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?

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

Thank you so much for your responses. I will join the Multifocal Group. May I ask what the size of your nodules were and are? And what type of surgery you had. I hope that you are feeling well and you sound very optimistic. Best to you!

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@felix536

Nodules were detected on a check ct scan in January by my Cardiologist. I was referred to a Pulmonologist and subsequent scans were taken in February, May and August (this month). A PET scan was done in May but the area where the 14mm nodule was not clear enough (due to breathing) to detect if there was any PET activated activity there. Also, on the May scan there were only a 4mm and 14mm nodules but on the August scan there was a 6mm nodule listed as "unchanged", that makes three. My Pulmonologist and I had a meeting with a Thoratic Surgeon are ok with waiting another 3 months but I am wondering if there are other more sophisticated tests for this condition that possibly they don't offer in this area that they might at UCLA or somewhere. Any ideas?

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@felix536- You are getting very sophisticated testing already. Multiple lung lesions are all primary nodules that seem to begin as ground glass. What I would love is a test that would tell if the nodules are cancerous and should be treated, so others can be left alone! I have had a slew of nodules that have come and gone, and many little thingies hanging around, just taking up space.

Will you please join us in the Multifocal group?
https://connect.mayoclinic.org/discussion/multifocal-adenocarcinoma-of-the-lung-continual-recurrences/

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Nodules were detected on a check ct scan in January by my Cardiologist. I was referred to a Pulmonologist and subsequent scans were taken in February, May and August (this month). A PET scan was done in May but the area where the 14mm nodule was not clear enough (due to breathing) to detect if there was any PET activated activity there. Also, on the May scan there were only a 4mm and 14mm nodules but on the August scan there was a 6mm nodule listed as "unchanged", that makes three. My Pulmonologist and I had a meeting with a Thoratic Surgeon are ok with waiting another 3 months but I am wondering if there are other more sophisticated tests for this condition that possibly they don't offer in this area that they might at UCLA or somewhere. Any ideas?

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@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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