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Is a Spiculated lung nodule always malignant?

Lung Health | Last Active: Nov 7 12:13pm | Replies (129)

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@valerie131

I’ve had a 5mm nodule on my right middle lobe for well over 12 years. In January I had a CT and it was 7mm so my doctor ordered a follow up ct for in July. I didn’t have it done till Thursday. I have a brand new spiculated nodule in lower lobe right. And it’s already 13x11mm. I got for a PET tomorrow and I am scared to death. My husband keeps saying I’m overreacting and it could be nothing. I’m a registered nurse and I know this is bad. Am I wrong?

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Replies to "I’ve had a 5mm nodule on my right middle lobe for well over 12 years. In..."

@valerie131
Welcome to Mayo Connect!
I understand how scared you must be. I just went through similar myself.
Spiculated nodules don’t necessarily mean cancer- there are benign conditions that also appear spiculated.
The PET CT obviously will tell you what it is.
Don’t get yourself too panicky- if it is cancerous it is caught early. If you didn’t have to have another CT you wouldn’t have known.
I have had a pulmonary nodule followed for 3 years. It was only detected because I had a chest X-ray after treatment of pneumonia. It had been stable until this year. I had a CT in October last year- stable. This May I had CT angiogram prior to a TAVR procedure to get a new aortic valve. The nodule had grown and now had the appearance of an adenocarcinoma. After recovering from the heart surgery I had a biopsy early August, confirming adenocarcinoma. I had radiation in September, supposedly curative. I’ll have a follow up CT 3 months later.
I’m very lucky that it was found early. Try to think the same way. You will be able to handle anything coming your way. Being an RN means that sometimes you’ll know too much but you also understand the treatment if you need any.
I’m in the same position- retired Peds. I also had breast cancer 31 years ago- chemo and all.
Do you have a Pulmonologist?

Being part of the medical community makes us overreact to reports. They could be benign and I can speak from experience, had a PET Scan and the only thing that came back was activity on a new dental crown surgery. The chest nodules were benign and they just keep an eye on them. Big Hugs

@valerie131 Did you get some answers regarding your nodules?
Hopefully they are nothing to worry about.