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Old 02-18-2009, 07:57 AM   #1
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nvnana HB User
lung cyst

I just had a sprial chest Ct scan looking for a pulmonary embolis. That was ok but they found a "fluid filled" mass on the right lung. The report states can not rule out cancer. I was to have a ultrasound guided biopsy to check it out. The radiologist looked at the scan and deceided it was just a "commom" cyst and didn't need a biopsy or any follow up.
Now I'm not a doctor, but I'm really not comfortable knowing I have something in my lung and this radiologist is playing god and just deceiding who needs a biopsy and who doesn't.
Am I wrong to want some further studies on this mass?? Any and all suggestions are welcome. Thank YOu

 
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Old 02-23-2009, 11:22 PM   #2
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Re: lung cyst

Hi there,

While I understand your concerns with having a cyst in your lung, be careful before you start accusing the radiologist of "playing God". Doctors have a LOT of training in what they do, and contrary to what many people think, being a doctor is much more than just pattern recognition and educated "guessing".

Radiologically, lesions which tend to be malignant have certain stereotypic appearances on the scan. There are certain features like shape, size and internal characteristics which can alert the radiologist to the possibility that what you have may be malignant. You're right that no one can be 100% sure, but in life, you can't really be 100% sure about ANYTHING; however, in your case, cysts in general are rarely cancerous, and the "pre-test probability" of this being cancer is <1%. Now look at the risk associated with a lung biopsy and it greatly outweighs the benefit of doing a biopsy. Your doctors will likely redo the CAT scan in a few months and if the cyst has changed in appearance (which is unlikely) they may need to do something about it then. It's difficult, I know, to sit back and trust the doctors (especially when we live in a time where we are all encouraged to be advocates for our own health), but docs do a LOT of training to get where they are, and putting your trust in them to do their jobs is the same trust you put in a pilot to get you to your destination safely when you're flying in a plane.

Last edited by harka; 02-23-2009 at 11:22 PM.

 
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Old 02-25-2009, 07:51 AM   #3
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Re: lung cyst

Thank you for your reply and information. I have had time now to "calm" down after the initial shock of hearing there is something in my lung! I am going to a pulmo MD appt for follow up and as you say will probably have a follow up CT in a few months. Thanks again.

 
Old 05-17-2010, 10:54 PM   #4
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Re: lung cyst

There is a rare lung disease only women get, it causes cysts in our lungs. I just found out I have it. It's lymphangioleiomyomatosis. LAM for short. You can do a search on the internet for the LAM Foundation for more info. Some DR's have never heard of it.

 
Old 03-09-2011, 12:21 PM   #5
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Re: lung cyst

Rosemary, I"m wondering if I have LAM although I had a ct last month which showed my lungs to be normal. I have trouble breathing and chest pain for many months..the ct showed sm. kidney tumor known to be connected to lam. How where you diagnosed? I hope you are feeling well. Thank you and Blessings,

 
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