So confused about biopsy of a lung nodule that grew: What's next?

Posted by indalee1959 @indalee1959, Dec 2, 2025

I had a lung biopsy for a nodule that grew today received the report and I am confused. Starts by saying Cytology diagnosis

General Category malignancy descriptive interpretation pulmonary cancer. I don't know if this means why the biopsy was performed or my diagnosis.

2nd paragraph says B cell block 10 R no malignity, unremarkable
3 rd paragraph B cell 4 R block no malignancy remarkable. There thins as hilar etc in the2 ND and 3 rd paragraph, I hope I ae enough info for help

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Profile picture for indalee1959 @indalee1959

I have stage 1 adenocarcinoma no lymph nodes involved. I go for a pet scan on the 17 th and than will get radiation therapy for 5 days in a row. She gave me the option of surgery or radiation but said the surgery is very painful and a long recovery period, So between her and I, I am going to do radiation, I will need follow up visits etc and I also have a 9 mm in my left lung which will be watched also. I have no idea what the radiation is like, any side effects or anything else. I will see a radiology oncologist. I see my hematologist/oncologist on Tues I want his opinion, Any feedback will be appreciated.

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@indalee1959, to help you prepare for your upcoming appointment with the radiation oncologist, you might be interested in this related discussion:

- Information on SBRT radiation treatment: What's your experience?https://connect.mayoclinic.org/discussion/information-on-sbrt-radiation-treatment/

This article from Mayo Clinic explains more about what to expect.
- Radiation therapy https://www.mayoclinic.org/tests-procedures/radiation-therapy/about/pac-20385162

Have you started a list of questions for the doctor?

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Surgery robotically - and yes through my ribs. I know this is going to sound weird but the surgery did not bother me at all and I had a drain in me for 4 days in the hospital. The first four weeks weren't bad either and I have walked 40 mins every day. Week 5 started some weird stuff...feeling of numbness on my right side and pretty bad pain. Supposedly the nerves they had to cut or stretch or whatever are "waking up"....holy cow. Maybe I was lucky but not bad at all until this nerve pain.

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Profile picture for Colleen Young, Connect Director @colleenyoung

@indalee1959, to help you prepare for your upcoming appointment with the radiation oncologist, you might be interested in this related discussion:

- Information on SBRT radiation treatment: What's your experience?https://connect.mayoclinic.org/discussion/information-on-sbrt-radiation-treatment/

This article from Mayo Clinic explains more about what to expect.
- Radiation therapy https://www.mayoclinic.org/tests-procedures/radiation-therapy/about/pac-20385162

Have you started a list of questions for the doctor?

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@colleenyoung

I really have not checked sites out yet but now I surely will. my hematologist oncologist is for blood disorders but when he had a c scan done and saw my nodule was had grown a little he kept track of it and referred me to a pulmonary DR. I do have ?? for him, I write them down so I don't forget but my main ? is what about the 9 mm in the left lung,Thank you for the help.

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Profile picture for indalee1959 @indalee1959

How was the surgery done. I was told it is a hard surgery to recuperate from and more pain than open heart. Did they go through your side ribs,I can't wait for the pet scan on the 17 th and than I can start the radiation, I know I will have anxiety like you plus having the .9 cm in the other lung.

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@indalee1959
I had the robotic sugery June 24th.
Very little pain. Occasionally I do get stabs from lifting something heavy but, sometimes too much driving

I had my rt lower lobe totally removed, also a wedge removed on the upper lobe on the rt also

Mine were two different types of cancer so it had not masticated!!!
the nodules were .3 and less then1.0
I was told no noules but, one dr says they did but the surgeon said no

Now I am having an issue upping my life ins with the outcome
I dont understand, I am 100 percent cancer free?

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Profile picture for rcerwin3 @rcerwin3

Surgery robotically - and yes through my ribs. I know this is going to sound weird but the surgery did not bother me at all and I had a drain in me for 4 days in the hospital. The first four weeks weren't bad either and I have walked 40 mins every day. Week 5 started some weird stuff...feeling of numbness on my right side and pretty bad pain. Supposedly the nerves they had to cut or stretch or whatever are "waking up"....holy cow. Maybe I was lucky but not bad at all until this nerve pain.

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@rcerwin3
I had robotic surgery last November, and I also have intercostal neuralgia with numbness. I was managing to live with it because it was intermittent, but a few weeks ago, it came back with a vengeance. The numbness radiated from my right side to my left, and around my back, and it was extremely uncomfortable. Even though the discomfort is back to being manageable, there is a good chance I will end up going to a pain clinic.

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