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Doctor insights on: Could A 3 Cm Lung Mass Be Cancer

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Dr. Barry Rosen
4,344 Doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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I have mass in my left lung. 5 cm. Are all masses cancer or could be something can live with. I'm not smoker but have bad asthma and high wbc 24000?

I have mass in my left lung. 5 cm. Are all masses cancer or could be something can live with. I'm not smoker but have bad asthma and high wbc 24000?

Could be other: With your history and age, the possibility of some fungus or other infectious process is a good possibility. Not all masses are cancer and even if this were to be such you are not doomed. Whatever it is, you need to diagnose what the mass represents and treat it. See a pulmonary specialist ASAP as infectious masses can be as problematic as cancer masses. Not getting a diagnosis is the bad thing. ...Read more

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Lung pleural mass 5 cm. Pet show no evidence of cancer. Solid mass. Do I need to do surgery to remove it or I can leave it as it is. Really confused?

Lung pleural mass 5 cm. Pet show no evidence of cancer. Solid mass. Do I need to do surgery to remove it or I can leave it as it is. Really confused?

Biopsy?: That is very good news the PET scan does not suggest the presence of cancer I'd still recommend the mass be positively identified. At that point your doctors will be able to counsel you better as to whether it should be removed or not. If you'd like a 1-1 consultation to discuss this please write me at: www. Healthtap. Com/drsaghafi Use Key Code: PDXFNR to make a calendar appointment ...Read more

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What are the risks of lung biopsy surgery.? I have mass 5 cm in left lung and it's not cancer and so confused about the surgery. .

What are the risks of lung biopsy surgery.? I have mass 5 cm in left lung and it's not cancer and so confused about the surgery. .

Biopsy low risk: Any 5 cm mass in the lung should be removed, as there is risk that it could have cancerous elements even if the biopsy was negative. If you are otherwise healthy, a surgical biopsy carries low risk of major complication (<1%). With that said, pain, recovery time, and complication rates can be affected by the approach the surgeon takes. A minimally invasive (vats) approach has advantages ...Read more

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Plureal Mass in left lung 5 cm. I did biobsy and pet scan and no evidence of cancer. What is that. Is it fungus or worm or what I should do. Wheezing?

Plureal Mass in left lung 5 cm. I did biobsy and pet scan and no evidence of cancer. What is that. Is it fungus or worm or what I should do. Wheezing?

Pulmonologist: The possibility of a mass requires more diagnostics, with your symptoms it is possible its pnemonia, much less concerning than a cancer mid-lung. Scanning can help, but a pulmonologist can decide the right test to reduce fear and misdiagnosis. Hopefully you are using a broncholdilator among the medications you are using. The pulmonologist can direct specific therapy and help treat what you have ...Read more

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My mom has stage 4 metastatic cancer of lungs, but primary is unknown. Her gallbladder mass, ca is 19.9 which is high but her liver is alright. She got a CT scan done three months ago and her gallbladder seemed fine. Could it be gallbladder cancer?

My mom has stage 4 metastatic cancer of lungs, but primary is unknown. Her gallbladder mass, ca is 19.9 which is high but her liver is alright. She got a CT scan done three months ago and her gallbladder seemed fine. Could it be gallbladder cancer?

Gb unlikely: Your mother has stage IV cancer with mets to lung. I am sorry. If a ct showed the gallbladder normal 3 months ago then it is unlikely. Knowing if it is adenocarcinoma or squamous may help. But focusing on the forward progress and implementing a plan she wants is the most important thing. A supportive family and a clear goal. Hope this helps. ...Read more

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Mass in lung 5 cm. Biopsy was insufficient. Not smoker or have chronic coughing or fever. But have high wbc and asthma. How to make sure its nt cancr?

Mass in lung 5 cm. Biopsy was insufficient. Not smoker or have chronic coughing or fever. But have high wbc and asthma. How to make sure its nt cancr?

Cancer less likely: Cancer is less likely but inflammation cause cause this like vasculitis, or a hypereosinophilic syndrome or an infection could be in these circumstances. You can be evaluated by a pulomnary specialist ...Read more

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Can a lung mass mean cancer?

Can a lung mass mean cancer?

Not always: But it should be evaluated. Depending on it size and appearance, your doc may be more or less inclined to get a biopsy. I'm assuming he/she will if it is a "mass" and not a "tiny nodule" but not much more can be said with the info provided. Make sure you see your family doc and he/she will decide on the next step. If you smoke, this is the time to quit. ...Read more

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What does lung cancer " mass" look like on an xray?

