6 doctors weighed in:

Found 7mm bilobed Peripheral nodule , what is bilobed ex heavy smoker .Pulmonologist wants to do bronchoscopy with BAL and biopsy could it be cancer ?

6 doctors weighed in
Dr. Michael Gabor
Diagnostic Radiology
1 doctor agrees

In brief: Fleischner Society

guidelines for a 7mm incidental nodule in a high risk patient suggest follow up CT at 6-12 months and then at 18-24 months if no change.
Biopsy of a nodule this size technically difficult.

In brief: Fleischner Society

guidelines for a 7mm incidental nodule in a high risk patient suggest follow up CT at 6-12 months and then at 18-24 months if no change.
Biopsy of a nodule this size technically difficult.
Dr. Michael Gabor
Dr. Michael Gabor
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Dr. Michael Sanders
Internal Medicine - Pulmonology
2 doctors agree

In brief: See below

I think a biopsy of a 7mm nodule would be very difficult to hit.
Even using ENB and going right to the nodule, it would be difficult for a good sample at 7mm. Usually 1cm is the cut off for biopsy using guidance. I don't think it would be possible to biopsy something even 1cm without guidance unless you were just super lucky.

In brief: See below

I think a biopsy of a 7mm nodule would be very difficult to hit.
Even using ENB and going right to the nodule, it would be difficult for a good sample at 7mm. Usually 1cm is the cut off for biopsy using guidance. I don't think it would be possible to biopsy something even 1cm without guidance unless you were just super lucky.
Dr. Michael Sanders
Dr. Michael Sanders
Thank
Dr. Herman Hammerstead
Surgery - Trauma

In brief: Possibly

What you need is BAL and biopsy

In brief: Possibly

What you need is BAL and biopsy
Dr. Herman Hammerstead
Dr. Herman Hammerstead
Thank
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