← Return to Is a Spiculated lung nodule always malignant?

Discussion
darwin66 avatar

Is a Spiculated lung nodule always malignant?

Lung Health | Last Active: Jul 26 7:11am | Replies (270)

Comment receiving replies
Profile picture for milana @milana

Hello @democrite , what are your news, follow up and course of action ? I too am in a similar situation, one lung nodule was discovered in middle right lobe with 13 mm diameter on July 20, after initial CT scan ( discovered by chance) of 12 mm. Pet scan showed SUVmax of 2.1, and the doctors decided a surgery. Im seeing a surgeon on 27 avgust.

Jump to this post


Replies to "Hello @democrite , what are your news, follow up and course of action ? I too..."

Hi,
News are confusing and challenging choices :
I had a PET scan 3 weeks ago, PET SCAN was negative, not showing any "light" (which is positive). and my surgeon programmed a Bronchoscopy Biopsy (non invasive Biopsy)for August 27th...
I am actually in Paris (i am a French Parisian living in USA for 7 years) and i had an appointment with a very renown (45 years of Practice in USA and France) he was shocked my US Doctor program a Biopsy after a negative PET, told me it's insane and ridiculous since results will be negative as well... He recommends me antibiotic treatment for a month and repeat a CT scan after saying it's most likely an infection who enlarge the nodule. He told me he is absolutely against the programmed Biopsy and to go for a second opinion in Chicago asap (where i live). He was also half joking if i am doing the biopsy (with all risks and possible side effects) who is going to be negative since the PET was as well that i should sue them and make millions since not a reasonable doc would order Biopsy after a negative PET...
So i am totally confused, just made appointment with another pulmonologist for next week since the biopsy is planned in 2 weeks, very very troubling situation..

Hello @milana, I'm sorry to hear that you are facing this issue, it's never an easy thing to go through. Nodules are rightfully concerning, but they are usually not cancerous.
I'm not a clinician, just a lung cancer patient.
For reference, my first PET showed an SUV over 10. We knew it was cancerous, and that was confirmed by a biopsy. A later PET of a different nodule showed a much lower SUV, and it was not cancer, it was a fungus in my lung, also confirmed through biopsy.
Did you see a pulmonologist? Did they discuss doing a biopsy prior to surgery?