I receive yearly CT scans as a follow-up to rectal Cancer. On my latest scan, the radiologist was more detail oriented and went back three years comparing scans. I have had a stable nodule in the lower right lung since diagnosis. Also present has been an area described as focal density in the upper right lung with a nodule. The latest report states that this nodule is spiculated and has grown from 3x4mm to 6x5mm (in 3 years) and is adjacent to a 1cm GGO which has also increased slightly since diagnosis. Also reported was another 4mm nodule in the same area that appeared a year ago but has remained stable. There is also scarring or atelectasis in the middle lobe. Given the characteristics and seeming changes of the upper nodule, the radiologist report states that it is suspicious for malignancy. That was in December and my oncologist was comfortable with waiting for follow up scans as was I, since if it has grown, it has been a slow process and the nodule does not look like a met. If anything, he says it looks like a primary lung but could still just be scarring. I am being rescanned in April without contrast this time to check for changes. If no change, my guess is we will follow up with scans. My oncologist mentioned a biopsy might be the next step. My questions are, is the nodule large enough to biopsy? Can GGO be biopsied? Is GGO ever just scarring? Is there a risk of seeding with biopsy? By the way, I am a 57 year old female non-smoker. Thanks in advance for your input.
Thu, 03/26/2015 - 13:22#1
Slowly Changing Nodule - 1269029