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Is a Spiculated lung nodule always malignant?

Lung Health | Last Active: 2 days ago | Replies (253)

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Profile picture for brixisnonni @brixisnonni

Hi everyone, My ex-husband had a CT scan today which revealed a new spiculated 2.5 cm masslike density in the left upper lobe. He has stage 4 COPD and has had bilateral lung reduction surgeries. This lesion was not observed in his CT scan 6 months ago. He will be seeing his local pulmonologist tomorrow for a consultation, scheduling of PET scan, and advice regarding whether biopsy is possible. We would like any biopsy and follow up surgery done in Boston. My question is about follow up treatment if the lesion is malignant. If it is operable, and the lymph nodes are clear, is chemotherapy or radiation still indicated? Does anyone have thoughts to share about targeted therapy or immunotherapy? Many thanks in advance. Sending love and light to this community!

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Replies to "Hi everyone, My ex-husband had a CT scan today which revealed a new spiculated 2.5 cm..."

@brixisnonni, A new mass of that size is concerning. It sounds like you are both very on top of the situation and are taking good next steps. A next-day appointment is great!
There are many questions to be answered before treatments are discussed. Each patient's situation is different, and they go into this with differing levels of overall health too. There are no hard and fast rules for what is aways done. It's not easy to wait through the diagnosis process, but each step needs to occur to make sure we're getting the treatment that is right for us.
IF he needs it, in Boston he will have access to some of the best lung cancer doctors and researchers.
How did the appointment with pulmonology go? What are they recommending as a next step?

@brixisnonni
My PET scan 2 years ago showed a 1 cm spiculated upper lung nodule too. My pulmonologist did a bronchoscopy which was painless & came back negative for cancer. I go yearly now for a PET scan & so far so good.