kolibri
Posts:3
Hi from Croatia!
My dad had in 2010 noticed one lung nodule 1 cm on ct.
We have followed this nodule for five years without any change.
This year on regular ct follow up it says that nodule enlarged for 5 mm.
Now, I'm worried about this, how after 5 years started to grow (this is 6th year) of follow up.
Doctor said after two years that is probably a benign nodule.
My dad is 73 years (last 35 years not smoked) and without any problems with lungs (heart infarct in 2010, three months before we noticed this nodule on rtg).
Is it possible that benign module started to slowly enlarge or it is this some kind of malign nodule?
Sory for my bad english!
Forums
Reply # - July 24, 2016, 08:02 PM
Hi kolibri,
Hi kolibri,
Welcome to GRACE. No need to apologize for your English...my Croatian would be much worse (though I have some Croatian ancestors), so we'll stay with English.
Though cancer can do some strange things, it would be very unusual for a cancerous nodule to remain unchanged for 6 years, then grow.
Although the only way to know if this nodule represents cancer would be to collect and test tissue via a biopsy, that is an invasive procedure which does bear some risks. For that reason, it may be preferable to re-scan at a shorter interval to see if the nodule continues to grow.
JimC
Forum moderator
Reply # - July 25, 2016, 04:47 AM
Thank You so much for the
Thank You so much for the words of encouragement.
BTW, my Dad suffers from spondylitis ankylosing. Until 10 years ago doctor said that is rheumatoid artritis and now is spondylitis. It is obviously that doctors are not 100% sure about the diagnose.
And on some forums people said that this kind of disease can be cause of this nodule.
In general, my Dad suffers from great deal of pain in elbows, ankels, spine, knees. He periodicly recives pain killers as blockades (i dont know english word for it). And last few years it gets worse but we still can handle it.
Well, we are waiting for thoracic surgeon and his opinion. Until now he was not for the surgery (because of herat condition, infarct 6 years ago). I will try to suggest the biopsy if it will be secure.
BTW, my Dad had few bronchoscopies, PET-CT (SUV max varies form 0.7 - 3.5) and there was not no sign on bronchoscopy of cancer cells.
And finaly, there is not any symptoms at all of cancerous disease in lungs until today.
Reply # - July 27, 2016, 02:51 PM
I would avoid a surgery as
I would avoid a surgery as Jim has already stated, it would be unusual for a cancerous nodule to remain unchanged for 6 years.So why go through an invasive surgery to find it's not cancer. This is a small nodule but a fine needle biopsy could probably be done if needed. And a 5mm growth is also not much. I would continue to rescan in 3-6 months. He's already had a biopsy with the bronch and no cancer cells were found.
We can all have nodules in our lungs and not all are cancerous. I have a few that are not even though I've
had lung cancer twice. Take care, Judy
P.S. I am not a medical professional but a 2x cancer survivor and advocate.
Reply # - July 29, 2016, 06:31 AM
We visited yesterday a doctor
We visited yesterday a doctor (thoracic surgeon) and he advised that firstly we have to do tumor markers (CYFRA 21-1 and NSE). So we did it today early morning and, thank God, values are normal (below cut-off values). Another step he advised is to visit a thoracic radiologyst for transthoracic punction opinion (because of small size of nodule and his placement).
Now, we have to visit again surgeon and see if TTP is necesary or just a follow-up will be enough.
So, I think this was good news... Thanks for good wishes and vibes!
Reply # - July 29, 2016, 02:41 PM
Hi kolibri,
Hi kolibri,
I just wanted to add my support for your father as well. I wonder if anyone has suggested the 5 mm difference to be difference in where the pictures landed on the CT or a difference in reading the CT, or a little of both. Meaning there really is no difference in size.
Another question I'd ask is even if the nodule represented cancer whether or not a cancer that grows 5 mm every 6 years is even a problem for a 70 year old person. Many people who get cancer at an advanced age tend to have more indolent disease. It could be that the procedures taken to look, find and treat a cancer so slow growing would only serve to make life less satisfying. In this case a continued wait and watch may be best. Dr. West is a world leading specialist in what can be the slowest growing of lung cancers, BAC. He continues to stress the importance of not over treating and finds that watching and waiting is the best course of action for many people. If issues arise action can be taken at that time.
On a personal note my husband was diagnosed with metastatic nsclc 7 years ago and today has no signs of growing masses. He never had a biopsy that didn't cause a lot of trouble and none gave a diagnosis none captured cancer cells (his diagnosis was from a thoracotomy). He gets scans (one more 6 month interval and will then move to yearly). So the thought that given the opportunity to watch instead of digging around is an easy choice.
Good hopes and vibes from Alabama,
Janine
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