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Is a Spiculated lung nodule always malignant?

Lung Health | Last Active: Nov 7 12:13pm | Replies (129)

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@lls8000

@linpvc, That sounds like a difficult location, and the care that they are taking with your situation is certainly warranted. I can understand why the traditional biopsy that a pulmonologist would perform is too risky.
I hadn't heard of the Nodify XL2 test. I'll be interested to hear what your doctor thinks about it. There are tests that measure the CTDNA (circulating tumor DNA) in your blood stream. General biomarker testing can be done in this way, through a 'liquid biopsy' using blood instead of tissue. Those tests only work if the nodule/tumor are shedding enough cells for the test to pick up on it. Even though these tests can save lives, some insurance companies push back on paying for these types of tests, and they can cost thousands of dollars, so check on that too.
How do you feel about waiting 6 months for your next scan?

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Replies to "@linpvc, That sounds like a difficult location, and the care that they are taking with your..."

thank you for responding.
the test costs about $700, which Medicare covers 100%. its supposed to be very accurate even for lesions that are in situ. my doctor told me no thoracic surgeon would ever agree to do biopsy on my nodule. now watching for growth is reasonable. Im concerned about the spiculation which the doctor saw, even evident to me. any thoughts on wait and see when spiculated? Do you have ideas or have you heard of ideas on which is more an indicator for malignancy, growth or spiculation?
also, you can Google the Nodify blood tests, both well- known.

forgot to answer your question about my thoughts about waiting; if safe Im ok with it because i want to feel confident in measurements. Im just concerned about whether safe or not to do a " wait-and- see" when nodule is speculated.
any thoughts?

I've requested this test from Biodesix. it only tests for probability that a lung nodule is malignant or not. ill be scheduled for a blood draw at my home since no facilities close that are qualified.
Results are very accurate and help decide whether I need care very soon or if i can safely continue with scans. Reduces possibility of having a dangerous and unnecessary biopsy.
QUESTION: Does anyone know if auto antibodies are present after cancer for a lifetime or not?