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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@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?

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@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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@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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@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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@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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@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?

Jump to this post

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
@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?

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@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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@marye2

I have a ground glass 1 cm nodule in my lung; they would remove it with laparoscopy as they cannot biopsy it. This and other benign nodules are being followed due to slow growth and they say, no rush. Okay..

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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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@merpreb

@felix536- Welcome to Mayo Clinic Connect. Good morning, it's nice to meet you. I am the Mentor for the Lung Cancer group for Mayo Connect. As members, we can only share our own health experiences, and are we not able to provide a medical diagnosis.

I'm wondering what brought you to the doctor. Were you coughing, spitting up blood, trouble breathing?

I have what is called multifocal adenocarcinoma of the lung. Simply put, this is when several ground glass lesions show up in one or both lungs. Mine started out with 3 lesions in my left upper lung. Then 3 years later a single one along the surgical line of that surgery. I also have a lower left lesion that is being watched with very little change in over 5 years.

I want to state that I do not know enough about all lung cancers to say that only multi-focal adenocarcinomas present this way.

What kind of doctor are you seeing for this? Has anyone considered doing a biopsy?

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I have a ground glass 1 cm nodule in my lung; they would remove it with laparoscopy as they cannot biopsy it. This and other benign nodules are being followed due to slow growth and they say, no rush. Okay..

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