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Biopsy for a Lung Nodule

Lung Cancer | Last Active: Nov 8 10:27am | Replies (22)

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Wrote in over the past 3 1/2 years with my hubby's double lung cancer with a different cancer in each lung. Will not go into the full info as I'm sure it still exists on this site. Last May 2024 following an enhanced CT scan, a right lower posterior nodule appeared. With scans every 3-4 months it has grown very slowly and wonder why they do not do a fine needle biopsy at this point and do ablation to get rid of it, rather than feeling it can grow larger before they feel there is concern, I guess to move forward to treat?? I guess if it is larger then they get a better reading with the PET scan results??

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Replies to "Wrote in over the past 3 1/2 years with my hubby's double lung cancer with a..."

Hi @troubletwo—nodules can behave quite differently from one person to the next, and much depends on both their size and how quickly they change. For example, one of mine grew from 6 mm to 8 mm in just three months—a 30 % increase—so my team ordered a PET scan right away. Thankfully, it turned out to be benign. I’ve even had nodules grow by 50 % over a similar period and still prove harmless. Because any biopsy carries its own risks, your oncologist will weigh that step carefully before recommending it.

My personal approach is simple: until my oncologist says, “You have cancer,” I assume I don’t. That mindset has carried me through seven active, full-time working years (with a promotion along the way) and keeps my focus on what I enjoy rather than on what-ifs. We all know life is short; this community understands that better than most. So keep asking questions, lean on your medical team’s judgment, and, above all, keep living your life to the fullest and encourage your husband to do the same. We’re right here cheering both of you on.

hi @troubletwo, I was told if the nodule is less than 1 cm, it's hard to make sure they can get a sample to biopsy using needle biopsy. Sometimes the location of the nodule just isn't conducive to that test, also. I think your questions are thoughtful and I encourage you to ask hubby's oncologist/care team about them.