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Hello My Cousin Brother Had A Polyp In Lungs And

Posted on Fri, 17 May 2019

Question: Hello
My cousin brother had a polyp in lungs and had some symptom of blood coming out of his mouth. Since he has under gone CT scan and surgery to remove the polyp.
The biopsy result is attached. Can you please advice if there is any Malignancy ?

Answered by Dr. Monish De (1 hour later)

Brief Answer:
Spindle cell cancer of lung

Detailed Answer:
Hi

I have gone through your brothers report

The polyp in lung which was removed is showing spindle cell neoplasm meaning lung cancer

Would advise him to do a Pet Ct scan to find out stage of cancer

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Monish De (2 hours later)

Thanks Dr.
Few questions. My brother says his lesion was 1 cm or less. Since nuclear pleomorphism is not there and rare mitotic figures present , can the biopsy report be wrong ?
I have attached other reports for your reference including the copy of bronchoscopic lesion

Follow up: Dr. Monish De (8 minutes later)

Here you will see a
1. Old Lesion Report -TubluDaLesion.pdf
2. Tublu1.pdf which is the new bronchoscopy lesion report in which the lesion is smaller. . Size of growth become smaller after 1 month compare to earlier size
Can the biopsy be wrong ? Should we have it retested.

Answered by Dr. Monish De (18 minutes later)

Brief Answer:
Repeat biopsy test recommended

Detailed Answer:

Hi,

I have gone through your brother's reports

I would advise him to do a repeat biopsy test with immunohistochemistry test which will tell the primary site of cancer.

Also, a PET CT scan very much required for further evaluation.

Regards

Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee