Sampling and Evaluating Lung Nodules and Masses: Expert Q&A
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- Опубликовано: 12 июн 2024
- UChicago Medicine experts Dr. Ajay Wagh and Dr. D. Kyle Hogarth Director of Bronchoscopy and Co-Director of our Lung Cancer Screening Program discuss the latest in lung nodule diagnostics, management and treatment.
Table of Contents
0:00:00 Introduction
0:02:57 What are nodules and masses, and how do people know that they have them in their lungs?
0:04:18 Should I panic if I have a nodule?
0:05:52 How do you work with the patients?
0:07:38 Why is not smoking more important now than ever?
0:10:17 How quickly do cancerous lung nodules grow compared to other types of cancer? And how urgently must patients act?
0:11:26 What are some of the options to evaluate lung nodules and lung masses?
0:14:13 How invasive is a lung biopsy?
0:16:14 How minimal actually is the procedure?
0:17:48 What are lymph nodes and why are they important?
0:19:33 Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat?
0:20:44 Is following a nodule ground glass opacity with yearly CT standard? When there are no changes from scan to scan.
0:22:47 What can people expect before, during, and after one of these procedures?
0:24:28 Would my annual low dose CT lung cancer screening show nodules? Or does it have to be a higher dose CT screening?
0:26:30 What is the process for screening for lung cancer in general, and what people need to know?
0:27:15 Is the evaluation and procedure that we've been talking about, is that covered by insurance as well?
I have TNBC and they found 7 nodules on last act scan In December and in November there were none. I usually do not panic but now I am.😢❤❤ ❤ 23:24
This is very informative, I really like the interviewer, thank you all.
This video was very informative. Thanks to everyone involved.
Excellent …. Well explained .. thank you
My father has just been diagnosed with a 5/7cm mass in his left lung, due to his age (80's) and frailty the doctors have diagnosed him 90% with malignancy without any tests n have given him afew weeks prognosis just by listening about his symptoms... It is been such an up setting, stressful few weeks...Doctors have left us as a family without any information or any support in regards to the next steps...We literally had to fight n get equipment and meds in place...So what do you do when your loved one has been left to die on your own???
Great information. Thanks to UChicago for this program. One question: the doctors mentioned the blood work as a tool to diagnose but didn’t go much into details. Is there another podcast with them where they discuss this further?
My husband has about an inch spiculated nodule in one lung and ground glass opacity in the other top half of the lung. The spiculated nodule is very suspect to be malignant, but what is the percentage estimate that the ground glass is malignant? Dr. Patel is our Pulmonologist in Spokane, Wa. He is amazing and we are waiting for him to do a Bronchial Biopsy. Thank you for any help you can offer in gaining knowledge of this.
I love Dr Hogarth he's my alpha specialist I miss seeing him but I can't do anything about it with funding issues 😥
Thanks for your vidio
Thank you for the video. I am going to have another CT scan for my ground glass, and I have a wonderful doctor that I have complete faith. Your video was just what I needed.
Sir please tell me i also had few ground glass nodules on my upper right lobe please tell me is there any serious
How is it going ?
"Do no harm." That's not Baltimore Veterans Affairs Medical Center moto. They tell patients "It's your fault for coming to the VA, you know we train on patients."
LOVE hearing you don't make patients wait months. Didn't hear it mentioned how long it takes to determine what type? I'm guessing that is more likely relevant to how fast it grows in the time between scans or if concern of mestasis via CT or PET that found it. Is Bronchoscopy safer over CT guided biopsy for COPD/Emphesema patients? On Upper Lobe subpleural nodules is bronchoscopy something that can be done? How large must a nodule be for bronchoscopy?
To have a consultation via telemed, must the physician have access to the actual chest CT, or will the report from.the radiologist suffice?
I donot smoke even before but, how did nodule get in my lungs?
What is your condition now??
Thank you so much for doing this video. After the doctor said that my nodule has grown and I need a PET scan, I didn’t heard anything else he had to say.
Did you do the pet scan? What was the result? Hope you're doing well
@@healthfitnessbysuman6602. I had CT scan , then a CT , With contrast .. I have three nodules in the lobes of my lung upper right lobe lung nodule to lower lung lobe nodules. My question is, am I gonna be asleep and how come I had to have the CAT scan with contrast what is that?
I have TNBC and they found 7 nodules on last act scan In December and in November there were none. I usually do not panic but now I am.
