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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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maria | @maroa | 4 days ago
In reply to @sueinmn "Welcome to Mayo Connect, where you will be able chat with others in your same situation...." + (show)
@sueinmn

Welcome to Mayo Connect, where you will be able chat with others in your same situation. It is normal to be scared when faced with uncertainty, but take a deep breath and assure yourself that you are on the way to a diagnosis.
If it was found 2 years ago, and is now becoming spiculated, you are probably correct that it is slow growing.
When is the PET scan scheduled? What has your doctor told you so far?
Sue

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Thanks for what you do. It says your a mentor. I do not computer much. I do not social media but I do Google and play the occasional word search. I am trying though. Maybe I'll figure this out. But yes. Ty for what you do 🙂

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