Spiculated pulmonary nodule that has increased in size

Posted by desertdweller715 @desertdweller715, Aug 22 2:10pm

I was wondering if anyone had any thoughts on this. I had a CT scan to review a nodule that I’ve had for four years which is now much smaller. However, I also have a secondary nodule in the upper lobe of my opposite lung which has grown from 6mm about six months ago to 10x9mm and is spiculated. Having pain and pulmonary function tests show mild respiratory alkalosis. I have a small cyst in one kidney and a calcified cyst on the other. I tested positive for lupus/scleroderma antibodies about two years ago. Could these new growths be autoimmune or neoplasms, particularly the spiculated and growing upper lobe nodule? Thanks!!!!

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@desertdweller715, welcome. I can imagine that these new test results have you asking many questions. I see that you posted in the Lung Cancer group and are concerned the new nodule might be cancer. Your question of whether the new developments are autoimmune or neoplasms is impossible for fellow patients to answer here on Mayo Clinic Connect. But it's a good question to ask your doctor. We can however help with what questions to ask.

When did you get these results? Have you had a chance to review the results with your doctor yet?

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@colleenyoung

@desertdweller715, welcome. I can imagine that these new test results have you asking many questions. I see that you posted in the Lung Cancer group and are concerned the new nodule might be cancer. Your question of whether the new developments are autoimmune or neoplasms is impossible for fellow patients to answer here on Mayo Clinic Connect. But it's a good question to ask your doctor. We can however help with what questions to ask.

When did you get these results? Have you had a chance to review the results with your doctor yet?

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Hello and thank you for your reply! So sorry for the late reply. Been busy with medical appointments.

The newest and concerning nodule was first seen on imaging in either December 2021 or early 2022. It was 6mm. My most recent scan was from earlier this month and it had grown to 10x9mm, and shows spiculated edges. I have had pain in my upper right back, just to the behind my shoulder blade and spine. I have had night sweats and also pain in my sternum and ribs. My next appointment with my pulmonologist is in September 22nd. The recommendation from the radiologist recommended either a follow up ct in 3 months or a needle biopsy. I have been on Cimzia for my autoimmune issues. And I have issues with low IgM and IgA. I have also experienced east bleeding and bruising with bone pain, and fatigue. My father had a spot removed many years ago but it was benign. I am a former smoker who lived with a smoker, and also worked in a bar when smoking was allowed for 8 years. Add to that the number of ct scans I have had since 2014(118), not including x rays and it makes me concerned about a neoplasm.

Thank you again for your reply!!!

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