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 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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Profile picture for Lisa, Volunteer Mentor @lls8000

Welcome @dwcar. I saw in another post that you were 12 weeks from surgery at that time. Are you having any other treatments, beside surgery?

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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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Profile picture for Lisa, Volunteer Mentor @lls8000

Hi @ready2talk2000, Have you learned any more about the nodules seen on the last CT scan? Has your doctor outlined the next steps?

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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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Profile picture for dwcar @dwcar

CT found 1.5 cm nodule and I immediately scheduled a pulmonologist specializing in lung nodules and biopsies. It was NSCLC stage 1A adenocarcinoma malignant. It was removed by robotic Segmentectomy. Best wishes with your journey.

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Welcome @dwcar. I saw in another post that you were 12 weeks from surgery at that time. Are you having any other treatments, beside surgery?

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Profile picture for ready2talk2000 @ready2talk2000

The first 5 mm nodule was discovered when I had a chest CT in 2022 as a follow-up to a chest x-ray a month earlier that showed an opacity in an area of the chest.
The follow-up chest CT said I had a 5 mm ground-glass nodule in the right lung.
Since that time I have had 3 mo, 6 mo, and this last time I waited 12 months since things appeared to be improving. However, the 12 mo chest ct I just had Aug. 14 of this month showed two 3 mm nodules and a new 8 mm nodule.
My mom died of kidney cancer at age 53. She only lived 9 months after diagnosis.
I have a big family history of heart attacks, stroke, and cancer.
I've already been diagnosed with Stage 1 heart failure, but doing pretty well. I turn 67 this month.
I promised myself that I would never ignore anything just hoping it got better and these issues are not something I want to play around with.
Thank you so much for your reply. It does help not feeling alone in this.
Take care,
Deb

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Hi @ready2talk2000, Have you learned any more about the nodules seen on the last CT scan? Has your doctor outlined the next steps?

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