Nodules On Lungs Biography
(Source google.com)
A lung nodule is defined as a
“spot” on the lung that is 3 cm (about 1 ½ inches) in diameter or less. If an
abnormality is seen on an x-ray of the lungs that is larger than 3 cm, it is
considered a “lung mass” instead of a nodule, and is more likely to be cancerous.
Lung nodules usually need to be at least 1 cm in size before they can be seen
on a chest x-ray. How Common are Lung Nodules, Lung nodules are quite common,
and are found on 1 in 500 chest x-rays, and 1 in 100 CT scans of the chest.
Approximately 150,000 lung nodules are detected in people in the United States
each year. Roughly half of smokers over the age of 50 will have nodules on a CT
scan of their chest.
What are the Chances That a Lung
Nodule is Cancer? Overall, the likelihood that a lung nodule is cancer is 40%,
but the risk of a lung nodule being cancerous varies considerably depending on
several things. In people less than 35 years of age, the chance that a lung
nodule is cancer is less than 1%, whereas half of lung nodules in people over age
50 are malignant (cancerous). Other factors that raise or lower the risk that a
lung nodule is cancer include: Size – Larger nodules are more likely to be
cancerous than smaller nodules. Smoking – Current and former smokers are more
likely to have cancerous lung nodules than never smokers. Occupation – Some
occupational exposures raise the likelihood that a lung nodule is cancer.
Medical history - Having a hi story of cancer increases the chance that a lung
nodule is malignant. Shape – Smooth, round nodules are more likely to be
benign, whereas irregular or “spiculated” nodules are more likely to be
cancerous. Growth – Cancerous lung nodules
tend to grow fairly rapidly with an average doubling time of about 4 months,
while benign nodules tend to remain the same size over time.
Calcification – Lung nodules that
are calcified are more likely to be benign. Cavitation – Lung nodules
described as “cavitary,” meaning that the interior part of the nodule appears
darker on x-rays, are more likely to be benign. Causes Lung nodules can be either
benign (non-cancerous) or malignant (cancer). The most common causes of benign
nodules include granulomas (clumps of inflamed tissue) and hamartomas (benign
lung tumors). The most common cause of malignant lung nodules include lung
cancer, or cancer from other regions of the body that has spread to the lungs
(metastatic cancer). Lung nodules can be broken down into a few major
categories: Infections - This includes bacterial infections such as
tuberculosis, fungal infections such ashistoplasmosis and coccidiomycosis, and
parasitic infections such as ascariasis(roundworms). Inflammation - Conditions
such as rheumatoid arthritis, sarcoidosis, and Wegener’s granulomatosis can
cause lung nodules. Benign tumors - Benign lung tumors such as hamartomas can
show up as a nodule in the lungs on x-ray. Malignant tumors – This includes
lung cancer, lymphomas, and cancer that has spread to the lungs from other
parts of the body, among others. More About Causes of Lung Nodules Symptoms, Most
lung nodules do not have any symptoms and are found “accidentally” when a chest
x-ray is done for some other reason. If symptoms are present, they may include
a cough or coughing up blood if the nodule(s) is located near a major airway. Diagnosis The first thing your
doctor will want to do if she sees a lung nodule on your x-ray is to obtain any
previous x-rays you have had and compare them. If the nodule or nodules have
been present for a long time, further tests may not be needed. If the lung
nodule is new or you don’t have any prior x-rays to compare, further workup may
include:
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