Teddy, we're not doctors here; just well-read breast cancer survivors. I feel your doctor, with access to your medical history and test results, could answer these questions better than we could. If you don't feel you're getting a straight story from your oncologist; and/or you don't feel the "wait and watch" approach for the lung nodule is reasonable, your best bet would be to ask for a referral for a second opinion, OK? It's perfectly wtihin your rights, and it sounds like this might both lower your stress level, and provide the answers you're seeking. Best of luck- PJH
When I developed shortness of breath and a dry cough after my breast cancer treatment, the first thing doctors checked for was lung mets. Since it turned out that I didn't have anything visible, they moved on to checking for heart issues and asthma. We also discussed the possibility of radiation damage to the lung. Your chills do sound more like some sort of infection such as pneumonia or pleurisy, so maybe you had a combination of things going on. Those lung nodules might not be mets, but they are growing, so they should be taken seriously. A PET scan might be able to determine if they are cancer if they are in an area that would be too invasive to biopsy easily.
I'd be inclined to ask for a second opinion from a comprehensive cancer center if you are not already being seen at one. It sounds like your doctor hesitates to be upfront with you about the extent of your disease, and you seem to be a person who wants all the information even if it is discouraging. Also there may be other treatments besides the hormonal one you are taking. Aromasin and its cousins can be very effective, but it I'm wondering if chemo might also be a good option. I'm not a doctor, and I don't have all the facts, but talking to a breast cancer specialist would give you an expert opinion on what the nodules are and what to do next.
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