Lung nodule found on CTScan

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Monday I was informed of a 5mm nodule on my left lung. Here is an excerpt from my scan report...

There is a small noncalcified left upper lobe 5 mm nodule with slightly irregular margins. The nodule is indeterminate. Recommend short-term follow-up chest CT in 3 months if no immediate intervention is planned. Note that the nodules likely below the size threshold for PET detection.

I have since spoken with my onc and we are on the scan for 2-2.5 year plan, unless it changes. It is too small to do anything with. She did move my next scan up from 3 months to 10 weeks. I asked because my former MO felt that my BC DX occurred in a 10 month time frame. He said it was just that aggressive and not missed on imaging 10 months prior. I truly have no idea and would rather believe it was missed, but cannot stick my head in the sand either. I am also aware that there are three features of this nodule that increase the odds of it being a recurrence... noncalcified, irregular and indeterminate...those and my prior DX...so I am in a holding pattern at the moment

I am also looking at a cervical spine MRI for neuropathy in my hands. Bilateral, started 8/29/16....onc does not feel it is related to letrozole...started 8/8/16. She feels there may be something going on that is neck/spine related.

Comments

  • Curlyq1974
    Curlyq1974 Member Posts: 144
    edited September 2016

    Hi Robin, I have a very small nodule on my lung as well . The doctor said it is so small that it is amazing that it was even picked up. He also told me that it is very common for people in the Northeast and areas of industrial pollution to have "spots" on their lungs. My mom has one too. We haven't done any scans since my initial scans in December 2013. I hope the best for you!



  • RobinLK
    RobinLK Member Posts: 840
    edited September 2016
  • LRM216
    LRM216 Member Posts: 2,115
    edited September 2016

    Just want to share with you - I had a small nodule picked up in a regular chest xray that I had taken for a presurgical exam. It was 6 mm. (This was 5 years prior to my being diagnosed with BC). I was also a smoker so I was frantic with fear. I too had a cat scan - non calcified - slightly irregular, etc. - then one every 6 months for two years with a final scan in the third year. It never changed. When I got diagnosed with BC, I told the onc and though it was seen in my full body cat scan it still had not changed. I am now 7 1/2 years out from triple neg bc and nothing ever came of the little nodule in my lung - that has been there over 10 or more years. Hope this helps you. I wish you the best.

  • RobinLK
    RobinLK Member Posts: 840
    edited September 2016
  • KBeee
    KBeee Member Posts: 5,109
    edited September 2016

    Lung nodules do tend to be common. Hoping yours remains unchanged. After chemo, I developed pain and numbness in both hands. I have since had carpal tunnel surgery on both hands; they think the chemo "irritated" or caused some inflammation to delveop. Hoping yours is as simple a fix as that. An EMG would help determine the source.

  • RobinLK
    RobinLK Member Posts: 840
    edited September 2016
  • vlnrph
    vlnrph Member Posts: 1,632
    edited September 2016

    Hey Robin! Ditto to the messages above: my tiny nodules seen on lung CT were stable upon follow-up, which means no worries (they can also show up after experiencing infections like bronchitis). I had a trigger finger from letrozole, also fairly common. Cleared up with steroid shot.

    My dual diagnoses of ILC & IDC, similar to yours, were sufficient to qualify me for mutation testing. There are now known to be many pathogenic DNA variations out there beyond BRCA 1/2. It looks like you chose to have risk reducing oopherectomy so perhaps you've already been down that road or maybe it was done in order for you to start taking aromatase inhibitors instead of tamoxifen

    Your cute picture appears pretty young. When breast cancer appears prior to menopause, that can also be an indication of an inherited tendency. Consider requesting a referral to a genetic counselor. Even if you met with one a few years ago, the situation has changed since then with less expensive, broader panel analyses available. Not to give you more to worry about but knowledge is power.

  • RobinLK
    RobinLK Member Posts: 840
    edited September 2016

    Thank you all so very much!

    I have been wondering about the genetic testing, I do have that available at CTCA. There is only one other family member who experienced breast cancer in my family. My paternal grandmother in her mid to late 70's. Unknown type, but she only had surgery. Thinking Stage 0 or 1. She lived into her early 90's. None of her 4 children had it, and I am the only grandchild to have been diagnosed.

    My mom is from a family of 9 children many of whom went on to have 6-8 children themselves. Nothing on that side....I do worry about being patient zero, and what that means for my daughter and younger sister.

    I am not sure how young 52 is these days, but I was diagnosed at 49. I had my ovaries removed to have AI's as an option. Tamoxifen and I do not play well together.. I was still cycling through all my treatment. I had no menses due to a hysterectomy at age 35...adenomyosis not cancer related. I had polycystic ovaries, and it was a cause for concern on a petscan, so they were watched, which is how we knew I was still cycling. Follicles, cysts, no cysts, follicles....etc..

  • leftduetostupidmods
    leftduetostupidmods Member Posts: 620
    edited September 2016

    I've had many times nodules in the lung showing on CT scans in almost 7 years. Even the feared "ground glass" appearance ones. They showed up then disappeared. I have a spot on the first right rib for two years now, unchanged. I'm on the same regime of watchful waiting with imaging done periodically.

