I had something similar. Local Radiologist said he could not do needle biopsy because of location and risk and not being able to get sufficient sample. I went to Mayo Clinic and they said 80% cancer and scheduled me for Video Assisted Thoracic Surgery with bronchoscopy and wedge resection (did not take the whole lobe). It was cancer stage 1b (because of size). Typically, only 1 night in hospital. It was not that difficult or painful (they do want you to cough so that is sensitive!). I was driving my car a week later.