a 2.2 cm Lung Tumor: Causes of Chest and Back Pain - Pulmonology

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Pulmonary tumor measuring 2.2 centimeters?


Hello Doctor, my mother has been suffering from unexplained chest pain and back pain (her arm cannot be fully extended) as well as esophageal pain for over a month.
She has seen many doctors, some of whom said the esophageal pain is due to gastroesophageal reflux, the back pain is due to a strain, and the cause of the chest pain remains unidentified.
Recently, a CT scan revealed a 2.2 cm tumor in the left lung, along with several smaller tumors scattered throughout.
We have to wait another week for a biopsy.
I would like to ask you a few questions: 1.
Is it possible that both the back pain and esophageal pain are caused by the tumor? 2.
Given the presence of a 2.2 cm tumor and other smaller scattered tumors, is the situation already serious, and is there still a chance that it could be benign? I apologize for my urgency, thank you!

Worried Family, 30~39 year old female. Ask Date: 2012/01/19

Dr. Huang Yiwen reply Pulmonology


Dear: Hello, why do we have to wait a week for the biopsy? It seems a bit long.
As for what has been described, it is all possible.
If it is urgent, a PET scan can be done first, but since this is not the standard procedure, it may require out-of-pocket expenses.
Additional tumor markers, such as CEA, can also be referenced.
The possibility of tuberculosis cannot be ruled out either.
A size of 2.2 cm is not considered very large.
Huang Yi-Wen

Reply Date: 2012/01/19

More Info


Dear Patient,
I understand that you are experiencing significant anxiety regarding your mother’s health, particularly with the recent discovery of a 2.2 cm lung tumor and additional smaller tumors. It’s completely natural to feel overwhelmed in such situations, and I appreciate your desire for clarity. Let’s address your questions one by one.

1. Could the back pain and esophageal pain be caused by the tumor?
Yes, it is possible that both the back pain and esophageal pain could be related to the lung tumor. Tumors in the lung can cause referred pain to other areas of the body, including the back and chest. The proximity of the lungs to the esophagus means that a tumor could potentially irritate or compress the esophagus, leading to pain. Additionally, if the tumor is affecting surrounding structures or nerves, it could also contribute to back pain. However, it is essential to consider that other factors, such as muscle strain or gastroesophageal reflux disease (GERD), could also be responsible for these symptoms. A thorough evaluation by a healthcare professional is necessary to determine the exact cause.

2. Is a 2.2 cm tumor with other smaller tumors already serious, and could it be benign?
The presence of a 2.2 cm lung tumor, especially in conjunction with multiple smaller tumors, raises concern for malignancy, particularly in the context of lung cancer. While it is theoretically possible for lung tumors to be benign (such as hamartomas or certain types of infections), the size and number of tumors you describe suggest a higher likelihood of malignancy. In general, lung tumors larger than 2 cm are often considered suspicious for cancer, and the presence of multiple lesions can indicate a more advanced disease process. The definitive diagnosis will come from the biopsy results, which will help determine the nature of the tumors (benign vs. malignant) and guide further treatment options.

It’s important to remember that not all tumors are cancerous, and the results of the biopsy will provide critical information. If the tumors are found to be malignant, the next steps would typically involve staging the cancer to determine its extent and developing a treatment plan that may include surgery, chemotherapy, radiation therapy, or targeted therapies, depending on the specific type and stage of lung cancer.

While waiting for the biopsy results can be incredibly stressful, it’s crucial to maintain open communication with your healthcare team. They can provide support, answer questions, and help you understand the next steps in the diagnostic and treatment process.

In summary, while it is possible that the back and esophageal pain could be related to the lung tumor, other causes should also be considered. The size and number of tumors raise concerns for malignancy, but only a biopsy can provide a definitive diagnosis. Please ensure that you and your family have access to support during this challenging time, whether through healthcare professionals, counseling, or support groups.

Take care, and I wish you and your family the best as you navigate this situation.

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