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Suggest Alternate Treatment For Lesions With A Diameter Of 5 Mm

Posted on Mon, 20 Apr 2015

Question: I have a spot on my lung 5 milli-meters and I am due to have the upper right part of my lung removed - It has not spread - Can you recomend an alternative way?

Answered by Dr. Gyanshankar Mishra (47 minutes later)

Brief Answer:
Excision is a safe option for such doubtful lesions.

Detailed Answer:
Hi,

Thanks for posting the query on HCM. After going through your query, I would like to comment the following:

1. A 5 mm lesion in the right upper lobe needs to be evaluated. A subcentimetric lesion of such manner can be kept under observation for 2 years and if it is static then it can be labelled as benign. However there are many other factor to be considered. A whole body pet scan normally pick up any possible malignant focus in the body. Excision biopsy / open lung biopsy is also an option.

2. A confirmed diagnosis can be had only on histopathological examination.

3. The further line of management depends on the arrived diagnosis.

4. Sometimes the lesions can be a sequelea of old healed infection.

5. Thus after all the ancilliary investigations have been done there are only two approaches one is observation and the other is removal of the lesion. Your physician must have taken the decision after taking all the factors into consideration.

I will be glad to answer follow up queries if any. Please accept my answer if you have no follow up queries.

Regards
Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologist

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Gyanshankar Mishra (11 hours later)

I have had a PET SCAN that showed the spot on my upper right lung is not malignant - I have decided to go ahead with the operation to remove the upper right hand section of my lung - I will continue taking high levels of Vitamin C - Thank you for your advice - If you have a final comment, please advise. - XXXXXXX

Answered by Dr. Gyanshankar Mishra (4 hours later)

Brief Answer:
Excsision is an acceptable option.

Detailed Answer:
Hi,

Thanks for the follow up info.

A PET scan not showing any malignant focus is a good news.

Yes, excision of the lesion is an acceptable option. Also after excision, histopathological examination of the lesion will help diagnose the exact etiology of the lesion.

I will be glad to answer follow up queries if any. Please accept my answer if you have no follow up queries.

Regards
Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologist

Above answer was peer-reviewed by : Dr. Prasad