Multiple ground glass nodules or larger size

Portal Forums Lung/Thoracic Cancer Work-Up/Staging of Lung Cancer Multiple ground glass nodules or larger size

This topic contains 7 replies, has 4 voices, and was last updated by  cards7up 4 weeks, 1 day ago.

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April 26, 2017 at 9:48 am  #1290648    

garyfitz

During a CT Calcium score without contrast for my heart (I had no cardiac issues thankfully) a 6 mm ground glass nodularity was found. I had a CT scan with and without contrast and multiple ground glass nodularities were found in the right upper lobe:
.9x.6 cm nodule with a .7 cm nodule just lateral to this
1.1 cm ground glass nodule
a triangular-shaped ground glass lesion measuring 1.2 cm x 1.3 cm
a “somewhat ill-defined ground glass lesion” measuring 2.5 x 2.5 cm

There was no pleural effusion or thickening.

My doctor wasn’t thrilled with the radiologist’s report because it was “sloppy” and had many typos and inconsistencies. The radiologist’s “conclusion” was that “given the CT appearance and clustered nature” these are likely from an infection/inflammatory.

My question: The large size of these nodules/lesions (especially the 2.5 x 2.5 cm one) doesn’t seem consistent with anything I’ve found related to inflammation or infection. Everything I see talks about infection/inflammation with nodules that are much smaller. Isn’t a larger nodule of that size typically malignant. If so, I feel so grateful that it was detected now and, therefore, hopefully very treatable.

I’m having a follow-up CT scan in 2 weeks to see how things have progressed (or not) so I know I’ll learn more then but would love a little insight here.

I sincerely appreciate this forum and the people/experts in it.

Gary

April 26, 2017 at 1:23 pm  #1290651    
catdander forum moderator
catdander forum moderator

Hi Gary,

I’m sorry you’re going through this worry. I hope it’s infection or other inflammatory process. Size does matter statistically but stats mean little since you’re concern is as an individual. My husband had several very dismal stats with his cancer but is NED without treatment for 4 years. Below is a link to a couple of pieces on ground glass opacities that I think will help form an understanding. It sounds like your doctors are keeping a close eye on the situation. I hope all goes very well and I wish I could say don’t worry but I know better.

http://cancergrace.org/lung/tag/ground-glass-opacity/

All best,
Janine

April 26, 2017 at 3:41 pm  #1290652    

garyfitz

Thanks so much for the reply and link Janine. I read through that link and learn a bit more so THANK YOU. I’m hopeful someone else may shed some light on the size of these darn things.

I LOVE hearing how well your husband is doing!! GREAT NEWS and I hope and pray he continues to do great!!

Thanks again for your reply.

April 26, 2017 at 8:47 pm  #1290654    
JimC Forum Moderator
JimC Forum Moderator

Hi Gary,

I would agree with what Janine has said, and just add that infection/inflammation can at times cover relatively large areas of the lung, so I wouldn’t look at the size as the most important factor. What is important is whether it clears up or grows, and as the links Janine cited state, whether the growth is slow.

Good luck with follow-up; we’ll be hoping for this to clear up soon.

JimC
Forum moderator


Jul 2008 Wife Liz (51/never smoker) Dx Stage IV NSCLC EGFR exon 19
4 cycles Carbo/alimta, 65% shrinkage
Tarceva maintenance
Mar 2010 progression, added Alimta, stable
Sep 2010 multiple brain mets, WBR
Oct 2010 large pericardial effusion, tamponade
Jan 2011 progression, start abraxane
Jun 2011-New liver, brain mets, add Tarceva
Oct 2011-Dx Leptomeningeal carcinomatosis; pulsed Tarceva
At rest Nov 4 2011
Since then: http://cancergrace.org/blog/jim-and-lisa

April 26, 2017 at 9:32 pm  #1290655    

garyfitz

Thanks Jim. I’m staying reasonable and positive and reassuring my wife that although the numbers don’t look great, there are always exceptions to the rule and I’ve never been the norm :)

I appreciate the input from both of you and anyone else!!

Gary

April 27, 2017 at 2:39 pm  #1290658    

cards7up

Did they put you on an antibiotic? Many times when these nodules are seen, they’ll try an antibiotic first then rescan within 3 months. How long ago was the scan where they were seen?
Take care, Judy


Stage IIIA adeno, dx 7/2010. SRS then chemo carbo/alimta 4x. NED as of 10/2011.
Local recurrence, surgery to remove LRL 8/29/13. 5.2cm involved pleura. Chemo carbo/alimta x3. NED

April 28, 2017 at 6:43 am  #1290662    

garyfitz

Hi Judy. No antibiotic. I had the first scan almost 2 months ago and my next scan is in two weeks. I’m hoping that gives some positive news.

Thanks for the input Judy :)

April 28, 2017 at 1:34 pm  #1290663    

cards7up

Good luck on your next scan. Mine is also in two weeks.
Take care, Judy


Stage IIIA adeno, dx 7/2010. SRS then chemo carbo/alimta 4x. NED as of 10/2011.
Local recurrence, surgery to remove LRL 8/29/13. 5.2cm involved pleura. Chemo carbo/alimta x3. NED

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