Bronchoscope result
8mm spiculated nodule identified on CT Feb 2025. RLL. Also 4mm fissural nodule LUL. Bronchoscope at Mayo Feb 2025 on 8 mm nodule performed. CT spin technology confirmed needle in left inferior edge of lesion. All path results from procedure showed no evidence of malignancy nor lymphadenopathy.
no other source of nodule identified (infection). Deemed inflammatory by pulmonologist.
Repeat CT in May 2025 showed both nodules stable and no growth. Next CT in September 2025. Could these still be malignant or benign process?
Comments
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it sounds like it could mean you are just high risk for cancer. important that you keep up with it closely
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Could these still be malignant or benign?
Sure, those are the only two options
Sorry, couldn’t resist 😄
But seriously, given the negative biopsy, lack of growth over several months, and no systemic signs or lymphadenopathy, the odds of this being an invasive cancer right now seem extremely low. I do not believe you can rule out cancer with 100 percent certainty, but with stability and time, the probability continues to drop.
If it does turn out to be malignant, the odds are high that it would be something indolent like minimally invasive adenocarcinoma (MIA) or the noninvasive adenocarcinoma in situ (AIS). While I believe all lung cancers have a chance of being cured(I'm 5 plus years into a 4b diagnosis), these noninvasive and minimally invasive types are the only ones considered curable by definition.
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Honestly most in your situation never end up with cancer so don't end up here or stop checking in when they stop scheduling scans.
My nephew had nearly identical as you. He had an inconclusive biopsy then scans at 3, 6 and 12 months.nothing. He hasn't mention it once since before the 6 month scan as far as I and his parents know it's not cancer. They chalked it up to inflammation from the chemicals he used in his job.
Sorry I can't be of direct help. I know how a similar situation can give clarity. I did the same with my diagnosis.
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