I had a C.T scan in 2021 then I was due for my 2nd scan this year in September I had it done now the dr wants me to have another one this coming week so it scares me last year they told me the nodules was small nothing to worry about that they would keep an eye on them so i'am wondering if they have growen
I have TNBC and they found 7 nodules on last act scan In December and in November there were none. I usually do not panic but now I am.😢
Where in Cleveland Ohio offers bronchoscopy. They insist I need a needle biopsy. I already had one on what they thought might be matastised in my sternum. It was neg. Now they want to do it to my lung. I have NO symptoms.
Do most nodules start elsewhere in the body? My husband had kidney tumors and they removed those.
After 4+ years a 4 mm nodule appears on my other lung. Are chances of cancer high?
i am post lung cancer i am going for a alung screen if i have a nodule what is chances
I have a nodule of concern but a bunch of small ones around it at the top of my lung. I also have RA. Can cancer be spread from the biopsy? My biopsy is booked for Sept.13th 2022.
What do you mean by bunch, multiple nodules?
Hello thanks for this video. My son (30) just found out he have a 3cm mass in his lower lung. He is healthy and I think he smoked casual before once in a while. He does have mold in his house and I had a concern about the mold. He also had a car accident 10 years ago and he hit that area with sterring wheel. We are nervous and worry. I read that 3cm it's bad. Please help me calm and calm him. And I don't know what to do or what to ask the doctor for best of him.
How's your Son doing now? Hope he's fine
I hope he's ok. And so you know, 3 cm isn't bad, but more importantly, it's not so much the size but whether it grows, and how fast, and whether he's had cancer before, or he's at a high risk of having cancer because of where he lives or perhaps the work he does. Another risk is whether it's something that runs in his family, are there other members of his family with cancer of the lung, or any other cancers? Just being a smoker or living with smokers isn't even enough, strangely.
I have 2 nodules, one is just over 3cm, and the other 7.4cm (that's over 2 1/2 inches across). Both have doubled in size in the last 6 years and I'm told they're still at low risk of them being cancer even with my having the systemic type of lupus for over 30 years.
For most nodules, Drs have a wait-and-see attitude, and that's a GOOD thing. You really DON'T want them cutting into your lungs for every little shadow they find. The lungs are like real sponges, and if they get opened up and cut, they form scar tissue, and scar tissue can't fill up with wonderful AIR! And that's what lungs DO: all those tissues are full of HOLES that fill up with AIR that's full of oxygen that keeps us alive. The LAST thing you want is for some scalpel, made up of whatever it is, to start cutting into all that tissue and creating tough scar tissue that can't stretch to absorb AIR. So, NO to imagining that every time Drs see a nodule they're going to go in and cut it out. NO!
I didn’t even get biopsy just radiation treatment had 8 goes on it any advice you can give me please am 67 years old I have COPD they want operate and I have cancer of the Bowl as well help
I hope all went well for you.
I have TNBC and they found 7 nodules on last act scan In December and in November there were none. I usually do not panic but now I am.😢❤❤
Sir november is yourr ct scan ,then dec . They did not see nodules . What did you take, like food, antibiotics and supplements.thanks for replying.
What is the status of your nodules now?
Is there any scan that can tell if the cilia are damaged in the airways?
Not even MRIs can pick those up. They're so tiny they can only be seen with a microscope. Sorry.
I was told I had a small mass on the top of my lung, I’m unsure of the difference between a mass and a nodule ? I’ve never smoked and I’m 77 , it was found by accident during a CT scan on my shoulder.
Hi, I am in the same situation. A Nodule was found when I was being screened for back surgery. The difference between a mass and a nodule is the size. 3cm and above is a mass. 3cm and smaller is a nodule. Mine is 5mm and it’s calcified, which usually means it’s not cancer. But they still want me to do a PET scan. I think that’s d/t my age. Hope all goes well with you. 😊
Hi where is the hospital located , would like to talk to Dr.Kyle
We are located at 5841 S. Maryland Avenue Chicago, IL.
I wish we knew where on the blood test would show the percentage of chance of natural being cancer cause I just had a blood test done doesn't show too much?
There are 2, or 3 of them, the C reactive proteins. They are present in the blood if there's a problem with certain organs, or muscle groups, as I understand it. I have Lupus and I have some liver damage but my Drs can't agree if it's from all the meds I take or from my Lupus. It shows up as C3 positive, but elevated (can't think of the # right now). So the proteins will be present in your blood but they won't necessarily prove you have cancer, just that there's something going on with THAT kind of muscle. Your Dr will then have at least a clue of where to go looking.
