12 mm Spiculated Nodule upper right lobe

Posted by joannamountain24 @joannamountain24, Feb 19, 2024

May 2022- they found an incidental nodule in my right upper lobe. The CT impression said 8 mm ground-glass could be a low-grade malignancy. A month later, I had another CT which said that there was no significant interval change 6 mm upper lobe pulmonary nodule.
July 2023-I had a follow up CT scan. Impression 12x7 mm slightly spiculated. Malignancy cannot be excluded. I was referred to a thoracic surgeon who also couldn’t rule out cancer and said that it would be very difficult to get a biopsy because of the location. The test could come back negative, but they wouldn’t be sure that they really got it from the right area. He recommended removing it and biopsy it. Probably a partial lobectomy but he wouldn’t know for sure till he got in there. He could end up removing the entire upper lobe. Does anyone have experience with this? I decided to wait.
February 2024--I just had another CT scan about 2 weeks ago. 1.2 x 0.7 x 0.8 cm spiculated nodule in the right upper lobe not significantly changed since July 2023 but has increased in size since May 2022. This nodule remains suspicious, and PET/CT may be considered for further evaluation.
I’m having a PET/CT scan done next week. I’m so scared about everything. Most people say, just have it removed. Is this really the best option? What will the PET/CT scan show. How long does it take to get back to “normal” after having a surgery like this? It would be a minimally invasive procedure.
Also, I’m reading that there is a much higher chance of it being malignant when it’s found in the upper lobe?

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@denzie

If this is cancer and they are considering surgery, that would indicate that it is an earlier stage lung cancer. But it might not be cancerous. There are other conditions that can cause spiculated nodules:

Inflammatory conditions like rheumatoid arthritis and sarcoidosis

Infections like tuberculosis,
Lung cysts and abscesses
Rheumatoid nodules

In the US there are fungi that can cause them- histoplasmosis and aspergillosis. Might there be similar pathogens in Argentina?

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Denzie, thank you very much for answering me, from the bottom of my heart. I had been looking for an update for days and finding this forum somehow helps me handle the situation. I am very alone. Thank you for taking your time to help me. In Argentina, for example, tuberculosis is endemic. Although the BCG vaccine is mandatory in the calendar, the disease occurs frequently. There are also some mushrooms, although I am not sure which ones or how they are presented. It is usually present in the feces of some birds or in more leafy areas. Both possibilities exist and I considered them, but both the pulmonologists and the chest surgeon talk to us about the potential for malignancy, which is why I am so discouraged. I'm afraid it's too late. I fear the result of the PET CT and I fear that I will suffer. They are invasive procedures. I wish I were living it myself and took away all his pain. Thank you for opening up my perspective on other possibilities. I haven't found cases that present themselves that way, but at least it gives me a little hope, as does the fact that you helped me. Thank you immensely. If you have any other additional information, whether from these forums, web content or literature, would you be so kind as to share it with me? I'm still getting familiar Thank you from the bottom of my heart. I hug you from the other side of the world

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