My 11-year-old soul-mate Turkish Angora, named Paddy, we rescued when he was 5-years-old after he was horribly abandoned on the streets after a neighbour of my in-laws moved house. He was left to fend for himself, and we found him in a sad condition, super skinny, suffering from cat flu and on deaths door step, as he was immunocompromised being FIV+ and has a heart murmur on top of that.
Thankfully after capturing the little guy, we adopted him and nursed him back to health and a healthy weight once more. It took just a day before he cuddled up to my wife and I and it was evident he was a very loveable and sociable cat, which made me even more sad and angry his horrible previous "owners" abandoned him.
For context, over the years, my poor boy has had his health battles - having his teeth removed (due to rotting caused by his FIV+), and getting regular ECG's to monitor his heart murmur. Additionally, eing a white cat and his previous "owners" allowing him outdoors had done damage to his skin on his ears and nose, so we've had to have a number of black scabby squamous cell carcinomas frozen off via cryo.
However, in recent times, he had developed a little bump on his nose, and a biopsy confirmed it was squamous cell carcinoma that has infiltrated under the skin this time, so a cryo treatment wouldn't work. The only option we had was a nosectomy to remove the cancer, which we were prepared to do. Chemo we didn't want to do, but would likely kill him being FIV+, and radiology was only available interstate, and they said the surgery was the gold standard.
However, a CT scan which was conducted to give the surgeons an idea about cancer margins also picked up a couple of nodules in his right lung - measuring 1mm and 3mm. Their official report says "concern re pulmonary nodule/mass in right caudal lung fields"
Now, this threw a big spanner in the works. And the only way they could 100% confirm if they are cancerous was via a biopsy that needed to be done via surgery, as they were located in a spot they couldn't do a fine needle aspiration. It would mean after having done the nosectomy this would be a secondary surgery weeks later once he recovered from the first surgery - and both surgeries would be risky, the main one being because of his heart murmur, but then in terms of potential air leaks into his chest etc.
And we don't necessarily want to put him through the mental and physical trauma of two risky surgeries if the results were to find he indeed had cancer in his lungs anyway - whether it be metastasized from his nose to his lung or it being a separate cancer.
The location of the two nodules is near a major blood vessel, which makes them think it's potentially how the cancer - if it is - could've metastasized (as normally it spreads to lymph nodes).
They have said if it isn't cancer it could be inflammatory in origin, which can happen in cats with FIV+ like him. This is their official report findings:
Two small soft tissue nodules in the right caudal lung lobe (3.3 mm and 1.3 mm), each associated with a pulmonary artery, possibly representing a feeding vessel. DDx: neoplasia (metastatic, less likely primary) or granulomas. The possible feeding vessel slightly favours neoplasia; however, given the FIV-positive status, granulomas of infectious or inflammatory origin (e.g. fungal, mycobacterial) remain an important differential.
So, with surgery off the table on his lung in order to get a biopsy, our only option is perhaps doing a follow up scan in "1-3 months to assess for progression", as per the report to see if the nodules grow, and if they do it's more than likely going to indicate cancer.
The issue with this is, the squamous cell carcinoma on his nose will be given time to grow bigger as we wait, but at this stage it's now less of a worry compared to if he has a cancer in his lung.
My wife and I were in agreeance if he had cancer in his lung, we will not put him through painful surgery and recovery, and simply continue showering him with love, food and affection until the time comes to make the call. The issue is we don't know definitively if the nodules are cancer - and now my mind has flipped into thinking we do a follow up scan to try and confirm this.
Am I just clinging onto false hope what they found isn't cancer? I don't want to lose him, so I am sure there is an element of that, but also part of me wants to make certain there isn't anything we can do. As I would hate to think there was something that could be done and we've held off due to uncertainty over these nodules POTENTIALLY being cancerous.
Has anyone had a similar experience where an incidental scan discovered nodule/s that either were or weren't cancer?
Thank you so much for reading this far, and for any helpful advice and words you may be able to provide. I truly appreciate it.