My husband had an operation 7 weeks ago to remove a kidney and a tumour. Today we went for the follow up appointment and we're told that the op went well, but the tumour was a "stage one" cancer. The consultant then told us that a CT scan would be arranged in 3 months time to check on the "nodules" in his chest which were apparently found in 2011 when he had a CT scan. (They thought he had bowel cancer at the time). We were shocked to be told this news as we had hoped to be given the "all clear" today. We don't understand why nothing has been said or done about theses "nodules" before now! During the op the surgeon noticed abnormality of the liver and suggested my husband had cirrhosis. He had an ultrasound scan and this week his GP said there was no need to worry and no further action was needed. We were so relieved about that. But now we are feeling so down again and worried. Normally we are both fit and active 70 year olds. We cycle and walk and like to get out and about in our motorhome.
Hello, the only information I can give you is that even people with diagnosed lung cancer have lung nodules not related to the disease.
If the nodules were present already in 2011 and found stable after 3years I would not be concerned much about them. The usual wait and watch time is 2 years... If 3 years have passed it seems highly unlikely that these nodules are related to any form of cancer as there's no literature about cancerous nodules being stable for more than 2 years...
I am no doctor, just a medial science junkie ;) you can ask your oncologist and see if he confirms what I am telling you.
Thank you for your comments. The main reason I am worried is that until yesterday we were not aware that these nodules existed. There has been no scans or checks of any kind during the past 3 years. The CT scan t.hat showed the nodules was for the kidneys. Once a problem was detected with the kidney, it seems to me that the chest nodules were put on hold.
As a fellow 70s couple "we" can report that lung nodules that are cancerous are very active, changes can be seen between CT scans only a few months apart. I believe lung nodules are rather common, even in the younger folks, but most are not malignant.... do not require any treatment. Seems you doctors low key approach suggest that is your case. As them for specific advice, I would.
Actively growing lung nodules may be tested using a needle biopsy - an same day (out-patient) test in our experience.
Hi there my husband has 2 micronodules 2 mm and 3 mm stable so far, that we have been watching for 15 months. Next scan in 6 weeks. If your husband had lung nodules for 3 years and they end up being stable on this next scan i would not worry. As others have said cancerous nodules change in that amount of time. Lots of people have benign nodules. Glad the liver ultrasound went well. I was once told my liver looked " odd" during removal of sn ovary and went thru a zillion tests to rule out liver issues. That was 8 years ago...nothing was found and I am still here. But, it scared me to death. I am not much of a drinker and never have bern , so i couldn't figure out why my liver looked odd. I have since learned livers ....even normal ones can look odd. Who knew?
Hubby going for repeat CT scan of a 2mm and 3 mm nodules. I am freaking out tonite as usual. It has been 18 months since these were first found. Praying for stability. Like last time. Anyone out there to talk me down?
Report said the 2 mm one is now a calcified granuloma and stable. The 3 mm one hasn't changed and is marked stable as well. They said no more follow ups needed...finally. I swear we aged10 years these last 18 months. Thanks everyone for your support!
Awesome news. I had a 5mm or so sized one found in March. I was told to wait a year and after six months, I'm freaking out feeling like I should have one sooner. I'm so glad everything with your husband turned out. I hope I get the same news!
Keep in mind "large" for lung nodules is generally considered over 1 cm, that is 10 mm. Even a 1 cm can be benign if inactive/stable. That's why there is a wait... give the nodule time to show growth if it is growing. Besides, the number of CT scans one can take before it does damage is limited, just like X-ray. It might be comforting to get one a month and be told nothing wrong, too bay the X-rays are killing you.
New to the group. I want in for a chest X-ray last week to check for plaque build up in arteries. Got a call few days later that they found a 12mm nodule on my lower left lung. 37 years old, never smoked. This site has been extremely helpful at easing my mind. Doctor does not seem very worried but sending me for a ct scan tomorrow. Seems the size is larger than most on here have reported which is worrisome. What should I be looking for tomorrow?
Guess, it is "tomorrow"... but doubt you'll have any readout on the CT for a few days.
I believe the CT will be a base-line, not an answer. The answer is what happens over then next month or months when you get a follow up CT scan. Activity is worrisome, stability is in general good news.
