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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@merpreb

John- There are all sorts of different types of surgeries that can be performed on the chest. VATS is one way to access cancer that does not involve opening up the chest and spreading ribs.
https://www.mayoclinic.org/tests-procedures/video-assisted-thoracic-surgery/about/pac-20384922
Can I help you do some research? Do you have specific questions or do you not know what to ask? (like I was, and still sometimes don't!)
Merry

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I dont know enough yet. March they do another CT to see if nodule is still there. Prayers.

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@marye2

My petscan showed a hot, right axillary lymph node. Needle biopsy failed. It is a small size and the Dr wants an excisional biopsy. But the surgeon says he is unlikely to find it, since he cannot feel it and I would be looking at exploratory surgery. Getting an ultra sound of the area, but not sure he will be able to find it. Any common experience? (I have ground glass nodule in lung)

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Oh Mary, what a tough position to be in. Have you thought of a second opinion about this?

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My petscan showed a hot, right axillary lymph node. Needle biopsy failed. It is a small size and the Dr wants an excisional biopsy. But the surgeon says he is unlikely to find it, since he cannot feel it and I would be looking at exploratory surgery. Getting an ultra sound of the area, but not sure he will be able to find it. Any common experience? (I have ground glass nodule in lung)

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@stellerjohn

Please be more specific..is this a special surgery that does not go into the lung specifically to the nodule? I dont understand

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VAT surgery is much easier on the patient than open thoracic surgery. Good for older people. I had a cancer removed end of December and went home after two days. They make three incisions on your side for camera and instruments. They go in between the ribs into your lung. They can see everything on a TV, so they do biopsies and remove cancer. Check out Mayo VAT surgery for lung cancer. And google the term. I came across one video which said that only 1/3 of thoracic surgeons do this surgery.

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@stellerjohn

Please be more specific..is this a special surgery that does not go into the lung specifically to the nodule? I dont understand

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John- There are all sorts of different types of surgeries that can be performed on the chest. VATS is one way to access cancer that does not involve opening up the chest and spreading ribs.
https://www.mayoclinic.org/tests-procedures/video-assisted-thoracic-surgery/about/pac-20384922
Can I help you do some research? Do you have specific questions or do you not know what to ask? (like I was, and still sometimes don't!)
Merry

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@felix536

Hello All, I haven't been on for a while, playing the waiting game but finally went to a UCLA pulmonologist for a second opinion of my 12mm ground glass nodule and should be hearing back soon. Have two other nodules 4mm and 6mm, UCLA thinks the 4mm is calcifying so probably scar tissue and the 6mm may a limp node. Next Thursday they are going to present my case to their bi-weekly nodule group of doctors and decide if a needle biopsy should be done. The radiologist at UCLA seems to think it may have grown slightly vs my previous radiologist that says it hasn't. I've been told the needle biopsies carry a significant amount of risk (collapsed lung) but the nodule is in the very outer edge of the lower left lung so pulmonologist said shouldn't be too hard to get to. Anyone want to share needle biopsy experience? Very best to all of you!

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I had one and there weren't any problems. It was my first time with a major organ and I felt frantic. I was also introduced to versed. I was awake, on a gurney, partway into a CT scanner and as high as a kite. I had a great time. Oh, it was also in a hallway!

Please know that I'm not trying to make light of biopsies. They can be risky, but so much depends on the health of the person's lung, the position of the cancer nodule, and the technicians doing the procedure. I feel that I am so lucky to live in a time where such procedures are not only possible but are done as a matter of routine.

I wish you the best of luck. But most of all, how are you feeling about the risks?

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@dedehans

Vic..if you are on an anticoagulant for blockage it would have to be stopped before any surgery....Is the stent working well enough for you to go off the med for surgery??? I have heart issues too (15 years ago major heart attack) and it complicates everything but I went off the blood thinners a few weeks before I had the LLL surgery.

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I did not do stent because I was in middle of workup for lung mass. Cardiologist said it was OK to put me on medication to treat blockage while I determine what is lung problem. That is not the same medication one has with stent placement. Antiplatelet therapy is required for 6 or more months and cannot be interrupted. For lung surgery they only had me stop low dose aspirin and Lozol for one day. I kept taking the IMDUR and TOPROL XL and Atorvastatin.

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@vic83

I am 80 and I just did VAT Surgery on lung. I am doing well. Look for someone who does Video Assisted Thoracic surgery where they make just 3 incisions

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Please be more specific..is this a special surgery that does not go into the lung specifically to the nodule? I dont understand

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@stellerjohn

More questions;
If my 8mm nodule grows ,3 months from now in a Ct & PET scan , how do they biopsy it ,being so dangerous. My regular doctor said " at 83 you probably cant take surgery ,too risky, so we have to get a specialist in for reccomendations"
How do they radiate a small nodule..in right upper lobe..

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I am 80 and I just did VAT Surgery on lung. I am doing well. Look for someone who does Video Assisted Thoracic surgery where they make just 3 incisions

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@merpreb

John- It makes me happy to hear that you will be seeing another doctor. Dede shared a site that you should look at about PET scans. The difference between a PET scan and CT is its purpose.

A CT scan can be used to visualize nearly all parts of the body and is used to diagnose disease or injury as well as to plan medical, surgical, or radiation treatment.

A PET scan can help reveal the metabolic or biochemical function of your tissues and organs. The PET scan uses a radioactive drug (tracer) to show both normal and abnormal metabolic activity. Cancer throws off energy and the radioactive injection will light up on the scan indicating that something is injured or needs further attention, like cancer.

I will be very interested to hear what your new doctor has to say. Your appointment is this Monday, right?

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Yes. I'll let you know. Thanks.

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