The Message of Justice Ruth Bader Ginsburg's operation for two cancerous lung nodules is encouraging but incomplete.
The lower lobe of her left lung, which contained the two nodules, was operated on Friday and scanned before surgery. According to a statement by the Supreme Court, no signs of cancer appeared anywhere else in her body.
"Currently no further treatment is planned," it says in the statement, adding that the Justice will stay at the Memorial Hospital Sloan Kettering Cancer Center in New York, for a few days.
The type of cancer is unknown. It may not be known if biopsies were performed before surgery.
The tumors could be primary lung cancers, ie they originate from the lungs. Or it could be growths that spread to their lungs through cancer in another organ. The judiciary had colon cancer in 1999 and pancreatic cancer in 2009.
"If you have two lesions in your lungs, it usually means that they came from another place," Dr. Raja Flores, Chairman of Thoracic Surgery at the Icahn School on Mount Sinai in Manhattan. "It's probably something that spreads from the pancreas to the lungs."
Since Justice Ginsberg is treated with pancreatic cancer (which is often fatal) 10 years after her treatment, this suggests that she probably had a relatively slow-growing form of illness. Dr. Flores said that he had expected the tumors in her lungs to grow slowly, which he calls "turtles."
The examination of the tissue removed during the operation will determine the diagnosis, he said. 19659002] "If you see pancreatic cells or intestinal cells or just lung cells that will help to dictate further treatment," Dr. Flores, however, added that the judiciary may not need further treatment.
"The fact If this is not the case and there are no signs of disease anywhere else, I can think that she is not in danger of checking out soon," he said. "She should get up tomorrow, as long as she does not She is well, I can imagine that she will be back on the bench in six to eight weeks, I would say earlier, but she is 85 years old. "
Dr. Richard S. Lazzaro, Chief of Thoracic Surgery at Manhattan's Lenox Hill Hospital, said before the biopsies were completed, it was impossible to tell what kind of cancer Justice Ginsburg had in their lungs.
The pulmonary nodules were found when Justice Ginsburg was imprisoned This was a stroke of luck, said Dr. Lazzaro, because it meant the tumors were discovered early before they could spread.
"The prospects for healing are good, provided the tumor is restricted to the lungs and has not traveled anywhere else, "said Drs. Lazzaro.
If it turns out that the nodules are primarily lung cancer, these could be two independent tumors or they could be related, meaning that one had spread to the other. Two independent tumors would most likely have better prospects than a spreading one, he said.
The court's testimony did not say whether the Ginsburg judiciary was subjected to an open surgery that required a large incision or a minimally invasive procedure. In the less invasive approach, surgeons remove the diseased rag through small slits, place it in a pouch, and then pull it out through one of the slits.
Patients generally experience less pain and faster recovery with minimally invasive surgery. but it is not always possible.
Dr. Flores said he spent ten years with Justice Ginsburg's surgeon Dr. Valerie W. Rusch and that they and Justice Ginsburg resembled each other a little: small women with big heads who had overcome obstacles in a time that held back many women.
He said he had seen "RBG", this year's documentary about Justice Ginsburg, and was impressed with her training program.
"It was fantastic," he said. "I think she will do it very well."