Multiple lung nodules: Might they be noncancerous? What next?

Posted by felix536 @felix536, Aug 17, 2021

I have 3 lung nodules measuring 4mm, 6mm and 14 mm in three different lobes. Have had ct scans showing no change in 6 months and have another scan scheduled in three months per my pulmonologist. Should I get a second opinion from an Oncologist or wait it out? What are the chances of this being noncancerous?

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Profile picture for jamineibs @jamineibs

Hello. I don’t know about other cancers, but I can share my story.
Same for me, radiologist reported seeing a small ground glass opacity in right upper lobe on heart CT ordered by Cardiologist. Referred to pulmonologist.
Pulmonologist recommended full chest CT for base line. Saw 3 or 4 similar GGOs in various lobes. Recommend watch for change.
3 months Dec 2020 CT nodules unchanged
6 months June 2021 CT nodule in upper left lobe grown 2-3mm and now another in upper left. Recommend continue to watch or lung needle biopsy. I opted for biopsy - found malignant.
August 2021 meet with one of the Mayo Lung Cancer Teams - Oncology, Thoracic, Radiation Oncology, Pulmonology. They call mine Multifocal Adenocarcinoma Insitu said: slow growing and that even when removed it can just pop back up in other glands in the lungs. They mentioned it is not like a cancer that has spread but more like each is an individual cancer. Of course those that have not been biopsied are only suspect at this point.
September 2021, have wedge resection surgery to remove the two nodules in upper left lobe.
December 2021 follow up CT to see if the other GGO nodules have changed.
Of course you do not have knowledge of type yet, but for the Adenocarcinoma, Oncologist told me to think of it as a marathon not a sprint.
Best wishes to you, praying for your nodules to turn out to be nothing.

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Thank you for sharing your situation and I wish you well on your journey. Had 4th CT Scan on 11/08/21 and meeting with pulmonologist yesterday, so far No change. It's been 10 months and will do another Scan in February. Imaging report said this is "reassuring" but to be followed up on for 5 years, which goes along with what you said about a marathon. But have not been diagnosed with anything at this point. Still concerns me that one nodule is 12mm (upon remeasuring). Debating on getting a second opinion at UCLA or USC or just waiting it out. Sounds like the only alternative would be a wedge section for biopsy. Sixty two years old and feel great! Did you have any symptoms?

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Profile picture for Merry, Alumni Mentor @merpreb

Good morning Tom and Mary- Tissue biopsies are very common and are done in several ways. The reason that Mary will need to fast is that she will have anesthesia. For me, this meant my first dose of Versed. It seems as if fasting is the way to go, even for a hit of fun.

Before you are operated on, in any form, you should ask many questions including a description of the procedure so you can research it, and learn what they will do if there is a malignancy. I run right to youtube and watch videos of any procedures that I will have. It also helps me with asking more questions.

Your doctor should have advised you in detail about what the technician will do. You are entitled to that information.

I think that this makes sense?

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Hi,I posted with the wrong username earlier.The correct username is Lilly2 not sunny2.I'm new here and was inquiring about how multifocal might present.I discovered I had a nodule two months after a car accident which was not mentioed in tne hospital report instead a pulmonologist noticed it later.Eight months later in June went back for follow up Ct and it grew was spiculated and was solid and took up suv on pet scan. Drs said they believed it was malignant but I wanted a needle biopsy first.I had been canceled for biopsy three times in different centers due to supine hypertension(which means my BP goes high when I lay down). Finally had it down successfully at Mayo and it is adenocarcinoma and will have suegury soon. In June when we discovered the nodule grew three tiny nodule were also seen for the first time all ranging upto 3mm bilaterally. So at my newest Ct in Oct the radiologist said thwy are subsolid so ggo/some solid which is different from the dominant nodule that is going to be removed.The Drs just say they are very small and that
they may go away.I am concerned and ask alot of questions and was told they could represent multifocal adenocarcinoma but cant determine that now. This has been a shocking and scary time .I just wanted to ask if anyone else presented like this? Thank you and you are all in my healing thoughts.:)

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Profile picture for Tom Anderson @ta52

It's a mystery to me then. The only other biopsy I've ever had was with an endoscopy (tube down your throat to your stomach) and even that was no big deal. Is there someone you can ask to get further details?

