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Saturday, June 25, 2016
Could This Be A Sign Of Cancer?
I`m a 30 year old male living in Southwest Virginia with no family history of cancer. I have never smoked and do not drink or use any drugs. I have always been healthy. 4 years ago, I had stomach pains and my doctor ordered a CT scan. The scan showed a small calcified granuloma in the right lower lobe of my lung, several tiny punctuate calcifications in my spleen, and tiny punctuate calcifications in the femoral head along with a small bone island present. My doctor said all of those findings are benign and not to worry about them. I was diagnosed with IBS. I know it has been 4 years since this happened, but I still have a thought in the back of my head that I could have cancer. So being that I had those findings in that many areas of my body, is that normal or are those benign findings? Should I have another CT Scan and check to see if anything has changed since it has been so many years? Should I not worry about it and move on with life? I have two kids and a wonderful wife, but I get stressed out thinking that I might have something going on inside of me even though my doctor along with another one said I`m fine and to not worry about it. Thank you for your time and I hope your answer will help me. God Bless You
Calcified lesions are in most cases benign. Given that you have calcified lesions in the spleen as well and you are only 30, this most likely is a old histoplasmosis infection, which is completely benign. And that is the reason why your physician told you not to worry. As a thirty year old you are very young and since you are a non smoker your risk for lung cancer is close to zero. I understand the anxiety that you are going through. However, I think it is reasonable to discuss with your physician to repeat a CT scan of chest to make sure there is no progression (which most likely is the case) in the past four years so you can stop thinking about these benign lesions.
Shaheen Islam, MD, MPH
Clinical Associate Professor
Pulmonary, Allergy, Critical Care & Sleep
College of Medicine
The Ohio State University