5mm nodular density

igorvl · New User Joined: 03 Aug 2008 Posts: 6

My dad had a CT Scan of abdomen and pelvic area, which included a lower portion of his lung. They found a 5mm nodular density in the lung, and recommended a 3 to 6 months follow up because of that. There is no further characterization of the nodule in the report. I am wondering if this is too long to wait, and may be he should ask for a biopsy.

dano · Posted: Wed Aug 27, 2008 2:57 am Post subject: Re: 5mm nodular density

hello igorvl;
Sorry to hear about your Dad, I'm wondering how he got to this point. With out more information it is very hard to judge. But I would basically I say yes, 3-6 months is too long. I would be back to my GP asking for answers, getting a full chest CT Scan with contrast and a biopsy. I went over 2 years with a spot on an x-ray, and I thought if it was important they would do it but often they don't.
Good luck, keep us posted.
God Bless
Dan
_________________
54 year old male in Hawaii
Diagnosed Nov. 9,2007 with NSCLC IV
with Mets to the lymphs and brain
Had full brain radiation treatment in Jan 08
Currently on chemo treatments every 3 weeks
with Alimta
and taking Lovenox for blood clots
Now back to work full time
http://cancerforums.net/viewtopic.php?t=9993

UneasyRider · Regular Joined: 21 Aug 2008 Posts: 20

Hi igorvl. 5mm is pretty tiny, less than the diameter of a pencil. That's probably why the doctor is advocating a wait and see approach. It certainly wouldn't hurt to get a second opinion, though.

Good luck and let us know what happens.
_________________
57 year old male in Texas diagnosed with Stage II NSCLC
Upper left lobectomy on December 20, 2007, then 3 rounds of adjuvant chemotherapy
July 2008 CT scan - NED
December 2008 CT scan - NED
My story is in this thread: http://cancerforums.net/viewtopic.php?p=39609#39609

pbj11 · Site Admin Joined: 12 May 2007 Posts: 1405

Hi,

I'm torn between both of the above posts. I think that a full lung scan should be done to make sure there are not more nodules. That being said, this is a small nodule and 3-6 months is pretty typical to watch for any growth. A lot of people sit on "nodule watch."

I would at least push for a full lung scan to be sure. Just my opinion, especially since they didn't mention calcification of the nodule that they did find.

Good luck and keep us posted. I'm also for a second opinion.

PBJ
_________________
Husband diagnosed with NSCLC Stage IV. (Non-Small Cell Lung Cancer) Fought & lived 2 1/2 years with multiple lines of treatment.

Post describing our battle: http://cancerforums.net/viewtopic.php?t=7026&postdays=0&postorder=asc&start=0

UneasyRider · Regular Joined: 21 Aug 2008 Posts: 20

It is surprising that the doctor didn't think it necessary to do a full scan of both lungs. I think I would at least push for that. If this small nodule is the only one, then wait and see might called for right now, but if there are other nodules, I would think that would demand more attention.
_________________
57 year old male in Texas diagnosed with Stage II NSCLC
Upper left lobectomy on December 20, 2007, then 3 rounds of adjuvant chemotherapy
July 2008 CT scan - NED
December 2008 CT scan - NED
My story is in this thread: http://cancerforums.net/viewtopic.php?p=39609#39609

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