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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@junerose42 I had the first follow up CT 4 months after CyberKnife. Then about 6 months after that in July this year, 2026. In September I had a heart scan that also imaged the lungs; my pulmonologist said that since it looks good for the lungs we can wait until June 2027 for the next CT rather than having one in January next year. I am hoping that if all is still well, I can graduate to annual scans.
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3 ReactionsCongratulations JuneRose! I love hearing the good news for you! ☺️💛