Four years. It grew 1mm per yr from 6 to 9mm and then went from 9 to 14 in one year. It is less about size than growth rate. Yes spiculation can be consistent with malignancy, but again that’s not a consistent correlation.

Fwiw, my pulmonologist handed me over to a thoracic surgeon and then backed away. I would get a surgeon and tell him you would like him or her to recommend an oncologist should it be needed. You might want both surgical and Non surgical intervention options after you get the pathology result and know what you’re dealing with. and yes I had VAT surgery but removing the lobe it resides in is the gold standard. But what I would do differently is to ask them to do the wedge resection they send to pathology with the tumor and nodes and then give oncology a chance to follow up with radiology or chemo - to prevent losing an entire lobe. But that’s just me.

BUT FOR NOW - take a breath and have the good scotch ! 🙂