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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Profile picture for jessicamc @jessicamc

My experience was finding a similar size nodule in 2020. It was in left lung close to my heart. Opted a wait & watch approach. In 2021 & 2022 stayed about same size. In 2023 it almost doubled to 13 mm. It is considered as a very very slow growing carcinoid. Had biopsy in Oct 23. Confirmed as a typical neuroendocrine carcinoid. There are typical & atypical neurendocrine carcinoids ( called lung NETS),
I am 77 yrs old. Had robotic surgery 10 days ago. Did so well I was sent home the following day. No chemo, no radiation. I’m very glad I had surgery. Four lymph nodes were negative. There was a cluster of tiny carcinoids, largest 4mm, in same area. They were not noticeable in CTScans but suspicious areas with a PET. I’m very glad I didn’t continue to wait. On YouTube there are several recent presentations on neuroendoctine tumors, known as NETS. I think the only way to know for sure is by biopsy. Please keep us posted.

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@jessicamc hi jess 😊 my name is Jessica also I just read your comment I've been diagnosed with benign typical carcinoid in July this year in my bronchi tube of right lung I've Been hospitalised with pneumonia when they found it I've had 2 biopys one in hospital where I was with pneumonia other biopys was from a differant hospital I was sent to for a second opinion both came back benign typical carcinoid in between all this I've had pet/ct scan which was clear also on 5th September this year I had a procedure down where my lung specialist went down my throat to remove it but could not get it all out over it been stuck to the wall of my tube but managed to remove 40% of it which also came back benign carcinoid now I'm waiting on surgery to be done again in Dec 🥹 one lymph node was also checked and came back clear how was surgery for you how was recovery was it keyhole or open surgery ur feedback would be greatly appreciated thank you so much ❤️

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Profile picture for wtr @wtr

@wtr another question as I await robotic segmentectomy at Mayo on the 10th, I’m hoping my results are like yours. Namely, stage 1AN0M0 with clear margins and nodes.
However, I’ve learned that there are differences in the pathology of stage one adenocarcinomas which affect the recurrence rate. A more aggressive subtype of a stage one cancer carries a higher recurrence rate and tend to recur at distant sites rather than original site? Does anyone have insight on this? Thanks.

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@wtr, Each type of lung cancer can have a unique cellular structure. There are many many types of adenocarcinomas. You are asking great questions for your post-surgery visit with an oncologist. The pathology report and any biomarker testing that is completed will help determine what's next, and your oncologist should be able to speak to the aggressiveness of the tumor.
In the meantime, try to do something that you enjoy that may help to give your mind a break from thinking about all of the possibilities. I know that's difficult. I like to have a plan and a backup plan, but I've come to realize that I often don't have enough info yet to make those plans.
https://www.cancer.org/cancer/types/lung-cancer/about/what-is.html

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Profile picture for wtr @wtr

@wtr another question as I await robotic segmentectomy at Mayo on the 10th, I’m hoping my results are like yours. Namely, stage 1AN0M0 with clear margins and nodes.
However, I’ve learned that there are differences in the pathology of stage one adenocarcinomas which affect the recurrence rate. A more aggressive subtype of a stage one cancer carries a higher recurrence rate and tend to recur at distant sites rather than original site? Does anyone have insight on this? Thanks.

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@wtr HiYi it’s Dave from Pa: what if this..what if that.. please focus on the here and now. We who are fighting cancer tend to worry about tomorrow when all we can truly deal with is the here and now. The what if’s interfere with what’s happening immediately in front of you. Most cancers can reoccur and when they do we deal with them. Worrying that they will(could) back is like worrying you’ll get hit by a bus someday. Don’t waste your time, energy, strength happiness on tomorrow’s. Heck you’ve got 5 days to get ready for your procedure. Best of luck

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Profile picture for wtr @wtr

Thanks so much for sharing your experience. I’m hoping for similar results. Wishing you the best for your continued recovery!

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@wtr another question as I await robotic segmentectomy at Mayo on the 10th, I’m hoping my results are like yours. Namely, stage 1AN0M0 with clear margins and nodes.
However, I’ve learned that there are differences in the pathology of stage one adenocarcinomas which affect the recurrence rate. A more aggressive subtype of a stage one cancer carries a higher recurrence rate and tend to recur at distant sites rather than original site? Does anyone have insight on this? Thanks.

