8 mm lung nodule possible malignancy: What should I do?

Posted by js @jstarkman, Jan 18, 2024

I had a CT scan and they found a nodule which has grown to 8 mm from 6 mm 12 months ago. The report says "slowly growing malignancy cannot be excluded". My doctor (GP) recommends another CT in 3 months but I am concerned that this approach is not aggressive enough. It has clearly changed from 6 mm to 8 mm.
What do I do?
Should I be seeing an oncologist now?
Should something more aggressive me done?

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These posts are older. My question is if you were monitoring how did it get to stage 4? I have Nodify high risk after being told its infection by 3 doctors. Well it was biopsy did not show anything in nodules both 9 mm, tissue or lymph glands but still being monitored. Why not remove if my risk is high? I have no peace like I’m waiting the floor to fall out from me. I am sorry to be so panicked sounding .. the whole let’s watch it because your risk is high from blood work only ..non smoker and history of bronchitis and asthma life long. I feel the diagnosis is we are just waiting for it to happen.

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Profile picture for lhatfield96 @lhatfield96

@cmcguire10 How are you doing CIndy. I too had a 9 mm adenocarcinoma. Cut it out via wedge no lymph involvement i have my first scan next week and I am so scared they are going to find another nodule. I can't go thorugh this again!

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@lhatfield96 -I am doing good, Thank you. I understand, exactly, how you are feeling! I’m pretty sure everyone on here feels the same every time we have our follow up CT’s. But even if something were to be there, it’s caught early. I am actually going on my first annual exam in March of this coming new year. Been kind of scary for me since I’ve been on the 6 month schedule since March of 2023, but I try to stay and think positive. I’ve changed my diet to a healthier one with tons more fresh fruits and vegetables and salmon. Mahi mahi, and chicken. Less chips and bad stuff. I also walk most every day at least 2-3 miles and still do yard work, house work and work full-time. So far that has all been good for me.
I also pray and am Thankful for God’s grace and blessings. I pray that your scans will be Good! I can’t tell you not to worry, it’s kind of built in once we go through this, but try to think positive and celebrate your win when it comes out good!🤗

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Profile picture for cmcguire10 @cmcguire10

Hi jstarkman- I totally understand the place that you are in right now. First, take a deep breath, Second, are you near a Mayo Clinic or a Specialty place like it? You can always ask for a second opinion. That is what I would do. I never had a biopsy until after my surgery I had a nodule in my left upper lung that took 9 years to grow from ground glass to Adenocarcinoma. I was lucky because it was so slow growing but I was unlucky because I never got told about it being there. Long story. Anyway my Dr sent me for a PET scan after he saw that it had changed and I went straight to Mayo. Then Mayo decided the order in which they would do things. Pulmonologist first. Compared CT scans, because of shape and size and his experience he knew it was cancer without a biopsy. Set me up to talk to Thoracic Surgeon. I asked about radiation they said best to cut it out. Had a Bronchoscopy done, no lymph nodes involved. Had a PET scan, nodule barely lit. Had not spread anywhere else. Had segmentectomy (partial lobe removed). Clear margins and none of the numerous lymph nodes removed were cancerous. They said they caught it early, and I am so Thankful I didn’t wait to do the lung screening. That’s what caught it. I tell you my story because I have read where others have waited and it had spread. Please get a Second or even Third opinion. Be comfortable with what and which doctor you choose. It has to make sense to you. Stay OFF of Dr. Google! It’s unnecessarily horrifying! Research your questions on Mayo clinic, Cleveland clinic, or any of the . Orgs. Shy away from anything that is a .Com.
Good Luck and God bless you!
Cindy

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@cmcguire10 How are you doing CIndy. I too had a 9 mm adenocarcinoma. Cut it out via wedge no lymph involvement i have my first scan next week and I am so scared they are going to find another nodule. I can't go thorugh this again!

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Profile picture for jessicamc @jessicamc

@jessie1990
Hi, I wanted to update you and hopefully give encouragement.
I had a scan, my third one for 2025. The Mayo radiologist and my pulmonary Dr agree that there is no sign of any reoccurrence of typical neurocarcinoid tumors. It has been two years. Based on that, recommended I return in one year for an annual checkup. The pulmonary Dr said there is seldom reoccurrence of that type tumor returning.
Any updates from your drs?

