If your nodule is benign, you will not need any further treatment, except to manage any underlying problems or complications related to the nodule such as pneumonia or an obstruction. If you need invasive surgery to remove a tumor, your doctor may recommend one or more tests beforehand to ensure your health.
Small, noncancerous lung nodules don't usually require treatment. You may need treatments, such as antibiotics or antifungal medications, if you have an infection. If the nodule grows, causes problems or is cancerous, you may need surgery.
Nodules between 6 mm and 10 mm need to be carefully assessed. Nodules greater than 10 mm in diameter should be biopsied or removed due to the 80 percent probability that they are malignant.
The smaller the nodule, the more likely it is to be benign. Also, benign nodules grow very slowly, if at all, while cancerous nodules on average can double in size every four months or less. Nodule content, shape and color: Another way to tell a benign lung nodule from a malignant one is to test its calcium content.
Benign lung nodules can be caused by inflammation from a number of conditions. They include: Bacterial infections, such as tuberculosis and pneumonia. Fungal infections, such as histoplasmosis, coccidioidomycosis or aspergillosis.
Benign lung nodules and tumors usually cause no symptoms. This is why they are almost always found accidentally on a chest X-ray or CT scan.
A premalignant lesion is a formerly benign area that's evolving into a malignancy. A mixed squamous/glandular papilloma is an example of a benign lung nodule that could become malignant. A bacterial or inflammatory disease, such as sarcoidosis or rheumatoid arthritis, can cause lesions.
There is very little growth or change, if there's any at all. Cancerous pulmonary nodules, however, are known to grow relatively quickly—usually doubling in size every four months but sometimes as fast as every 25 days.
A non-cancerous (benign) tumour of the lung is a growth that does not spread (metastasize) to other parts of the body. Non-cancerous tumours are usually not life-threatening.
However, your doctor may suspect a lung nodule is cancerous if it grows quickly or has ridged edges. Even if your doctor believes the nodule is benign or noncancerous, he or she may order follow-up chest scans for some time to monitor the nodule and identify any changes in size, shape or appearance.
Your Recovery
It is common to feel tired for 6 to 8 weeks after surgery. Your chest may hurt and be swollen for up to 6 weeks. It may ache or feel stiff for up to 3 months. For up to 3 months, you may also feel tightness, itching, numbness, or tingling around the cut (incision) the doctor made.
During a CT scan, the radiologist will mark a nodule by inserting a fiducial, which is then visible during the operation via fluoroscopy. This allows the surgeon to precisely cut out the appropriate wedge of lung tissue containing the nodule.
Providers may be more worried about larger lung nodules and those that grow over time. If your nodule is large or is growing, you might need more tests to see if it's cancer. This might include imaging tests, such as CT and positron emission tomography (PET) scans. Another test might be a procedure called a biopsy.
Growth occurs over time in benign thyroid nodules in 20 to 39 % of patients, depending on whether levothyroxine and/or iodine is administered or not [8, 9].
Location. Location of nodules in the lung is another important predictor as nodules on the upper lobes are more likely to be malignant. Although etiology of this predilection is unclear, higher concentration of inhaled carcinogens could be a possibility.
In the vast majority of cases, lung nodules turn out to be small benign scars, indicating the site of a previous small area of infection. These nodules may be permanent or may even spontaneously disappear by the time of the next scan. Most are of absolutely no consequence.
When a benign tumor must be removed surgically, there are now minimally invasive procedures that allow for a much faster recovery. The procedure known as video-assisted thoracoscopic surgery involves making a few incision in the chest wall in order to gain access to the lungs.
The most common causes of lung nodules are inflamed tissue due to an infection or inflammation (called granulomas) or benign lung tumors (such as hamartomas). Less common, malignant lung nodules are typically caused by lung cancer or other cancers that have spread to the lungs (metastatic cancer).
Lung nodules rarely have symptoms. They are usually found by accident in 1 of every 500 chest X-rays. If lung nodules are large or malignant, they may cause symptoms, including: Chronic cough.
Most patients with lung nodules will schedule periodic follow-up appointments at 3-, 6-, or 12-month intervals to see if the lung nodule grows or changes over time. This ensures your care team can catch any signs of lung cancer early—or provide peace of mind that you don't have cancer.
This would determine the growth rate; tumors were deemed fast growing (fewer than 400 days), slow-growing (between 400 and 599 days) or indolent (600 days or longer).
1. Radioactive Iodine. You will be given radioactive iodine in a capsule or liquid form. Your thyroid gland absorbs the medicine, which causes your nodules to shrink and reduces the signs and symptoms of hyperthyroidism within a few weeks.
Benign lung nodules and tumors don't often cause symptoms, and they're often found accidentally on an imaging test. If they do cause symptoms, they can cause: Shortness of breath.
Specific types of benign tumors can turn into malignant tumors. These are monitored closely and may require surgical removal. For example, colon polyps (another name for an abnormal mass of cells) can become malignant and are therefore usually surgically removed.
The short answer is no. A CT scan usually isn't enough to tell whether a lung nodule is a benign tumor or a cancerous lump. A biopsy is the only way to confirm a lung cancer diagnosis. But the nodule's characteristics as seen on a CT scan may offer clues.