan for 3months which is putting r heads away. So if the radio didnt shrink ur mothers its awfull to hear . Can they not opperate on her r is it the way my hubbys is to close to the heart to opperate .i hope yous get answers make sure u write down everything u want to know and brung it with u cause ther things you always forget when ur their .keep me posted about ur mum love hopefully thers sumthing they can do x'

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Firstly I am sorry you and your Husband have been on such a rough journey. My mum cannot have any surgery as it’s too close to the heart. I pray and hope we all get some good news- it’s the waiting of three months that plays with ur head, keeping everything crossed and sending my best wishes to you both, stay strong x

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Same to you and your mum it's awfull for us to see and wait but nut hubby doesn't speak about it he just keeps it in which isn't good but I no he's very worried about it. You take care of ur wee mum go out do things try take her mind of it lots of prayers are with you from me x

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Hi Ellie2106,

It is good news that your mums cancer has not spread to other organs.

Radiation continues to damage tumour cells for a few weeks or months following the end of the scheduled radiation treatments. This is why doctors often wait a few months after radiation to re-image a tumor with CT scan or MRI.

Some information which may be of interest is available at cancer.gov/about-cancer/tre...

The specialists will be in a better position to advise you about the 1 cm mass which is attached to the original tumour when they have the scan results.

Kind regards,

All the team at the Roy Castle Helpline

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Thank you for this information- much appreciated Louise

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Hi Ellie, can I ask, was is stereotactic radiotherapy that your mum had? Her situation sounds very similar to my mum's.

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Hello, my mum had CHART- continuous hyper fractioned accerarleted radiotherapy treatment 3 X daily for 10 days. It appears it has not worked since the tumour is the same size since Feb18, trying to be optimistic that the R could still be working. Just a waiting game to see this additional 1cm tissue is behaving itself. Fingers crossed for the outcome for all of us X

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Hi Ellie was just wanting to ask if u no eat size the Tumor was when first found on ur mum lung luv before her radio x

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Hi yes it was 5cm now at 6cm, thanks for asking x

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Hi Ellie has it gone from 5cm to 6 from the end of the radio x

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Yes from the end of radio that took place in Feb 18- it’s an additional 1cm that has attached itself. Waiting game to see what activity will present itself, next scan is now early Aug. It’s the waiting part that is the most agonising part/ keeping everything crossed 🤞

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Will do love we've to go on Wed but not sure when his scan. Is due hopefully wee find out then take care x

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Hi Ellie, there are good replies to your question. I hope that you and your mum will get help and support. This is a good site for information from the Roy Castle team and also the members who have gone through chemo/radiotherapy.

Many blessings.

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Thank you Daisy for your kind comments, it is reassuring this site is helping us and keeping our hopes and spirits up X

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