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@jessicamc I'm so happy for you 💓 nope noting yet still waiting to be called for surgery

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Profile picture for jessie1990 @jessie1990

@jessicamc yes 100% my anxiety is so bad but lung nurse said there is strong evidence there that tumor is typical carcinoid by my scans and biopys... yes ireland is a really nice place west cork also a beautiful place loads of tourist go there beautiful mountains and beaches

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@jessie1990
Hi, I wanted to update you and hopefully give encouragement.
I had a scan, my third one for 2025. The Mayo radiologist and my pulmonary Dr agree that there is no sign of any reoccurrence of typical neurocarcinoid tumors. It has been two years. Based on that, recommended I return in one year for an annual checkup. The pulmonary Dr said there is seldom reoccurrence of that type tumor returning.
Any updates from your drs?

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Profile picture for shannynicksen @shannynicksen

@lls8000
I have seen Dr. Cosgrove @compass Oncology in Vancouver, Wa.
He told me yesterday after getting the gene testing that he feels my C is from my anal cancer in 2019. ???
He said if I don’t do the treatment I may live 9-12 mos. If I do the treatment I may live 1-2 yrs. OMG
The treatment is very toxic & could also kill me.
I was hoping I could get a 2nd opinion from your clinic?
Thank you for reaching out to me. Yes I am in a pretty sad emotional state.
Shannon

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@shannynicksen , They should be able to tell from the cells if it is anal cancer that has metastasized to the lung or a separate lung cancer. I'm sorry that you are facing this. It's tough. Treatments for all cancers have improved, and the statistics are lagging behind today's reality. Not everyone conforms to the statistics either. Try to gather all of the information that you can before making any decisions.
I am a volunteer, and don't work for Mayo Clinic, but this link takes you to a page where you can request an appointment:
https://www.mayoclinic.org/appointments
Also, this is a link to the NIH cancer centers across the US. There is one in Seattle:
https://www.cancer.gov/research/infrastructure/cancer-centers/find

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Profile picture for lala56 @lala56

@shannynicksen I'm sorry to hear this. I understand the shock. It brought me back when I got that call from my Dr that they saw a suspicious mass on my routine chest Xray. Shocked, total disbelief, felt time just stopped for me . It's important to have a good family and friends support to help navigate the journey ahead. Knowing what the plan helped me out. I read up on my illness and have written questions for my team at each appointments. Its best to go your appointments with a trusted person as it is overwhelming and its good to have someone else there listening to the discussions. I prayed a lot and have conversations with God about giving me the courage and strength for what's ahead. Wish you all the best and you are not alone on this. Take care.

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@lala56 Thank you! I’m praying for everyone in this chat room & every cancer victim out there!
Praying the cure for cancer is revealed & every one is healed. In Jesus name. Amen.

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Profile picture for Lisa, Volunteer Mentor @lls8000

Hi @shannynicksen, You are still very new at this, and I'm sure your head is still spinning from the shock of it all. You mentioned in another post that you are a never smoker. Do you know if your doctor order biomarker testing on your biopsy samples? Sometimes they don't on early stage cancers, do you know what stage are you? Have you met with an oncologist yet?

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@lls8000
My pulmonologist told me my cancer was stage 2.

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Profile picture for Lisa, Volunteer Mentor @lls8000

Hi @shannynicksen, You are still very new at this, and I'm sure your head is still spinning from the shock of it all. You mentioned in another post that you are a never smoker. Do you know if your doctor order biomarker testing on your biopsy samples? Sometimes they don't on early stage cancers, do you know what stage are you? Have you met with an oncologist yet?

Jump to this post

@lls8000
I have seen Dr. Cosgrove @compass Oncology in Vancouver, Wa.
He told me yesterday after getting the gene testing that he feels my C is from my anal cancer in 2019. ???
He said if I don’t do the treatment I may live 9-12 mos. If I do the treatment I may live 1-2 yrs. OMG
The treatment is very toxic & could also kill me.
I was hoping I could get a 2nd opinion from your clinic?
Thank you for reaching out to me. Yes I am in a pretty sad emotional state.
Shannon

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Hi, I have MAC disease and get check ups every 6 months with a CT scan once a year. In September I asked to have a CT scan even though not due for one. Found a new spot and put me on antibiotic and said come back in 3 months. I decided not to do that and told them I wanted to come back in a month and have another CT scan. Good thing I did. Found another new spot. Sent me for a PET scan end of Oct. and it lit up. I am scheduled for a lung biopsy next week. My suggestion is be very aggressive with your care. My nodule is 1.2cm. It's not a definite cancer diagnosis when the PET lights up, could be another new infection, inflammation or cancer. MAC disease will also light up the scan. I'm hopeful that it is not cancer, but glad I pursued it. Early detection can save lives. Best of luck to you, keep me posted.

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