What does lung cancer " mass" look like on an xray?

Density: The tumor is dense so it blocks x-rays and shows up as a white circular mass on x-ray. ...Read more

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I have a mass on the left lung; non-smoker; any non-cancer masses?

I have a mass on the left lung; non-smoker; any non-cancer masses?

Yes: The large majority of lung masses in non-smokers are old scars. In my part of the country, it's usually histoplasmosis, but a variety of other inflammatory or bnign neoplastic situations can give a lung mass. The radiologist can usually tell whether cancer is a possibility and if so, the pathologist will need to get tissue. Good luck and thanks for asking. ...Read more

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HILAR MASS LESION IS SYMPTOMS OF LUNG CANCER? What is the best medicine to remove hilar mass lesion.

HILAR MASS LESION IS SYMPTOMS OF LUNG CANCER? What is the best medicine to remove hilar mass lesion.

Concerning: There's no easy answer, Albert. A hilar mass may be lung cancer, or it may be trivial. Here in Kansas City, most of us have old histoplasmosis scars walling off fungi in our pulmonary hila. There's no pill to take just now. Find out the diagnosis and good luck. ...Read more

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Can having liver mass and lung nodules mean you have cancer?

Can having liver mass and lung nodules mean you have cancer?

Liver mass: No. Lung and liver nodules are common findings on ct scan. Depending on clinical setting no treatment may be indicated other than a follow up ct. In some cases where suspicion is high, a biopsy is needed to rule out or rule in cancer. ...Read more

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Lung cancer study's are outdated my pop has stage 3 recommended chemo to shrink mass and maybe surgery. Crazy how answers and outcome are unknown!

Lung cancer study's are outdated my pop has stage 3 recommended chemo to shrink mass and maybe surgery. Crazy how answers and outcome are unknown!

Stage3: Stage 3a and stage 3 b ate treated with chemo-radiation followed by possible surgery. 5 year survival for 3a is 25%. For 3b 5 year survival is 10%. Occasional patient can beat these odds. It depends on the cell type and differentiation of the tumor. Hope this helps. ...Read more

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Friend diagnosed stage 4 inoperable lung cancer and adrenals in march. Did 6 rounds aggresive chemo. Lung mass shrank but in 3 months back. Lymph, prognosis?

Friend diagnosed stage 4 inoperable lung cancer and adrenals in march. Did 6 rounds aggresive chemo. Lung mass shrank but in 3 months back. Lymph, prognosis?

Stage IV lung CA: We really have no treatment that will get rid of lung ca that has spread beyond the lung. Stage iv. Treatment can sometimes slow things down but often doesn't even do that. Ca that has become visible on x-rays after only 3 months is very fast growing...You should spend as much time with your friend as you can, now. ...Read more

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What is the prognosis of lung cancer? My father has a 3.5 inch mass on passage way of lung by aorta of heart but cancer hasn't spread yet.

What is the prognosis of lung cancer? My father has a 3.5 inch mass on passage way of lung by aorta of heart but cancer hasn't spread yet.

Extremely serious: Even in your brief description, you mention 2 worrisome features: size and proximity to the aorta. It's beyond the scope of this forum to speculate on his prognosis, but I think you're aware that your father is in trouble. Talk with his oncologist. There are several types of lung cancer and some are more sensitive to chemotherapy or radiation. Best of luck. ...Read more

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Bronchoscope Dr said No cancer this am so what could it be if Hiler mass & Mediastinal Lymphadenopathy in lung? Tissue sent out after pathologist check

A few possibilities: Several things other than cancer can cause such abnormalities. Various infections and sarcoidosis come to mind. There's no way for a forum doctor to say anything more. The doctor (s) treating you or who did the bronchoscopy are the best to ask. ...Read more

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Could an eye orbital mass be metastatic lung cancer from a 11 mm lung nodule, with no swollen glands or other evidence of cancer?

Could an eye orbital mass be metastatic lung cancer from a 11 mm lung nodule, with no swollen glands or other evidence of cancer?

Time has taught me..: ..That with cancer almost anything is possible. That said, it would be unlikely for a 1cm lung "nodule" to go only to the orbit, especially if it is not proven to be cancer. I would suggest you discuss this with your doc (there may be details he/she knows that we don't) but seems to me that further imaging or maybe a biopsy are considerations if either of those 2 lesions are suspicious enough. ...Read more

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Lung cancer surgery moved up after tracheal scope 1 mass in lung. Good or bad?

