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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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@Country | @penelope25 | Sep 28 3:37pm

@missyo,
I recently found out I have a 1.2 cm spiculated pulmonary nodule, in the LUL, not in an easily reached area. Discovered July 20th, 2nd CT on the 20th of October. They wanted me to wait 6 months for 2nd CT, I replied "No, meet you halfway, at 3 months." There are many more solid nodules >8mm with smooth borders. I am high risk, cancer survivor, and cancer therapy survivor. There's a lot of things wrong with my lungs. I call it The Heinze 57 of lung diseases, and now the sputum I cough up has blood in it. Before that my cough was dry and nothing came up for almost 3 years. I'm not feeling very positive at this time 😕 Thank you for letting me get this out of my system. @country

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Lisa, Volunteer Mentor | @lls8000 | Oct 2 7:36pm
In reply to @penelope25 "@missyo, I recently found out I have a 1.2 cm spiculated pulmonary nodule, in the LUL,..." + (show)
Profile picture for @Country @penelope25

@missyo,
I recently found out I have a 1.2 cm spiculated pulmonary nodule, in the LUL, not in an easily reached area. Discovered July 20th, 2nd CT on the 20th of October. They wanted me to wait 6 months for 2nd CT, I replied "No, meet you halfway, at 3 months." There are many more solid nodules >8mm with smooth borders. I am high risk, cancer survivor, and cancer therapy survivor. There's a lot of things wrong with my lungs. I call it The Heinze 57 of lung diseases, and now the sputum I cough up has blood in it. Before that my cough was dry and nothing came up for almost 3 years. I'm not feeling very positive at this time 😕 Thank you for letting me get this out of my system. @country

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@penelope25, It sounds like you've been unfortunate enough to have been through a lot medically. That's given you the conviction to advocate for yourself. Did you mention the sputum and blood to your pulmonologist? It could be caused be many things, but I wonder what they thought. I know it's easy to jump ahead to worst case scenarios but try to focus on what we know today. Hugs.

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linpvc | @linpvc | 13 hours ago
In reply to @democrite "Hi, News are confusing and challenging choices : I had a PET scan 3 weeks ago,..." + (show)
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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..

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@i had a biopsy after a negative PET because of the size. It was 22mm. But. It turned out to be an infection and follow up scans showed it completely resolved. Just passing on.

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