Thanks, they did actually get back with me the same day of the ct scan. Very fast. Only problem is I talked to the nurse and she was no help at all explaining all of this. They have referred me to a pulmonologist next week. That doesn't sound good. Here is what was on report:
No definite auxiliary, hilar, or mediastinal adenopathy is identified. A irregular lobulated nodule is seen in left lower lung. App 1.5cm by 1.2cm. Adjacent additional satellite pulmonary nodules are demonstrated well with a "tree in bud" appearance. Impression: findings are most just above an inflammatory process. While neoplasm is not completely excluded, this is thought to be less likely
It would going well beyond my knowledge to comment specifically on the meaning of your results. I have heard the term "salt and pepper" to describe numerous small nodules. Small is generally good, even if numerous.
It is my guess that the over 1 cm size is the main concern and that by itself proves nothing, I believe. Follow up is clearly indicated to see if there is growth in size - I'd think another look via CT would not be sooner than a couple of weeks as CT presents form radiation risk, which is lowered by limiting the number of scans. My wife gets a scan at least a couple times a year.
Inflammatory process could mean something like histoplasmosis. Do you live in the midwest by chance? My husbands radiologist said that is what he likely has. The impressions on your report state neoplasm less likely. That is good news. Keep us posted as to what the doctor himself tells you. It's unfortunate he did not call you back himself so you could ask questions.
Thank you for the response. I live in Nashville and the radiologist suggested the same thing. He said he sees this a lot with patients that live near caves? I am scheduled to see a new doctor tomorrow at Vanderbilt. My guess is either a biospy or wait 3 months and a follow up ct scan.
Hi im new this the group . Im 21 and I found out about a month ago I have two nodules in my right lung 3-4mm and 7-8mm .I have bad anxiety And I also have like swollen glands I dont know if its from my nodules or not . But im very scared and I also have a son . Comments would help
While this thread appear to be a "blog" ... perhaps is in its own way. I'd usually prefer someone start a new thread, rather than tie into a thread that is several years old.
That said/noted the only specifics I can make:
1) 3-4 mm is very small, rather common and usually not a problem.
2) 8 mm is approaching the "large size".. a centimeter being considered large in my understanding.
3) regardless of size, stability is the non-invasive way to determine not cancerous. The key hope/objective.
I assume you'll have follow up with you doctor, if not I suggest you discuss a follow up after some time, perhaps a month to year, as the doctor think best.
Hello there, at age 21 it would be unlikely your nodules are cancerous...and the size makes them not very suspicious as well. Are you scheduled for a repeat CT scsn in a few months? If the nodules stay the same size odds are good, all is well.
Hello, first post here. Just need to vent a little bear with me pls.
I just retired last December 13, since then I have had a kidney stone with the usual renal colic, etc. In the process of diagnosing with CT and US they tell me I have liver disease and then tests for cirrhosis. In the process of that, more US and MRI they said I have kidney cysts, one of them complex which could be cancer. So now more CT's for that and then finally on this last CT (november) I'm told I have a lung nodule. This has been a hellish year for retirement. On the bright side, now they don't believe I have cirrhosis and the complex kidney cysts don't appear cancerous on CT with contrast, so scans yearly on that.
On the lung nodule, the CT scan only went to lung bases so it just happened to show up on the very last slice/image at 4mm. Noted as middle lobe though. No mention of borders, calcification/solid or not. I went and saw a pulmonologist and she said I need a full chest CT for baseline because there could be more nodules and this nodule showing up on the last slice might just be the 'tail' of a larger one. This is all just crazy after all these other problems. I have NEVER smoked. She says I am low risk even tho I'm 59 and it is probably benign but have to check.
I'm just as anxious about all these scans. I've had a documented 110mSv of radiation fronm CT due to many many abdominal/pelvic CTs for kidney stones. Now I'm worried that this could cause a cancer. I read 4mm is small but from everyone's experience, if it were cancer what is the average doubling time? Reason I ask is I want to put off this CT for awhile because I've already had more than the recommended amount of radiation this past year.
At the moment what you have is a 4mm nodule in your lung which is, given the size, very low risk of being something dangerous and quite a common finding... It's not clear to me why your pulmonologist talked about multiple nodules before having a full chest CT scan....
Regarding the number of scans our body can take you are right...they are definitely NOT healthy. Few doctors are aware of that. The thing is that even if there is a risk due to radiation exposure it's still way lower than the risk of having you not having the scan and not knowing if something that needs treatment is there.
