Bronchoscopy

Today I was finally scheduled to undergo my bronchoscopy.  I was more nervous today than I had been through this whole ordeal.  I had been positive every step of the way except today and I finally had enough roller coaster rides and being strong for everyone and myself that I ran out of positives and started feeling down.  I was afraid I wasn't going to make it through the procedure for some reason and started thinking negatively.  It's easier said than done, but after I had my moment of feeling sorry for myself and worrying about how my kids would have to handle all financials associated with me being gone, I decided to write some information down that morning.  I felt bad for my mom that I had to give it to her but I didn't have any other documentation and someone needed the information and if you can't trust your own mother.... well then you have to turn to dad.  After I gave her my paper, I bent down and pulled myself back up by my bootstraps and told myself that nothing good comes with negative thinking so I started to pray a lot in hopes to ease my mind and to give me serenity.  This was the beginning of a lot of answered prayers.  Below was the medical findings of the test:
Procedure: After obtaining informed consent, the scope was passed under direct vision. Throughout the procedure, the patient's blood pressure, pulse, and oxygen saturations
were monitored continuously. The BF-H190 Scope T was introduced through the mouth, via the endotracheal tube (the patient was intubated for the procedure) and advanced to the tracheobronchial tree of both lungs.  The BF-UC180F Scope T was introduced through the nose, via the endotracheal tube (the patient was intubated for the procedure) and advanced to the tracheobronchial tree of both lungs.
Findings:
The endotracheal tube is in good position. The visualized portion of the trachea is of normal caliber. The carina is sharp. The tracheobronchial tree was examined to at least the first subsegmental level. Bronchial mucosa and anatomy are normal; there are no endobronchial lesions, and no secretions.  Transbronchial needle aspiration of a lesion was performed in the left and right paratracheal and subcarinal areas using an Olympus EBUS-TBNA 22 gauge needle and sent for routine cytology. The procedure was guided by ultrasound. Three samples were obtained.  An endobronchial ultrasound endoscope was utilized to systematically examine in the left and right paratracheal and subcarinal areas in order to assist with fine needle aspiration.  Rapid On-Site Evaluation (ROSE): Preliminary cytology of the lesion in the left and right paratracheal and subcarinal areas is suggestive of a benign lesion (final results are pending).  Transbronchial biopsies were performed in the left upper lobe and in the apical-posterior segment of the left upper lobe using forceps and using a Wang needle and sent for routine cytology. The procedure was guided by fluoroscopy. Two biopsy passes were performed. Two biopsy samples were obtained.
Impression: - The airway examination was normal.
- A transbronchial needle aspiration was performed from 4R region ( US consistent with mediatinal fat), 4L (5mm node) and 7
- Endobronchial ultrasound was performed.
- Rapid On-Site Evaluation (ROSE): Preliminary cytology of the lesion in the left and right paratracheal and subcarinal areas is suggestive of a benign lesion (final results are pending).
- Transbronchial lung biopsies were performed from the LUL lesion; pt had bleeding which required tamponade with the scope after the second biopsy; no other biopsies were performed.
FINAL PATHOLOGIC DIAGNOSIS
Left lung, upper lobe; transbronchial biopsy:
- Single fragment of bronchial mucosa and submucosa with chronic inflammation and rare atypical cells. See comment.

Comment
Multiple deeper sections are examined. TTF-1 and p40 immunostains are
non-contributory as the atypical cells are not present in the stained sections.
 
So initially the lymph nodes looked good but the mass had atypical cells and the biopsy would have to be sent out.  My surgeon was thinking we were looking at Stage 1A cancer.  Now the waiting for the test results and then the scheduling of surgery which was set for Oct 6, 2016 after the biopsy came back.