Lung cancer surgery moved up after tracheal scope 1 mass in lung. Good or bad?

May be good: Without complete details, difficult to tell. Having lung cancer is bad. Having lung cancer that is amenable to surgical removal is a far better situation. If following evaluation and bronchoscopy your team feels you are a surgical candidate for removal, it is good. Best survival in lung cancer is lung cancer that can be surgically removed (resectable cancer). ...Read more

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Does hypermetabolism in the upper right mass of the lung mean cancer? A PET scan was performed on the person

Does hypermetabolism in the upper right mass of the lung mean cancer? A PET scan was performed on the person

Doesn't sound good: Hi. Going solely on what you've told us, it doesn't sound good. The doctor (s) involved in the patient's care WILL explain the result. Good luck to the patient! ...Read more

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I had an "abnormal" xray taken yesterday. It shows a baseball sized mass in my right lung. Any chance it's not cancer?

I had an "abnormal" xray taken yesterday. It shows a baseball sized mass in my right lung. Any chance it's not cancer?

Yes: Pneumonia, benign tumors, cysts, and even congenital lung lesions such as sequestrations can present this way. Try to keep a positive outlook until this is thoroughly evaluated. ...Read more

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I have pleural mass in left lung 5cm I did the biopsy needle but the result was insufficient. How can make sure that mass is cancer or not?

I have pleural mass in left lung 5cm I did the biopsy needle but the result was insufficient. How can make sure that mass is cancer or not?

Repeat biopsy: The way to make sure is with an adequate tissue specimen (from a biopsy). It is unfortunate that you had one, and it was insufficient. If you are willing to try it again, that may be your best choice.
I'm assuming the biopsy was done with CT guidance. If it was not, then a biopsy with CT guidance may be helpful in confirming needle placement. ...Read more

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My girlfriend has a large cancerous mass sitting in her chest and its putting pressure on her heart and lungs. Any idea what type cancer this is?

You need to ask her: If this is your girlfriend and she's seriously sick, she's been informed of the nature of her cancer and if a diagnosis has not yet been made, it will be in a day or so, probably by needle biopsy. This is the era of patient privacy and you'll need to ask her what the diagnosis is. ...Read more

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Mass in my lung 5cm. Biopsy sample was insufficient. Who can help me to do pet scan...till now they not sure cancer or not. And what risks of surgery?

Mass in my lung 5cm. Biopsy sample was insufficient. Who can help me to do pet scan...till now they not sure cancer or not. And what risks of surgery?

Any good doctor can: If you have a growth in the lung, you need to be under the care of an internist or an oncologist. What is the specialty of your doctor whom you are seeing now (who ordered your biopsy?). You need to tell us details of your history. Any medical or surgical doctor can order the relevant tests including CT scan or PET scan, but you must go to a specialist if possible. ...Read more

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My mom was diagnosed with pneumonia and a mass on lungs. Is it possible for a lung cancer?

My mom was diagnosed with pneumonia and a mass on lungs. Is it possible for a lung cancer?

Yes: This is a common way for lung cancer to present. A biopsy will tell for sure. I am glad you are there for your mother at this challenging time. ...Read more

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Stage 4 lung cancer, given 12 months 18 months ago, lost heaps of weight, now large mass in kidneys, need to know how long left to take kids 4 l visit?

Stage 4 lung cancer, given 12 months 18 months ago, lost heaps of weight, now large mass in kidneys, need to know how long left to take kids 4 l visit?

Cancer prognosis: Sorry to hear about the grim diagnosis. It's impossible to tell exactly high much longer without knowing the functional status of the person. 6 months is generic survival span in most cases, but it can be more or less than that depending on the aggressiveness of the cancer, etc. ...Read more

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Does inflammatory vs malignancy in the remarks of CT scan of lungs with 203cc solid mass mean its cancer?

Does inflammatory vs malignancy in the remarks of CT scan of lungs with 203cc solid mass mean its cancer?

No: No. It is at times difficult to differentiate inflammation/infection from a malignancy on ct. Pet/ct may more helpful where there is suspicion. However, this may also limited in differentiating infection/ inflammation from cancer. That being said, imaging does not arrive at a pathological diagnosis. When possible, any suspicion of lung cancer requires pathological confirmation through a biopsy. ...Read more

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5cm Pleural mass in right lung. Pet scan show not cancer...is surgery still necessary and what are the risks. Thanks?