About the doubling time: this is uncertain. In case a nodule turns out to be a cancer the doubling time would depend of the kind of cells (kind of cancer)...There are many kind of lung cancer cells...some multiply very fast, some others extremely slow. Keep in mind that even benign nodules can grow...therefore the growing factor alone doesn't give a diagnosis...only a biopsy does.
Congratulations and awesome news. Perfect for the upcoming holidays! I'll have my follow up on December 29. My nodule is part-solid, which has me must more worried than solid. Obviously, the hope is it is gone, smaller, or even stable.
Finally got my results. I won't go into the mess it's been to get, but so frustrating as you can imagine as it's been almost two weeks. They said it's "probably" 0.6 x 0.4 cm and "probably stable." I don't know if they always speak this language, but maybe it's to cover their butts as one can't be positive. Happy with the results. Will likely have my next scan in a year.
Best of luck to the all others. This forum is fantastic.
I had a Chest CT (w/o) in Oct. 14 and my oncologist said 'Oh, and there's no change in the 2mm nodule. Hmmm. Well it seems it was on the CT in Apr. 14 and that radiologist didn't mention it'. He said he'd called the new guy and they looked back at my Chest CT from 2009 and it wasn't there but since I'd had 5 PET scans instead of CT scans since Feb. 2012, they couldn't compare. I could not convince my onc to ask the new guy to look back at mid 2009 - Feb. 2012 to see how long it's been there.
The good news was there had been no change in that 6 months. I go tomorrow (at my insistence) for a 3 month CT scan.
I had colon cancer in Jan. 2009 and a liver met in Feb. 2012. I'm so very scared!
The recommended follow ups for lung nodules do not include previous cancer patients for something that small.
Scan was fine. My onc had the head of radiology check every scan I've ever had. He even went back to Jan. 2009 when the hospital had the old scanners and found the same 4 tiny nodules. (I thought 1) They couldn't be measured against the newest machine but were same shape, number and appeared to be the same size.
In Oct 2013 my PET / CT said NO CHANGE, referring to my first use of the new machine in April 2013. In April 2014, since they had not changed for so long, they were no longer noted. In Oct. 2014, a new rad (just out of school) noted 1 that was 2mm and said it had not changed since the previous scan. Head of radiology verified that nodule had always been there and so all four nodules have been declared benign.
1 is just under 4mm and 3 are 2mm or smaller. Onc and radiologist said these are all benign due to being there on my first ever CT scan on Jan. 5th, 2009.
New here. But I must say all my goggling had my a nervous wreck - reading here I feel a little better. Had a 3mm nodule found about 3-4 years ago, routine 3 month, 6 month and finally 1 year CT scans with no change. In October I had my yearly scan done and at doctor's appointment he said 3 new nodules 3-4 mm each. I again am freaking out. Why no change to one in all this time and then suddenly 3 new ones. Don't have my follow up scan until April and I've been so anxious and have myself believing I've got all these symptoms. Worst part I am a smoker trying to quit but the more anxious I get the more I smoke.
don't freak out...if you scan your lungs time to time you will notice things popping out and then disappearing based on the things you have had (flu, cough, chest ifections etc etc...even exposure to chemicals you havent noticed.... You should be more concerned if it was a single nodule popping out ...not 3....Multiple ones are usually something related to a systemic thing. Lung cancer usually shows up as a single mass...certainly not as 3 different tiny nodules.... `Your new nodules are way too tiny for anything to be said...
Also think about it this way: if you didnt know you had that first nodule and you would have taken your first scan today they woyuld have told you that you had 4 nodules...you wouldnt differentiate in between new ones and old ones...Many of us on here have moltiple ones and that doenst mean they all appeared together...some is newer that others for sure for everyone with multiple nodules.
Hi not sure what to think I am a chronic pancreatitis patient have had numerous ct scans this past oct14 I had a ct that showed a 12mm irregular density nodule The report said to have a follow up ct in 3-6 months well it's been 6 months and I havent had a follow up done yet. My family thinks I'm just fine and no need to worry I went to the doctor today for shoulder pain and the doc never saw the past ct but he read the report from the ct done in October By a differnt doc. The doc said this could likely be malignant. Is this to soon to be worried or should I wait for the follow up ct before jumping to the malignant possibility
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