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Is a Spiculated lung nodule always malignant?
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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Hi Sue, Have not been instructed to do airway clearance. I was prescribed a Qvar ready inhaler for a few months and an albuterol inhaler to use as needed when the bronchiecstasis disease was found 3 yrs ago on a CT scan. After that it was follow-up ct scans annually which showed a slow progression of the bronchiecstasis until April of this year when they found a spiculated 13 mm nodule in my upper right lung and further disease progression. Follow up was a biopsy via a robotic bronchoscopy at the hospital. The results of the biopsy show that I have non tuberculin avian intercellular micro bacteria. The report did not specify any additional detail. I received the results if my most recent lung function test today and all was normal except for being mildly low in diffusion. I see the infectious disease doctor next week on July 14th. I would love to know your thoughts on what questions I should ask her. I live in the S.F. Bay area . Do you have any recommendations of medical facilities in this area that are cutting edge in the treatment of this type of medical condition? Thanks for following up.