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Respiratory Disorders  (Expert Forum)
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2 small spots in right lung
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2 small spots in right lung

by Jen23, Aug 18, 2005 12:00AM
I am only 23 years old and I am a little worried, about 6 months ago I had a CT scan on my stomach. They found nothing in that scan but noticed a spot in my right lung. They did another CT scan and noticed that there was 2. They said it might be scar tissue but to make sure I need a CT scan every 6 months to be sure. I don't understand why I would have something like this I feel I am too young. I am a smoker of 10 years( I know that is horrible) but when the doctors keep trying to get me to quit I try for a few days and then start again, the stress just gets to me. If you ccould just let me know what I may be facing here, I don't know what scar tissue will do or if that isn't it what else could it be??????

Jen23

by National Jewish, Sep 02, 2005 12:00AM
A nodule is a small, round shadow or spot seen on chest x-ray or CT scan anywhere in the lungs.  Nodules are due to infections, inflammation, or tumors.  There are many causes of “spots on the lung.”  At your age, despite your smoking, these 2 spots are most likely granulomas.  A granuloma is a small cluster or nodule of inflammation that can occur in any area of the body, including the lungs.  A healed granuloma is the same as an old scar.  This will not have any effect on your health, it is just a reminder of a lung infection that you had in the past.  A lung infection causes inflammation in your lungs.  After this inflammation clears away it is possible for a scar like these 2 spots to be left behind.  A fungus could have caused this infection in the lungs.  In certain parts of the United States fungal infections are a common cause of granulomas.  In the southwest it’s the fungus Coccidioidomycosis that causes valley fever and in the mid-west it’s the fungus Histoplasmosis.



Calcium makes a spot denser and less likely to be cancer.  Spots that don’t change are less likely to be cancer.  Repeating the CT scan every 6 months is reasonable to be sure that the spots are not changing.  Only if the spots have grown would more testing be done to know what these spots could be.  When there has been no change in the spots for 2 years they are considered stable and no further testing is needed.



The most important thing that you can do for yourself is to stop smoking now and forever.  To do this the most helpful combination is Zyban® (bupropion) and nicotine replacement, along with a support group to reinforce your commitment.  You must find a substitute for the cigarettes that will keep the stress from getting to you.  Often exercise, yoga, meditation or a combination of any of these can help you to handle the stress.  You may want to look at our giving up smoking information at http://www.nationaljewish.org/disease-info/wellness/smoking/index.aspx for ways to help you stop smoking.  Also check with your doctor for other quit smoking resources in your area.
Member Comments (13)

by bactitech, Aug 19, 2005 12:00AM
You're going to be even more stressed if these spots turn into something to worry about.



You're only 23. My daughter started smoking at around the same age as you - 13. She is now 25. She very rarely lights up any more, but it's been a struggle for her. My husband's family has a strong history of lung cancer, so I'm thankful she's pretty much stopped.



You can do this. Smoking is NOT cool. Smoking is expensive (this was her main reason for quitting). You are no longer a teenager but an adult. The decisions you make will stay with you for the rest of your life. It isn't about rebelling any more - like it was when you were 13. It's about your addiction. It's about whether your health will stay intact and you will live to a ripe old age. Peter Jennings still succumbed and he was 20 years out. My father-in-law had quit twenty years previously and he died of small cell carcinoma - a quick death sentence. Cut your losses NOW.



Quit fooling yourself. There is online help from the American Cancer Society and I'm sure there is help locally. You can buy the patch anywhere. Do it - you'll be glad you did.

by hm05, Aug 20, 2005 12:00AM
To: jen
I hate to worry you, but those spots are most likely the start of problems, why would you want to purposefully breathe in smoke? I mean, I think the best way to get people to stop is to lock them in a room filled with thick, heavily concentrated ciggarette smoke, and not let them out.  I mean, if someone FORCED you to breath in smoke would you?  No-but because you think you are controlling it, it won't hurt you.  It will, my mom is dying of lung cancer, and trust me, it is AGONY.  Why not put your mind at ease and decide that YES people can die young.  Look at kids with cancer...does YOUTH prevent them from the disease.  There is no rhyme or reason to disease.  I am serious, that if you consider this having nothing to do with whether one is 23 or 73...it is about you, your health and prevention is better than cure.  Once you get cancer, say lung cancer, it is unlikely that you beat the disease.  Most everyone that ever gets lung cancer, doesn't survive more than two years.  My mom is proof of that.  Think of your future, and then ask your self, how can slowly, and methodically killing myself, be a good decision?

by ellekay, Aug 23, 2005 12:00AM
It is soo easy for someone who has never smoked or who has smoked and quit to give holier than thou advice. As a smoker myself for 20 years I can sympathize with you. To non-smokers who may read this understand something... most people who smoke do not WANT to smoke. Whatever the reason we start is pretty much irrelevant by the time we are addicted. It is expensive, it is disgusting, smelly, unattractive, prematurally ages us with wrinkles, hacking coughs, yellow teeth and fingers, and very likely will kill us. Yes any logical intelligent person should be able to say "if I know all of these things to be true I should just wake up tomorrow and quit". It is simply not that simple. It is truly impossible to explain to someone who has never had an addiction how difficult it is to quit. I don't think of myself as "weak" or "out of control" but I am addicted to cigarettes. In any case, to the writer of the original question (jen I think?) I do agree that you should be concerned about your lung spots only a foolish person would not. Continue to make attempts to quit even if it is for only a few days at a time, as "they" say every time you quit, even if you start again, it becomes easier to quit in the long run for good. Try giving yourself a limit of how many cigs. you smoke a day. If you smoke 20 normally, try limiting it to 15 then after a few weeks 10 etc. That might help you to cut down at least. I do not believe there is a "magic" quit smoking device. Everyone I know who has managed to quit has had different methods of doing it. Some swear by cold turkey, others hypnosis, one guy I know started chewing on straws (lol)! I have found one way to limit my smoking is by only smoking outside and not in the house. Like I said it is a smelly disgusting habit and now that I don't smoke inside I find the stench inside other smokers houses near unbearable. But the earlier you start to quit the better. We both know that I am not telling you anything you don't know and how can I possibly preach when I am still smoking myself just know that you are not alone and don't let the judgmental bad guys get you down. Keep going for your scans TRY not to worry yourself TOO much and work on kicking the habit. Good luck to you. I hope things go well.