Doctor insights on:
Apical Lung Nodule
Depends: Depends on what the nodule is? First you need appropriate diagnosis. This is best by a multidiscipline comprehensive thoracic surgical lung nodule program. If the nodule is a tumor, treatment will depend on type and staging if malignant. ...Read more
Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more
What does it mean to have " stable right apical lung enhancing nodule, likely to represent hamartoma"?
X-ray spot: It can be anything from an old inactive walled-off TB of fungus infection to a benign tumor to cancer to something as exotic as a dog heartworm that went far astray. Here in kansas, most are old histoplasmosis. But a spot is lung cancer until you & your physician have a reason to think otherwise. Good luck, and be brave. ...Read more
Solid mass in lung: A lung nodule is a soft tissue mass that is located somewhere within the lung itself. It can be a benign or malignant nodule. Following it with ct scans to see if it changes in size is one way to manage them or going directly to biopsy. ...Read more
Many options: Depends on age, size of nodule, history, and smoking history. Options include do nothing (rare), pet scan if there is risk for cancer, follow up cts at intervals determined by experienced md. Biopsies and surgery can come, but generally after above steps. Most nodules (>95%) are not cancer, and therefore invasive procedures should be reserved for when suspicion (guided by above factors) is high. ...Read more
Yes: Is the short answer. Asbestos can cause several different changes to the chest and lung fields. Pulmonary nodules are just one example. Pleural disease including plaques and calcification as well as mesothelioma are side affects of asbestos. Lung cancer is also a problem. Don't ignore this nodule. Talk to your doctor. ...Read more
Get it TNM staged.: If there is a lung nodule, and it appears solitary, it still needs to be evaluated to see if there is no metastasis, etc. Ct scan and an ENT (ears, nose, and throat) exam are done. The ct helps determine if there is lymph node involvement. An aspiration biopsy of the lesion can be taken to determine its histology. Surgical resection in localized cases is done for all types except small cell. ...Read more
No symptoms: Lung nodules have no symptoms, unfortunately. Most of the time, they are benign things like scars, but sometimes they can be early cancers. If you have a nodule found on a cat scan, they need to be followed to make sure they don't grow or change over time. This is especially true if you have risk factors for cancer such as smoking or radiation exposure. ...Read more
Benign or malignant: Multiple possibilities. It's critical to obtain a thorough evaluation. All patients found to have a lung nodule should be referred to a comprehensive multidisciplinary thoracic surgical oncology program. After review of characteristics of nodule, patient history, risk factors, and examination; an individualized plan can be devised to facilitate diagnosis and/or treatment. ...Read more
Also used to be: Called a coin lesion. A solitary pulmonary nodule may be a primary cancer, or a granuloma or other benign things like a hamartoma or interlobar node. It also may the cause of "false positives" on ct-chest screening. Multiple nodules draw suspicion to traveled tumors. When very small (<5 mm), can be watched for growth; if larger, further work up including removal. ...Read more
Ok so is it just as likely to experience symptoms from a 2.6cm (or smaller) lung nodule as it is from a lung mass?
Lung nodule didn't grow for 6 months and now 15% first 2months 10 the next and now 5%.Should it be operated on now or is it safe to wait 3months?
I wouldn't wait: A lung mass which is increasing in size is very concerning for cancer. Waiting a week or so probably doesn't make a difference but waiting 3 months would make me uncomfortable. You have already watched it for 9 months. Another 3 months means you have observed this lesion for a year! ...Read more
Is it better to be safe than sorry, when one has a lung nodule 1.4 2.7 suv and get it removed or wait and perhaps cause more problems. Surgery seems so?
It depends: It depends on the patients medical history, smoking history, whether or not the nodule has grown over time, and what exactly it looks like. The patient's peace of mind is a factor as well. If a patient feels strongly that he would like a lung nodule removed that should factor into the equation also. ...Read more
50%: A non calcified lung nodule has a 50%risk of being cancer. Diagnosis of cancer is made by pathologist on a microscopic slide of a significant biopsy size. Removal of the whole nodule provides the pathologist with adecuate specimen. Needle biopsy of a lung cancer will miss the diagnosis half the time. So if it is cancer by needle bx it is. Otherwise undiagnostic. ...Read more
Many pathways: Depends on age, size of nodule, history, and smoking history. Options include do nothing (rare), pet scan if there is risk for cancer, follow up cts at intervals determined by experienced md. Biopsies and surgery can come, but generally after above steps. Most nodules (>95%) are not cancer, and therefore invasive procedures should be reserved for when suspicion (guided by above factors) is high. ...Read more
Almost always, yes: Depends on your history and the appearance/location/shape of the nodule, but most often a follow up CT scan is the most appropriate test. Occasionally, if your doctor is concerned a PET scan may be useful for 8mm, but if its negative it is less helpful than when you have a larger nodule, for which PET is more reliable at excluding the likelihood of cancer. ...Read more
Usually nothing: Most people, if you go looking, have lung nodules and most are benign scar-like reactions in the lung, and therefore they don't need to be treated any more than a freckle or mole on your skin needs to be treated. Just like moles, some lung nodules (<4% in high risk people) can be cancer and should be followed to see if they change. ...Read more
Small, but: Small but big enough to have a work-up or follow-up. See a lung specialist for that. Do you smoke? ...Read more
Nodule: A lung nodule is a round area that is more solid than normal lung tissue. It is a nonspecific finding and can be benign or malignant. ...Read more
Unfortunately, no: Lung cancers are often diagnosed quite late because patients may not have symptoms for a long time. Eventually, people will have a cough, cough up blood, lose weight, have chest pain or shortness of breath. If a nodule is benign, the presence of symptoms probably depends on the exact location (whether it blocks an airway, for example). ...Read more
Big enough: A 13 mm lung nodule warrants a pet/ct scan. This will identify things like calcifications seen in benign nodules and will determine if sugar uptake is high as seen in infection or tumor or low indicating scar. Depending on the likelihood of cancer, a ct guided biopsy is possible in most peripheral nodules greater than 9mm. Lung cancer is increasing in nonsmokers, women and the young in u. S. ...Read more
Relax: Sometimes, we as physicians use that word loosely. I did not mean to be lackadaisical. I am sure you are concerned and I am only trying to calm you down. I see you have other conditions being followed by your doctor. Have a good talk with your doctor as to the best way of finding out and options of treatment. Lung cancer is very rare at your age anyhow. ...Read more
Depends: If thoracoscopic wedge resection, usually 1 or 2 nights in hospital, and 1-2 weeks at home. .. If thoracotomy and/or lobectomy, then up to a week in the hospital and several weeks to a few months at home. ..;. ...Read more
Maybe: Lung nodules smaller than 10 mm (3/8 inch) can be falsely negative on pet because of limitations of the technology. That means the uptake on the scan is not high enough to be suspicious even though the nodule is actually worrisome. However, some small nodules have enough uptake despite their small size. The pet is not a bad idea for a 6 mm nodule, and if positive, means aggressive evaluation. ...Read more
Yes, but: Calcification of a lung nodule frequently indicates that it is benign in nature. It is the noncalcified nodules that are most concerning for lung cancer. And thus the noncalcified nodules that more frequently meet criteria that prompts biopsy of the nodule. Appropriate treatment of lung nodules is best done at facilities with experience ...Read more
It depends: Not all lung nodules are alike. The odds that a nodule is cancer depends in the appearance and size of the nodule, the medical history of the patient, the smoking history of the patient, and how the nodule changes over time. Radiologists, pulmonary physicians and thoracic surgeons are best qualified to determine the risk that a particular nodule is cancer. ...Read more