Refered to Indiana

We met with Dr. Lewis this morning. He was "very concerned" about the calcified lymph node from the right paraarotic region. He said it is a little bit smaller, but really is an abnormal finding and he would really feel more comfortable for the experts at Indiana University to review the CTscans, lab work, etc and see if they want to surgically remove the node. The surgery would be a paraaortic lymph node dissection. Dr. Lewis said there is about a 20% chance that the lymph node has active cancer in it. We could choose to wait and obverse it through routine CTScans or we can do the surgery. He really thinks we should just gather all the data and see what the doctors in Indiana want to do. The surgery is not a minor one by any means. This is a highly specialised operation and is not available at all treatment centers. The paraarotic nodes are right along the major artery in your abdomen and also run near nerves. Dan would be in the hospital for 1-3 days on average depending on if they do it open or laprascopic. It would be done by a vascular surgeon or a general surgeon who has experience with this type of surgery. There is still a chance we do nothing, but we will have to see what Indiana says. It will probably take a couple weeks to get everything approved before we go there. We will keep you updated.