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Good morning Tom and Mary- Tissue biopsies are very common and are done in several ways. The reason that Mary will need to fast is that she will have anesthesia. For me, this meant my first dose of Versed. It seems as if fasting is the way to go, even for a hit of fun.

Before you are operated on, in any form, you should ask many questions including a description of the procedure so you can research it, and learn what they will do if there is a malignancy. I run right to youtube and watch videos of any procedures that I will have. It also helps me with asking more questions.

Your doctor should have advised you in detail about what the technician will do. You are entitled to that information.

I think that this makes sense?

REPLY
Profile picture for marye2 @marye2

That is what I expected. But they told me to fast after midnight and that it might take hours. Sedation, also. Have to wonder if they are doing the other type, with dye and removal--maybe different for the axillary lymph nodes. Thyroid went the same as you had.

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It's a mystery to me then. The only other biopsy I've ever had was with an endoscopy (tube down your throat to your stomach) and even that was no big deal. Is there someone you can ask to get further details?

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Profile picture for Tom Anderson @ta52

I had a needle biopsy of my cervical lymph nodes just over a year ago. It took minutes. They slapped on a Band Aid or two and I had no issues at all. My COVID booster caused more pain than the biopsy!

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That is what I expected. But they told me to fast after midnight and that it might take hours. Sedation, also. Have to wonder if they are doing the other type, with dye and removal--maybe different for the axillary lymph nodes. Thyroid went the same as you had.

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Profile picture for marye2 @marye2

I am having the biopsy for axillary lymph node on Friday. A little concerned about post op, but time will tell. The nurse has to call me; but they said it is 3-4 hour procedure so I presume it will use tracking stuff and a cut.

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I had a needle biopsy of my cervical lymph nodes just over a year ago. It took minutes. They slapped on a Band Aid or two and I had no issues at all. My COVID booster caused more pain than the biopsy!

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Profile picture for marye2 @marye2

I am having the biopsy for axillary lymph node on Friday. A little concerned about post op, but time will tell. The nurse has to call me; but they said it is 3-4 hour procedure so I presume it will use tracking stuff and a cut.

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Hi. Is this a needle biopsy? What are your concerns about postoperative? I was also scared to death before mine. Postoperative was a breeze.

Maybe look on YouTube for a video to show the procedure? I'm on my phone. And don't know how to paste a link

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Profile picture for Merry, Alumni Mentor @merpreb

Mary- This is a lot of good news! One of the reasons for a needle biopsy is that it is less invasive than a surgical one. And if there is are no cancer cells then you will be saved from a surgical procedure. I know that it's hard to wait. It seems as if cancer is either all action or all waiting.

It's great news that your Thyroid nodules are benign!

WHen is the biopsy scheduled?

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I am having the biopsy for axillary lymph node on Friday. A little concerned about post op, but time will tell. The nurse has to call me; but they said it is 3-4 hour procedure so I presume it will use tracking stuff and a cut.

REPLY
Profile picture for marye2 @marye2

First of all, thank you for your reply. I had never heard of this and I was wondering what the deal was. Both parents had lung cancer, so it has been unnerving. Mine was discovered with a baseline CT in January; a followup in May and a petscan in October. Hadn't grown at all, so they will look at it in June. I still have to get in for a lymphnode biopsy (axillary under arm, same side as glass nodule. They told me they could remove it and certainly is my preference, but they want to evaluate. Nodules in thyroid are benign.

Jump to this post

Mary- This is a lot of good news! One of the reasons for a needle biopsy is that it is less invasive than a surgical one. And if there is are no cancer cells then you will be saved from a surgical procedure. I know that it's hard to wait. It seems as if cancer is either all action or all waiting.

It's great news that your Thyroid nodules are benign!

WHen is the biopsy scheduled?

REPLY
Profile picture for Merry, Alumni Mentor @merpreb

Good morning Mary, it's nice to meet you. I have what is called Multifocal Adenocarcinoma of the lung. It's indolent (slow-growing) and I have had several removed or zapped with radiation.

When was this discovered? Are you considering having it removed?

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First of all, thank you for your reply. I had never heard of this and I was wondering what the deal was. Both parents had lung cancer, so it has been unnerving. Mine was discovered with a baseline CT in January; a followup in May and a petscan in October. Hadn't grown at all, so they will look at it in June. I still have to get in for a lymphnode biopsy (axillary under arm, same side as glass nodule. They told me they could remove it and certainly is my preference, but they want to evaluate. Nodules in thyroid are benign.

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