5cm Pleural mass in right lung. Pet scan show not cancer...is surgery still necessary and what are the risks. Thanks?

Lung mass: Something is missing! There must have been symptoms that led to a pet scan. Unless a biopsy was performed how could your doctor simply say that there was no cancer? I hope there was indeed no cancer but the symptoms that led to the pet scan should be a cause for biopsy. Do the doctors have any idea what the pleural mass might be? Please keep me informed. ...Read more

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My uncle is in his fourth round of chemo for his lung cancer, and getting skinnier, can he use the bodybuilders product to regain his body mass?

My uncle is in his fourth round of chemo for his lung cancer, and getting skinnier, can he use the bodybuilders product to regain his body mass?

Yes: Nutritional supplements are reasonable, but remember that forcing patients to eat is associated more often with diminished survival than improved survival. Best advice: give him his favorite foods as much as he can tolerate them. Consider appetite stimulants (menace or marinol). They also don't make you live longer, but when they work they can improve quality of life. ...Read more

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92 year old woman who had adenocarcinoma 20 years ago and top lobe of lung was removed has now been diagnosed with stage 4 cancer large mass in righ u?

Make her comfortable: Although age is no exception to treatment, physicians will ask the 92 patient (if mental status is altered will proceed as directed in the heath care proxy) in the end stage cancer, usually referred to hospice. ...Read more

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In a lung x-ray, how can a radiologist tell "scar tissue" from a mass, i.e. cancer?

In a lung x-ray, how can a radiologist tell "scar tissue" from a mass, i.e. cancer?

Challenging: This can be challenging, but serial imaging could help. Scar tissue will remain stable while mass will be stable or increase in size depending on if it is malignant or benign ...Read more

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Is it easy for doctors to tell the difference between calcified nodule in the lung and lung cancer mass? And what is average age for non smoker?

Is it easy for doctors to tell the difference between calcified nodule in the lung and lung cancer mass? And what is average age for non smoker?

Yes, it: Is relatively simple to determine the pattern of calcification of a lung nodule on a CT scan. Sometimes it is possible to do that on a chest xray as well. ...Read more

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I have pleural lung mass 5cm in left lung. Doc told me its rare. Biopsy was insufficient...are all pleural mass cancer. Is surgery a good decision?

Mgt: Not all pleural masses are cancerous, but some maybe. This is one reason to use a VATS procedure to obtain a sample. Other causes include infections such as TB. Have you had a TB skin test? Sometimes after an infection, there can be an area of scar tissue. The CT can be uploaded to your virtual EMR during a virtual appointment for further details. ...Read more

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Many rt. Paratracheal/mediastinal, bilateral hilar nodes consistent w/metastasis. Right subcarinal metastatic node mass 3cm. Max suv 9.1. Lung cancer?

Needs Biopsy: Is there a known primary cancer? If not, you will need a biopsy of one of the nodes. Your doctor may suggest a mediastinoscopy and biopsy to get a tissue specimen. There are other causes of mediastinal node enlargement such as infection and sarcoidosis so it is important to make a definite diagnosis.
Good luck. ...Read more

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I have no active pulmonary lesions, no active pulmonarytuberculosis and pneumonia, no abnormal mass lesions (lung cancer etc.), and no bony abnormalities. But I havepain in chest. Can you explain why it might be so?

I have no active pulmonary lesions, no active pulmonarytuberculosis and pneumonia, no abnormal mass lesions (lung cancer etc.), and no bony abnormalities. But I havepain in chest. Can you explain why it might be so?

Normal: This sounds like a description of the negative findings on a chest x-ray. Pa refers to the way the x-ray was taken. Tbc refers to tuberculosis. In other words no abnormalities found - a normal chest x-ray. ...Read more

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Mum has large mass (colorectal cancer mestasis to lung) in her lung that is pushing up against her esophagus. No more Chemo. Life expectancy?

Mum has large mass (colorectal cancer mestasis to lung) in her lung that is pushing up against her esophagus. No more Chemo. Life expectancy?

Approx 1 yr.: An assumption that primary has been resected. As such what is in lung will stay in lung. With esophageal compression, tube feedings may be used for nourishment. Then if FOLFIERI not used should be employed followed by drugs like Erbitux, Avastin, (bevacizumab) Zaltrap and when these fail may be candidate for monoclonal Neo102 followed by Neo 201. ...Read more

Lung (Definition)

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