Good luck!
Thank you for the information as I have lung nodules and don't know what to ask.
I had valley fever in 2018 which left me with a lung nodule. I had a pet scan just recently and it showed malignant. My pulmonologist thinks it is a gray area of being cancerous. I will be having a CT needle biopsy this week. The lung nodule has been the same size for 4 years. Is it a possibility that the fever returning or it could be cancerous.
How big was it 🙏 for you
Ground glass opacity and nodules 6.5mm combination, is this a concern for cancer?
How r feel now and what about ur nodes
Centrilobular nodules-infective ethology in lungs are harmful ?
Size 1.25mm
My late mother nobody really paid any attention then a rushed through bronscopy then opps your terminal opps get your affairs in order. My late mother had small cell lung cancer that jumped to her lymph nodes than her to her spine we need a test to discover lung cancer early
I just got my annual CT lung scan results, & I have a 4.8 cm. mass in my upper left lung, w/ hazy adjacent parenchynal opacity: New, & scattered calcified granuloma. My Dr. says that it doesn't look like cancer, & that they'll rescan in 6 mths. Ummm, I don't want to just wait & do nothing! I smoked cigs for over 35 yrs. & switched to vaping a few yrs. ago, & I'm 52. Emphysema was 'moderate' in last yrs scan, & this yr. says 'None' now, hmmm, I didn't know that it could go away, but yayyy for that part. There were 2 smaller nodules, one in each lung, (0.2 cm in lower right, 0.1 in lower left, calcified) that went away as well. But now this 4.8 cm is considered a mass, & I'm terrified! I want to get a Bronchoscopy asap!
Did you get further scans, procedures?
How are you now?
Can alkaline foods cure non cancerous nodule?
nope
I hear that cutting out sugar helps.
Question why don’t Dr take nodules in the lungs seriously. I have them and I don’t see my pulmonologist much. Should I worry since I suffer from GPA and rheumatoid arthritis?
Only if they grow. If they take scans and they're the same size from one year to the next, you're fine. Even with R.A. I have Lupus and have only recently discovered some nodules that have grown. It was purely by accident. And both doubled in size in 6 yrs. I'm not worried particularly because I suffer from frequent sinus infections and have had a cough that sounds like I'm about to cough up a lung. And no, I don't smoke or vape. No one around me does either. Just frequent sinus infections, and allergies. LOTS of allergies. So who knows?
i did pet scan and found mai;igant cancer
I have TNBC just finished chemo in December and finished radiation 2/10/23. I had CT Scan in October small infiltrate. Had Covid in November CT scan showed 2 small nodules. Had CT Scan in late December had PE and 7 yes 7 nodules. They are small . I am currently on Eliquis. My oncologist says I’m cancer free and says you are a survivor and should get the mind set of a survivor. I am not a panicky person but I am panicking now because TNBC is so aggressive.
As an ALK+ patient, it’s insulting that people (including doctors) assume we smoke.
Yes
Not sure what's going on here, an 11 mm lung nodule is not considered a small nodule
Lung nodule info
Anyone on here who has a spiculated lung nodule? Studies and data state that they have a 90% prediction of being cancer is this true?
I have a speculated nodule in right upper lobe they are watching
@@ButterFlyKisses08what size is your nodule? I have a few nodules and one is spiculated.
@@Darwin_81 it’s 4 mm
@@ButterFlyKisses08 My nodule is 5mm, which is too small for a biopsy. Have you already undergone a follow-up CT scan since your nodule was found? I recently had my first follow-up scan after six months, and the nodules showed no changes. However, they need to be monitored for up to 3 years to rule out the possibility of malignancy. I am quite concerned because spiculation is highly suggestive of malignancy.
Yes I had a ct needle biopsy which was indeterminate. Lung started bleeding couldn’t get tissue needed. Also had broncosby once again hemorrhage in lung I’ve had about 7 CT’s since nov, 22 going back to pulmonologist 3 was she is keeping close watch since I am very high risk and have another nodule I bottom lobe
I have TNBC and they found 7 nodules on last act scan In December and in November there were none. I usually do not panic but now I am.😢❤❤ ❤ 2 23:24
Sir where did they found ur nodulez? Are ur nodules negative?