1. < Lung Health
Profile picture for darwin66

Is a Spiculated lung nodule always malignant?

Posted by darwin66 @darwin66, May 16, 2023

Hello,
58M, Nonsmoker, No history of cancer
I went to a pulmonologist due to coughing, shortness of breath for over 2 years and got diagnosed with allergic asthma.
Ct scan showed 5 lung nodules all on the right lung.
2 are calcified -most likely granuloma,
2 perifissual- which are most likely benign
1 subpleural nodule 5mm
1 spiculated nodule 5mm
The spiculated lung nodule worries me the most
I did research and all data and studies say that spiculated nodules are malignant with a predictive value of up to 90% ..
Doctor wants to just monitor it with follow up Ct scans.
I read that in rare cases infections, Inflammation or sarcoidosis can have Spiculation but Generally such nodules are a sure sign of Malignancy.
Anoyone on here who has experience ?

Interested in more discussions like this? Go to the Lung Health Support Group.

Profile picture for junerose42
junerose42 | @junerose42 | Jan 28 1:55pm
In reply to @lls8000 "@junerose42 , Thanks for posting an update. I'm glad the cyberknife was well tolerated too! I'll..." + (show)
Profile picture for Lisa, Volunteer Mentor @lls8000

@junerose42 , Thanks for posting an update. I'm glad the cyberknife was well tolerated too!
I'll be looking forward to your update in January. 🙂

Jump to this post

@lls8000 See my posting dated January 13, 2026 here. The CyberKnife was successful according to the latest scan!

REPLY
Profile picture for junerose42
junerose42 | @junerose42 | Jan 28 2:26pm
In reply to @astaingegerdm "I had radiation instead of surgery for a stage 1 adenocarcinoma. I get regular CT scans..." + (show)
Profile picture for Ingegerd Enscoe, Alumni Mentor @astaingegerdm

I had radiation instead of surgery for a stage 1 adenocarcinoma. I get regular CT scans to monitor and do far just scarring and nothing new.

Jump to this post

@astaingegerdm I am glad to see your report that radiation worked for you, as it also did for me. It was good that we avoided surgery. Very encouraging that your regular CTs just show scarring and nothing new. How often do you have the CTs?

REPLY
1 reply
Profile picture for Ingegerd Enscoe, Alumni Mentor
Ingegerd Enscoe, Alumni Mentor | @astaingegerdm | Jan 28 5:05pm
In reply to @junerose42 "@astaingegerdm I am glad to see your report that radiation worked for you, as it also..." + (show)
Profile picture for junerose42 @junerose42

@astaingegerdm I am glad to see your report that radiation worked for you, as it also did for me. It was good that we avoided surgery. Very encouraging that your regular CTs just show scarring and nothing new. How often do you have the CTs?

Jump to this post

@junerose42
I had CTs every 4 months for 2 years, now it’s going to be 6 months since the last one.
I decided on radiation since surgery was not superior in my case. Recovery from surgery would be tougher in my mind. I only noticed fatigue after radiation.
And brittle ribs!
Broke ribs on both sides separately from minor injury.

REPLY
View MoreView Less
Please sign in or register to post a reply.