Doctor insights on:
Spiculated Lung Nodule
Is a 3 mm slightly spiculated lung nodule on ct in lower lobe likely cancer? 60 years old- hx of early breast cancer. Had right pneumonia at the time
Pretty worrisome: From your description. Address your concerns with your health care provider who has your history available. If you are not satisfied, ask for referral to a specialist (pulmonologist.) ...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
Could be high or low: Depending on their size, other tests that might be next (pet scan), your history and whether you smoked tobacco. It's good to see someone who specializes in evaluating lung nodules. Multiple nodules (of the sort you describe) are often benign, as solid tumors tend to be "lone", but rules of thumb are just that. Its best to see your doctor. ...Read more
I have an 11 mm spiculated right lung base nodule, that was detected 8.19.2015, and was not present in the chest x-ray from 5.20.2014?
Follow up: With your physician. It may need additional evaluation, most likely a chest CT if you only have had a chest xray. Depending on the CT findings, it may need a biopsy, to see if it is malignant. Unfortunately, a new spiculated mass is a suspicious finding. ...Read more
Possibly: A 1.5 cm spiculated lung nodule should be further evaluated, especially if the patient is a current / former smoker. Pet scan study might help to determine the metabolic activity of the lesion (higher suv more likely to be a malignancy while lower suv more likely to be benign / reactive). Biopsy may also be indicated. Close radiologic and clinical follow up at very minimum. ...Read more
Sarcoidosis of lung&lymphnodes, spiculated nodules upper lungs 11.5&9mm, now mild emphysema! Quit cigs 16yr ago. Am exposed to e-cig vapor. Harmful??
Met: I would recommend avoiding this vapor and its related pulmonary adverse effects. ...Read more
I am a 44 yo non-smoking male with suspected pancreatitis. An abdominal CT revealed multiple lung nodules with spiculated edges and up to 41mm?
Worrisome; biopsy: This is a worrisome development. Spiculated lung nodules (reaching in, like tentacles, into the lung) can point to a cancer, even a spreading cancer. Given your history of pancreatic problems, it could be pancreatic cancer. Or, it could be an unusual infection or something benign. The only way to know is to do a biopsy, which a pulmonologist (lung specialist) or CT surgeon can arrange. TTYD soon. ...Read more
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
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
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