Next step for growing nodule
Hi all. Three months I had a CT scan that showed a 5 mm Spiculated nodule. Now my follow up scan showed a 10 mm Spiculated nodule with satellites. Is the usual next step a biopsy? Also I’m not sure if I should talk about this with my regular doctor or my lung nodule clinic? Any thoughts?
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I’m not sure, who ordered the ct scan? It sounds like your nodule is under observation and has grown a little since the previous ct scan. I would say that whoever is ordering the scan will contact you and discuss options, there’s no set plan as to what they will do next, they can also do a PET scan to determine what it is. Also, you asked if your regular doctor should be told and that is really up to you, if you see this doctor a lot then I would let them know what is going on, best wishes.
Thankyou.
Rtyrrell- My advice is yes, you should tell your regular doctor. Reason being; If you see this doctor regularly, they have your health history. That can be quite helpful with your medical decisions going forward and will help the lung nodule clinic doctors or specialists if this is serious. I have ALL of my health reports sent to my regular physician because when I’m done with the specialists or which ever doctor I need to see for something, he is the one I see and I want him to have all the information if something comes up so that we can make an informed decision quickly instead of having to wait for one office or another to send or request reports from all of these different doctors. The key to our doctor’s success in helping us, is to make sure they have all of our information, the knowledge of health issues. My doctor, after going over my health history, is the one who pushed me to get a lung screening. That found my cancer, LUL nodule that was spiculated, and had more than doubled in size. So even though I had a specialist complete testing and surgery, etc., if it wasn’t for my doctor’s knowledge of what was going on with me, I may not be here today. I had no physical health issues. I felt great. But he saw a pattern in my blood tests, ( high blood calcium) and from information I provided him from my previous doctor. I gave him the knowledge to help him save my life. Specialists or certain clinics help while needed, but your doctor is there for the big picture. I hope this makes sense. I know it is quite a long response. Wishing you Good results and Good Health! God Bless you🙏!
Thanks. Very good advise.
Personally I have all of my test results include my GP, she has the entire picture and sometimes they are the gate keeper, so to speak. Specialists can be compartmental in their work. Just my opinion.
I had nodules in both lungs one being 10mm and spiculated. My local pulmonologist wanted to do needle biopsy, but local radiologist said not comfortable doing it because of risk and difficulty in getting sufficient sample. I went to Mayo and they scheduled surgery with no biopsy. They told me 80% chance it is cancer, and they were creating new process where biopsy and removal done in one sitting. It was cancer. I have multifocal lung cancer (multiple primary stage 1 cancers in lungs) so I later had the other nodule removed and then SBRT for two more nodules.
My advice is 1) To be sure that your lung clinic/Pulmonologist is experienced with cancer. because Specialists have subspecialties. And do they offer the most advanced biopsy and treatment options? 2) Keep your Primary Care Provider informed because any other health issues may need to take into account your lung situation. Also, CT scans will pick up other things and the Specialist will not advise you on that. You should read the reports yourself, and discuss with your Primary if there is something non-lung to check out.
Best wishes, good that you are being seen.
Thanks for that. My hospitals lung nodule clinic has a Pulmonologist, an Oncologist and a Thoracic Surgeon that all work together to find the best treatment. I have an appointment. Just have to wait and see. Need a repeat CT first to get all the info.
@rtyrrell, any update? How are you doing?
Another ct in June then seeing the head pulmonologist at the end of June. Thanks.