Treatment for lung nodules may range from a “watchful waiting” approach for benign nodules, to surgery, chemotherapy and radiation therapy for malignant nodules. If the nodule is benign, your physician will monitor the nodule periodically with CT scans, to determine if any changes in size or shape have occurred.
How are lung nodules managed or treated? 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.
Yes, a lung nodule can be cancerous. But most lung nodules aren't cancerous. Lung nodules are small clumps of cells in the lungs. They're very common.
Remove the nodule.
In general, a lung nodule can be removed very safely and using a minimally invasive surgical approach. Your surgeon may want to perform a bronchoscopy to take a closer look at your nodules and take a biopsy. A biopsy involves removing a piece of your lung to look at it under a microscope.
Benign (noncancerous) pulmonary lung nodules require no treatment. Cancerous lung nodules, however, usually are surgically removed. The procedures used depend on the size, condition and location of the nodule. Observation with repeat CT scans in three to six months may be recommended.
About 40 percent of pulmonary nodules turn out to be cancerous. Half of all patients treated for a cancerous pulmonary nodule live at least five years past the diagnosis. But if the nodule is one centimeter across or smaller, survival after five years rises to 80 percent. That's why early detection is critical.
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.
An open or thoracoscopic lung biopsy is a surgical procedure that is performed under general anesthesia. As with any surgical procedure, complications may occur.
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.
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.
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.
Lung nodules are usually caused by scar tissue, a healed infection that may never have made you sick, or some irritant in the air. Sometimes, a nodule can be an early lung cancer.
Lung nodules are quite common and are found on one in 500 chest X-rays and one in 100 CT scans of the chest. Lung nodules are being recognized more frequently with the wider application of CT screening for lung cancer. Roughly half of people who smoke over the age of 50 will have nodules on a CT scan of their chest.
An issue as slight as fatigue or wheezing could be a symptom of pulmonary nodules. However, the condition is manageable if detected early. Learn more about this condition.
Lung nodules are quite common, but most are benign.
After your biopsy. You usually stay in hospital for 3 to 5 days. Or you might need a bit longer to recover than this.
Lung biopsy procedures are not usually painful and have few risks that doctors associate with them. A doctor will only recommend a lung biopsy procedure to support their diagnosis. For example, if a person has smaller lung nodules, a biopsy may be too risky and difficult to justify.
Transbronchial biopsy.
This type of biopsy is done with a bronchoscope. This is a long, thin tube with a tiny camera. The bronchoscope is put down the throat and through the windpipe (trachea) down into the main airways of the lungs. Forceps (tweezer-like device) are used to remove very small pieces of lung.
Nodules greater than 10 mm in diameter should be biopsied or removed due to the 80 percent probability that they are malignant. Nodules greater than 3 cm are referred to as lung masses.
Can a CT scan tell if a lung nodule is cancerous? 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.
If there is a higher chance that the nodule is cancer (or if the nodule can't be reached with a needle or bronchoscope), surgery might be done to remove the nodule and some surrounding lung tissue. Sometimes larger parts of the lung might be removed as well.
Small lesions are common and usually aren't worrisome. About 95% of lung nodules found on first-time CT scans of current and former smokers who are between age 50 and 75 are not cancerous. 1 However, it's essential to follow through on getting a diagnosis, even if you've never smoked.
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.