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Profile picture for ear @ear

Yes, see on onologist. I had a Bronchoscopy. My biopsy revealed that Ihad a scant pulmonary adenocarcinoma to the right lung to go along with my just dianosed Esophhageal Adenocarcinoma. Seeing my onologist on Friday for a course of action. I refused surgery going with Chemo adn Raditatton Proton Therapy.

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@ear , Sorry to hear about the additional cancer. Is the lung adenocarcinoma separate from the esophageal cancer? How are you doing after your appointment? Have you decided what you are going to do, treatment/s?

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Profile picture for ready2talk2000 @ready2talk2000

No new information yet. I am having another Chest CT at 3 months that is scheduled for mid-November. It's on my mind all the time, but I'm trying to focus on other things. I did read about the possible tests of a PET scan or possibly a biopsy. Some sources say they would do those things after finding the 11 mm nodule, but others say to do the Chest CT first. Does anyone on this thread have any information about the order of what happens?
Thanks for the inquiry, sorry I don't have anything new to tell yet. I will have more info in November.
Take care everybody.

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@ready2talk2000 hiya from Dave in Pa : I’ve found the order of things are between you and your oncologist. They pretty much follow the 3/6 month follow up watching routine. I had CT’s and alternating Pet/Ct’s during my 1-1/2yr wait n watch period. This past July I was diagnosed. the hardest lesson for me is to stay in today; this is the only moment that matters. Not my next chemo session, not my next Pet/Ct, not the next report on how far my mNSCLC has spread. Only today. Say a prayer, do something good for yourself and then someone else, and please stop worrying about tomorrow. It ain’t here just yet. Best wishes DgA

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Yes, see on onologist. I had a Bronchoscopy. My biopsy revealed that Ihad a scant pulmonary adenocarcinoma to the right lung to go along with my just dianosed Esophhageal Adenocarcinoma. Seeing my onologist on Friday for a course of action. I refused surgery going with Chemo adn Raditatton Proton Therapy.

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Profile picture for dwcar @dwcar

Best wishes with your surgery. Seems you are in good hands. I had robotic segmentectomy left lower area of lung 1.5 cm nodule. Surgery went very well. Pathology was clear for lymph nodes no spread. I am 63 and my Recovery was smooth. My biggest struggle was getting comfortable to sleep. I began walking as soon as I could. I did have numbness in the left abdominal and still have some. Not very noticeable. At 8 weeks I was quite active. Now At 12 weeks I have not noticed much reduction in my lung function.

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Thanks so much for sharing your experience. I’m hoping for similar results. Wishing you the best for your continued recovery!

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Profile picture for wtr @wtr

I’m scheduled for segmentectomy at Mayo on Oct. 10. 9mm nodule grew by 1 mm at ct scan last week.
My cat scans and even a negative bronchoscope with lymph tests have revealed no lymphadenopathy. I’m hoping this holds true at pathology exam following surgery.
How was recovery for segmentectomy? Does your case resemble mine in any way? Thanks.

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Best wishes with your surgery. Seems you are in good hands. I had robotic segmentectomy left lower area of lung 1.5 cm nodule. Surgery went very well. Pathology was clear for lymph nodes no spread. I am 63 and my Recovery was smooth. My biggest struggle was getting comfortable to sleep. I began walking as soon as I could. I did have numbness in the left abdominal and still have some. Not very noticeable. At 8 weeks I was quite active. Now At 12 weeks I have not noticed much reduction in my lung function.

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Profile picture for dwcar @dwcar

I was blessed due to early stage 1A that my situation only required Segmentectomy removal. All tests showed no other cancer. No other treatments at this time.

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I’m scheduled for segmentectomy at Mayo on Oct. 10. 9mm nodule grew by 1 mm at ct scan last week.
My cat scans and even a negative bronchoscope with lymph tests have revealed no lymphadenopathy. I’m hoping this holds true at pathology exam following surgery.
How was recovery for segmentectomy? Does your case resemble mine in any way? Thanks.

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