Traditional Culture Encyclopedia - The 24 Solar Terms - What does pulmonary nodule mean? What should I do if I am still growing?
What does pulmonary nodule mean? What should I do if I am still growing?
First of all, let's solve the first question: what does pulmonary nodule mean? Sarcoidosis is a multi-system and multi-organ granulomatous disease with unknown etiology, which often invades the lungs, bilateral hilar lymph nodes, eyes, skin and other organs, and its chest invasion rate is as high as 80% ~ 90%. Symptoms and signs vary according to the sequence of onset and the number of organs involved. There are often no obvious symptoms and signs in the early stage of thoracic sarcoidosis. Sometimes cough, cough up a small amount of sputum, and occasionally see a small amount of hemoptysis; There may be fatigue, fever, night sweats, loss of appetite and weight loss. When the lesions are extensive, chest tightness, shortness of breath and even cyanosis may occur. It can be aggravated by infection, emphysema, bronchiectasis and pulmonary heart disease.
So, how to deal with the growing lung nodules? This also depends on the actual situation of nodules. According to the size and nature of nodules, there has been a relatively mature medical research. In fact, pulmonary nodules are not as terrible as we thought.
According to related literature reports, more than 90% of pulmonary nodules are benign, most small pulmonary nodules are caused by benign diseases, and the probability of lung cancer is less than 1%. For pulmonary nodules with a diameter of 6~8 mm, the probability of lung cancer is 0.5% ~ 2%; The probability of lung cancer in lung nodules with a diameter greater than 8 mm is greater than 3%?
Patients with pulmonary nodules with diameters of 1 and 1~3mm should have chest CT at most once a year.
2. for pulmonary nodules with a diameter of 4~6mm, it is recommended to review the chest CT every 6 months. If there is no change for 2~3 years in a row, it can be reviewed once a year, and surgery can be performed when there is change.
3. It is recommended to observe the pulmonary glass nodule with a diameter of 7~ 10mm for 3 months before operation. Pulmonary nodules of this size include pure ground glass nodules, mixed ground glass nodules and solid nodules. If the lung nodules grow rapidly, increase in solid components, or increase in volume or weight during the observation period, then immediate surgery should be considered.
4. Lung nodules with a diameter of 10~30mm should be surgically removed except for typical benign (such as calcified) lung nodules. This part of the size of pulmonary nodules is more likely to be malignant tumors. At this time, surgical resection is the best treatment method, and some of them can achieve radical cure.
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