has cancer returned?

It had been an agonising 2 weeks since I received my latest CT scan results on 26 Nov 2008. Has cancer returned? Is the time-bomb in my right lung about to explode?

This is the second time in 2 years the report says, "suspicious of pulmonary metastases". This means cancer is suspected to have spread to the lung. The nodule on the upper lobe of my right lung has increased in size from previous 0.2cm to 0.6cm. There are 2 other smaller nodules on the lower lobe. The report sounded like a second death sentence. I wished it was a mistake. I wished it was all a bad dream. I wished I did not have to relive the agony of cancer.

My oncologist looked worried. He showed me the scanned images on the computer. I saw the 3 nodules. He added cautiously, "we don't know if it is cancer but anything that grows at this rate is likely to be cancer." Dr Wee gave me 4 options to consider. I asked to see a surgical oncologist. He referred me to Prof Koong, the head of surgical oncology at NCC, who specialises in lung cancer.

Prof Koong was on leave, so I was scheduled to see him on the day he returned - 12 Dec 2008. But on Tue, his nurse called to ask me to come a day earlier. I am thankful to PS who took time to be with me. Prof Koong patiently explained the need for surgery & advised that the surgery should be done as soon as possible to prevent further complications. The nodule tissue will be sent for lab tests to determine if it is malignant (cancer). This is a major operation which will take probably 2-3 hours. Post-surgery side-effects include temporary numbness & occasional pain.

Prof Koong gave 2 available dates for surgery - 22 Dec or 19 Jan. We decided on the earlier date although I felt it was too soon. The idea of going for surgery made me very scared. Eight years ago, I underwent a 4-hour surgery to remove a thyroid nodule. I know what it's like to go under the knife. Now I have to go through another one again.

22 Dec is only 10 days away. I will be warded for about a week. This means I will be spending Christmas at SGH. My first Noel in a hospital.

"My flesh and my heart may fail
but God is the strength of my heart
and my portion forever." (Psalm 73:26)

thanks for walking with me through this difficult journey,

tsk tsk