Robotic Bronchoscopy biopsy came back negative, still with questions

@frank1956 , Sorry that you are facing multiple issues and questions with your wife's treatment. I'm glad that her breast cancer appears to have been found early. Lung nodules are concerning, but they are usually not cancerous, and many times they resolve on their own. Our lungs are sensitive tissue (sometimes overly sensitive), and they can react to many things that are not cancer. Her doctors took action on what they saw, and that's great! The pulmonologist will be able to help answer some of your questions.
I have metastatic lung cancer, but I also have a 1cm non-cancerous nodule. That nodule shows up on my CT scans every 3 months. It's stable, not growing, but not going away either. There's no reason to put me at risk by taking further action, such as surgery.
A CT is a relatively easy scan, so they may want to monitor her nodules with an additional scan in a number of months. Can you let me/us know how the appointment goes on the 3rd.

@frank1956, I'm also sorry to hear you're going through this period of uncertainty. Know that you're not alone; we all started with many questions after diagnosis. My Pulmonologist told me that many, if not most, people have benign nodes or nodules. Those things are formed in response to any type of lung damage, such as falling out of a tree when we were 10 or any other blow to the chest. My youngest brother had 8 nodules that his doctors tracked with annual CT scans until, as he put it, "He got tired of looking at pictures of my lungs." They never changed.

For my part, my lung cancer metastasized to my brain, so my oncologist is hyper-alert to a recurrence. He was concerned about a couple of mediastinal lymph nodes for a year. They got bigger. They got smaller. He has now concluded they, too, are benign.

When I was diagnosed in 2010, I had multiple ground glass and solid nodules. Many are still there and remain unchanged some disappeared, some got larger then smaller. It's estimated that 85-90% of nodules are benign and will remain that way. They can be caused by an infection that affects the lungs, or allergies. They can also be caused by environmental influences-air pollution, cleaning fumes, VOCs in scents and room air fresheners. There are thousands of things that can caused them.

Their appearance is important, too. If that smaller nodule had spiculations, or other traits that suggests cancer, it is likely they would have suggested a wedge resection or a lobectomy. They will do regular follow up CTs to monitor for any changes.

With regards to the breast cancer, did the oncotyping indicate the need for hormone suppressants? I ask as someone who has had both legs ng and breast cancers.

I have a 1 cm spiculated nodule upper right lobe
Had bronchoscopy in July cane back benign
Had 3 month check up a couple weeks ago nodule unchanged
Pray it doesn't enlarge as I am also battling smoldering multiple myeloma

There are a numbered f things that can cause spiculations. They are not all cancerous. I send hope they remain benign.