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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Profile picture for junerose42 @junerose42

@astaingegerdm I am glad to see your report that radiation worked for you, as it also did for me. It was good that we avoided surgery. Very encouraging that your regular CTs just show scarring and nothing new. How often do you have the CTs?

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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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Congratulations JuneRose! I love hearing the good news for you! ☺️💛

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