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 ?

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@11moondog11

Several times in the past 10 years my CT scans have shown numerous spiculated nodules/tumors.
With a few Docs themselves were almost certain they were malignant. Each time biopsies were taken it was infections causing the mimicking of cancer.

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Thank you so much

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@sallik74

I too had a spiculated nodule upper right lobe
Had bronchoscopy came back benign

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Hello, thank you so much for sharing this information with us. Do you remember what size this nodule was?
I'm glad to know that it was good. Sorry for my english, i'm from Argentina.
Hugs.

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@meliarg

Hello, thank you so much for sharing this information with us. Do you remember what size this nodule was?
I'm glad to know that it was good. Sorry for my english, i'm from Argentina.
Hugs.

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1cm x 1 cm
Hang in there !

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