Is a Spiculated lung nodule always malignant?

Posted by darwin66 @darwin66, May 16, 2023

Hello,
58M, Nonsmoker, No history of cancer
I went to a pulmonologist due to coughing, shortness of breath for over 2 years and got diagnosed with allergic asthma.
Ct scan showed 5 lung nodules all on the right lung.
2 are calcified -most likely granuloma,
2 perifissual- which are most likely benign
1 subpleural nodule 5mm
1 spiculated nodule 5mm
The spiculated lung nodule worries me the most
I did research and all data and studies say that spiculated nodules are malignant with a predictive value of up to 90% ..
Doctor wants to just monitor it with follow up Ct scans.
I read that in rare cases infections, Inflammation or sarcoidosis can have Spiculation but Generally such nodules are a sure sign of Malignancy.
Anoyone on here who has experience ?

Interested in more discussions like this? Go to the Lung Health Support Group.

@jones1959

Rats. I got my results back. Doctor calls it a mass now,not nodule. Took that pet scan and I have lung cancer. It's in both sides .

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oh my, my best to you. I understand there are now so many great advancements now in treatments leading to a cure. hoping for a complete cure for you.

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@jones1959

Rats. I got my results back. Doctor calls it a mass now,not nodule. Took that pet scan and I have lung cancer. It's in both sides .

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I’m sorry to hear this for you. I was diagnosed this time last year. Try not to panic. Easier said than done and something I still struggle with. But, do ask about biomarker testing for your tumor. I had the EGFR mutation and ended up being able to take a targeted therapy drug instead of chemo. I did have to do radiation because of another small, suspicious nodule in the other lung. We will never know if that was cancer but they treated it as though it was. There are other mutations that have other therapies as well. I’m doing well and coming up on a year since my surgery. Try to live in the moment and stay grounded to facts. Don’t believe your voices in your head that will try to convince you that your days are numbered. They are. But not because you have cancer.

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I am so sorry to hear this news for you..Wishing you a full and speedy recovery.

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@jones1959

Rats. I got my results back. Doctor calls it a mass now,not nodule. Took that pet scan and I have lung cancer. It's in both sides .

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@jones1959, I'm sorry that you didn't receive better news. Hearing that you have cancer is likely one of the most difficult times that you'll face in your life. That's when it's so up-ending! It may take a little time for you wrap your head around the diagnosis, and that's completely normal.
Do you have an appointment scheduled? What's next? Oncology?

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@linpvc

oh my, my best to you. I understand there are now so many great advancements now in treatments leading to a cure. hoping for a complete cure for you.

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I have a spiculated growth. In three months it hasn't grown. I guess we don't need to worry too much, yet. Good to catch them early. Hugs to you.

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@lls8000

@jones1959, I'm sorry that you didn't receive better news. Hearing that you have cancer is likely one of the most difficult times that you'll face in your life. That's when it's so up-ending! It may take a little time for you wrap your head around the diagnosis, and that's completely normal.
Do you have an appointment scheduled? What's next? Oncology?

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No, I am done. Next is hospice

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@jones1959

No, I am done. Next is hospice

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@jones1959, I'm so sorry if there aren't other viable options. I'm hoping that you are able to make peace with your decision and that you find hospice care that is helpful to you and your family. Hospice can be helpful in knowing what to expect and managing any side effects of the disease.
As a metastatic lung cancer patient myself, I know that I'll face this difficult crossroad someday. I know that this takes strength and a certain sense of having lived a good life.
Hugs to you and your family.
You may find these discussions helpful. Feel free to post any thoughts to revive these discussions too.
- Talking Frankly about Living with Advanced Cancer ; https://connect.mayoclinic.org/discussion/talking-frankly-about-living-with-advanced-cancer/
- Fear of what’s to come; https://connect.mayoclinic.org/discussion/fear-of-whats-to-come/

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@lls8000

@jones1959, I'm so sorry if there aren't other viable options. I'm hoping that you are able to make peace with your decision and that you find hospice care that is helpful to you and your family. Hospice can be helpful in knowing what to expect and managing any side effects of the disease.
As a metastatic lung cancer patient myself, I know that I'll face this difficult crossroad someday. I know that this takes strength and a certain sense of having lived a good life.
Hugs to you and your family.
You may find these discussions helpful. Feel free to post any thoughts to revive these discussions too.
- Talking Frankly about Living with Advanced Cancer ; https://connect.mayoclinic.org/discussion/talking-frankly-about-living-with-advanced-cancer/
- Fear of what’s to come; https://connect.mayoclinic.org/discussion/fear-of-whats-to-come/

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Thank You. I appreciate you and your comforting words. I will go to be with God. I have m anyLoved Ones there. My Son Daniel,mom,dad grandma, nephew and my Treasure Friend, Marilyn Noel, Roberta Wilson. I am ok Many Thanks.

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I’m truly sorry for the news about your tests, I can’t find the words to say how much this affects me even though we’re strangers, I just wanted to understand why they aren’t looking into some aggressive treatment to shrink the tumours and follow up with radiation. I’ve heard of so many people who have been through this and they still were given hope with more available treatments. Sometimes even another opinion might be helpful in some way. Perhaps I don’t have all the facts surrounding your case but please try to find out what else you can do to give you some hope.,all the best for you my friend, God bless you.🙏

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@363

Thank you so much..Its impossible to biopsy due to the location in the middle lobe..I now have another CT scheduled for November as last CT showed 2 new smaller nodules and once again just want to to keep a close watch on the one of concern plus these 2 to see if have grown. really appreciate your kind words

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Im going through the same as you. mine is on surface of pericardium . It is now stable, non calcified and spiculated. More scans for awhile until it resolves or grows
I hope yours turns out to be benign. Boy these nodules sure cause a disruption.
wishing you well.

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