    Also, yes, it may be letrozole. AIs have caused severe advancing osteoarthritis for me, with the cervical area being the worst, including spinal stenosis. So, as weird as it may sound, let's hope that's the case for you too.

  • muska
    muska Member Posts: 1,195
    edited September 2016
    I have multiple tiny ground- glass nodules in both lungs that have remained unchanged for three years (they were first seen on the very first chest CT done before chemo.) I had several CT scans over 2.5 years per the common protocol described above, the nodules remained un-changed. After my last CT I was told BC mets were pretty much ruled out but I need to continue having scans because groun-glass nodules may be precursor of lung cancer. So I am now on once a year CT schedule and my next one is in November.
  • RobinLK
    RobinLK Member Posts: 840
    edited November 2016

    Hi everyone!

    Thank you all for the reassurances! My 5mm nodule did not change. That is good! I now have a few more 3mm calcified granulomas scattered about the same lung,and will have another follow up scan in 3 months.

    I will once again put it in the back burner as that is all that can be done for now. Thank you again for beinghere!

  • Winters74
    Winters74 Member Posts: 25
    edited March 2018

    just bumping this post as a recent ct scan showed a 6 mm hazy nodule on the upper lung. Same side the cancer was on. I am 6months post radiation and 9 months post chem

  • bluepearl
    bluepearl Member Posts: 961
    edited March 2018

    Lung "abnormalities" can show up because somewhere down the road you had a bad flu or cold. While always needing to be followed, it doesn't mean they are cancer from the get go. Scary though. I had liver spots that scared me but a pet scan revealed them to be cysts. I know the fear.

  • muska
    muska Member Posts: 1,195
    edited March 2018

    Hi Winters74, six months from radiation you might still have inflammation from radiation in that lung. What does the radiologist report say exactly and have you discussed it with your team?


  • RobinLK
    RobinLK Member Posts: 840
    edited March 2018

    Your treatment team is a good place to turn. I am still being followed. Scans are back at every 6 months. I graduated from every three to every 6 months once before but another node appeared. Then I went back to every three, stayed stable, and have graduated to 6 month scans again. Mine are all too small for biopsy so it still sits on the back burner. I have found the word stable becomes a magnificent word when in the land of cancer.

  • Winters74
    Winters74 Member Posts: 25
    edited March 2018

    it is defined as a 6mm hazy nodule in one place of report and then another place it defines it as a 6mm ill defined nodule. Both descriptors said it was in the upper right lobe below the apex. My doctor told me not to worry and we would rescan in 3 months. Standard response. I called today to see what my blood work said and my tumor marker is within normal but has slightly increased. Has any of your tumor markers increase but everything remained ok? I do not do well with the wait and see and see and now my blood work that has always been under 12 isn’t now 12.4. Still very normal but concerning bc even when I had “cancer” it was under 12

  • RobinLK
    RobinLK Member Posts: 840
    edited March 2018

    Mine are described as non-calcified with irregular margins. As long as they are stable the only thing I can do, is sweat out 2.5 years of follow-up CTscans. My team doesn’t check for tumor markers.

  • KBeee
    KBeee Member Posts: 5,109
    edited March 2018

    Any inflammation can increase tumor markers

  • carmstr835
    carmstr835 Member Posts: 388
    edited March 2018

    Winters74,

    I too, have lung nodules, and liver and adrenals. The liver they think are cyst because they have been watching them since May, and no changes, the Adrenal 2.8cm lesion grew quickly then stopped and the MRI says it is adipose tissue, but the latest is 2 lung lesions 9mm that were not there in May, but were in November They were rescanned in Jan but the Jan CT scan, they could not seen the lesions because of ground glass opacity they attributed to radiation pneumonitis. But, they can't see the lesions. I have another CT scan scheduled for March 27th. I also recently have seen a pulmonary specialist that is following my case. I see him again April 9th. I have no symptoms and they did a pulmonary function test for a baseline incase this turns to more serious fibrosis. I am more worried about those lesions than the fibrosis. I understand your concern. I'm worried there is not going to be anything to learn about the growth or not of these lesions from this new CT scan this month unless the inflammation has cleared up from the radiation damage. Good luck to you and I hope your lesions are nothing. I also had my cancer markers done in November and again in January, they did increase slightly in January as well, but still in the normal range. Keep us informed!

  • KleeKai
    KleeKai Member Posts: 29
    edited March 2018

    Hi - I had a chest xray to monitor latent TB and a shadow was seen.  I just had a chest CT and a 6mm pulmonary nodule was found in my left lower lobe, and several sub-5mm nodules in my right lower lobe.  I had Stage 1 grade 3 breast cancer in my right breast nearly 3 years ago.  Both tests were ordered by my PCP but I sent a note to my oncologist to review it.  I'd rather she monitor the CT scanning but I'll have to wait to hear from her.  The radiologist recommended repeating the CT in 3-6 months.

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