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happydappy (@happydappy)

Monitoring a lung nodule - when to biopsy?

Lung Health | Last Active: Jul 25, 2023 | Replies (7)

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@vic83

I would stick with the Expert Center - experience is critical. Lung biopsies are not to be taken lightly.
And the experienced center will specifically set up scan machines to pick up nodules.
I had similar situation. I had abnormal chest x-ray, and first saw local Pulmonologist (MD not a PA!). She ordered CT scan and then PET scan which both "screamed" cancer (I read the reports). Her main interest was asthma and not lung cancer. She wanted to do diagnosis there and ordered a needle biopsy, but their Radiologist refused to do it as it was too risky and would not get enough sample to warrant risk. I had my scans sent to Mayo Clinic and they called me immediately. They gave me biopsy/surgery date. They were setting up a program to do biopsy and surgery in the same procedure. If it looks suspicious, they take it out at the same time so one does not have to come back a second time. And mine was cancer. And Mayo could offer me Video Assisted Thoracic surgery which is a heck of a lot easier for the patient than open chest!!!
One wants a Specialist with lots of experience in the specific area - in a center that can offer you full range of procedures. The others follow the "guidebook" but without experience to understand that there is risk in certain procedures, and it may not be warranted to take such risk.

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Replies to "I would stick with the Expert Center - experience is critical. Lung biopsies are not to..."

Thanks for the advice. It sounds like expert medical centers are worth the effort. Glad the Mayo Clinic took your case and hope you're doing well now.