4.5 cm posterior left lower lung nodule
I am a 5 year tongue cancer survivor recently had a CT scan on abdomen and pelvis. 63 year old female findings on lower chest. The lower bases reveals centrilobular emphysema. Mild subsegmental atelectasis is seen in the lingula. Of 4.5 cm posterior left lower lung subpleural nodule is present. I don't know what all this means do I have lung cancer? Should I have biopsy and whom should I see an oncologist or pulmonologist? I am a twin and live with my twin sister and we take care of our elderly mom who lives with us and we are so close to one another. Could this be benign growth? Please provide your thoughts and feedback. God Bless You all. Thank you for your help and support
Comments
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Sorry you're going through this again. I'm sure this must be really stressful for the three of you.
Most incidental lung findings that appear five years after cancer treatment are benign, especially if there hasn’t been prior lung involvement. There are many possible non-cancerous causes for a lung mass, including scarring, inflammation, or lung diseases like emphysema.
That said, all lung lesions need further evaluation. Given your history and the size of this one, I’d expect the next step to be a PET scan to determine if the mass is metabolically active. If the PET scan shows low uptake, it may be something benign that just needs monitoring. If high uptake is seen, then a biopsy would likely be the next step.
Your CT also shows signs of underlying lung disease, so a pulmonologist should be involved even aside from this mass. If you don’t already have one, I’d strongly recommend seeking one out to review these findings and order the PET scan. If there’s concern for malignancy, an oncologist would likely be involved as well.
It’s great that you have your twin and mom right there for support. I know this isn’t easy on any of you, but you’re not alone. Please keep us updated, and I hope you get clear answers soon.Also hope all is well for the original reason for the abdominal CT.
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God Bless You eDivebuddy for your comment it is very helpful and informative for me and my family. I will keep you updated as I have a Pulmonologist appt on Tuesday. God Bless All on the American Cancer Society CSN. Any other feedback would be great appreciated more than you know.
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Hopefully the pulmonologist went well.
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