What could this right lower lobe mass be, if not cancer?
My 78 yo father developed hemoptysis for 1 1/2 weeks in early January, after a severe 4 hour nose bleed. Hemoptysis occured for 1 week when he quit smoking in 10/07 (1 ppd x 60 yrs). A chest CT 1/8/08 identified a 5cm x 3.5 cm right lower lung mass and 2 enlarged mediastinal lymph nodes. A PET scan 1/15/08 was inconclusive. No glucose marker uptake in the lymph nodes & only a 1.7 SUV ringlike uptake around the RLL mass. A lung biopsy 1/22/08 showed no malignant cells, but only blood was obtained with 2 samples taken at a CT guided lung biopsy. What else could this mass be, if it's not cancer? A bronchoscopy & mediastinoscopy are the next planned procedures. FYI, my father has atrial fibrillation & takes coumadin.
I forgot to mention, my father was in the ED with bronchitis in 10/07, but had no antibiotics, just a course of prednisone & inhalers. No other known respiratory infections. The pulmonologist, oncologist & thoracic surgeon all think it's odd how round & smooth the mass appears on xrays. This mass was NOT there on a 12/8/07 CXR. (Our area is fortunate to have lung clinic to navigate regional chest mass patients through diagnostic testing & consults).
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