Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
188 Doctors are Online

Want to have nodule removed, had biopsy which showed behind bone. Suggest?

User rating for this question
Very Good
Answered by

Practicing since : 2008
Answered : 1197 Questions
Yes,I want to have my nodule removed,it was seen in 2010.I had one attempt Biopsy but it is behind a bone...Pulmanary says he perferrs to check on but Iam afraid of so much radiation> It is getting now the size of a pea first seen in 2010..My primary said out, what do you think?
Posted Fri, 4 Oct 2013 in Lung and Chest disorders
Answered by Dr. Anjana Rao Kavoor 1 hour later
Brief Answer:
Slow growing nodule. CT scan recommended.

Detailed Answer:
Thanks for writing in to us.

I have gone through your medical history in detail.

A lung nodule, when first diagnosed, is often a cause of worry to the patient and doctor as until biopsy is done and pathological diagnosis is made, treatment cannot be decided. However, there are certain tell tale signs in a nodule which point towards a benign condition. I would like to discuss that with you and assure that its not something scary that you have in your lung.

1. A solitary pulmonary nodule is defined as a discrete, well-marginated, rounded opacity less than or equal to 3 cm in diameter which may be benign or malignant. Lesions larger than 3 cm are considered masses and are treated as malignancies until proven otherwise. As yours is size of pea, it is very small indeed to be malignant and also it is very slow growing.

2. A doubling time of less than 1 month or longer than 18 months makes malignancy unlikely. If your nodule is not growing too fast then it is not too worrisome.

3. Chest radiographs may demonstrate calcification, which often indicates that the lesion is benign. You have not mentioned this point.

4. Border of the nodule: a well-defined, smooth edge may indicate a benign lesion.

As the above are technical factors that will be best understood by doing CT scan and comparing with earlier scans or radiographs, it is important for you to get a CT scan of your chest done. I reassure you that Chest CT scan is a very much needed investigation for you and also as the nodule is behind bone, the CT scan might be a decisive factor in proceeding with further treatment if necessary.

Radiation is not an issue in CT scan machines nowadays. Considering the risk benefit associated with your condition, I would recommend you go for a CT scan chest.

Hope your query is answered.
Do write back in case of doubts.

Dr. A.Rao Kavoor
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Lab Tests

The user accepted the expert's answer

Ask a Pulmonologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor