Patient's Query
Hello doctor,
I am a 42-year-old woman and have never smoked. For the past two months, I have been experiencing shortness of breath when climbing stairs and a dull back pain. My CT scan shows a small nodule in the left lung. I am feeling very confused reading about lung tumors online. Please let me know the following:
Are all lung nodules cancerous?
How do doctors decide if surgery is necessary?
Would a PET scan be needed in my case?
Please suggest.
Thank you.
Hello,
Welcome to icliniq.com.
Thank you for reaching out.
I want to take a moment to explain the next steps for your health so that you can understand why each step is important.
We need to perform several tests to review your results thoroughly. While imaging, like your CT (computerized tomography) scan, gives us useful information, it is not enough on its own.
Sometimes a nodule can have a solid part, and the only way to know exactly what it is, whether benign (non-cancerous) or malignant (cancerous), is to take a biopsy (a medical test where a small sample of tissue is taken from the body to check for disease, such as cancer) and analyze it.
This helps us determine the exact type of disease, the type of cells in the nodule, whether the tumor is new or old, and if it has spread to other areas.
This information is very important because if there is a tumor, the treatment plan depends on the type of tumor and whether it has spread. The good news is that you have not had any problems before, which is reassuring and suggests that you are not likely to be in an advanced stage.
Therefore, it is important to complete the biopsy promptly so that we can confirm whether the nodule is cancerous, identify the exact type of disease, and decide on the most appropriate treatment, whether surgery or chemoradiotherapy (a treatment that combines chemotherapy and radiation therapy to kill cancer cells and stop their growth).
Completing the lung biopsy will also help us plan follow-up care and preventive measures. Once we have the results, we will review everything together and make sure you have a clear plan moving forward. Follow-up can be done after seven days.
Please do not be afraid, as completing your investigations will give us clarity and allow us to reassure you. Your health and peace of mind are our top priority.
I hope this helps.
Please revert in case of further queries.
Thank you.
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Answered byDr. Shimaa Abdelatti Osman
Medically reviewed byiCliniq medical review team
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