Nowadays, examination of the CT in examining system as health gains ground gradually, the check of lobar tubercle goes out rate is higher and higher also. So, how to get lobar tubercle to should do after all? How should prevent canceration again daily? Be in regularly with mountain health the management center sits the expert reminds the tubercle of lung of hospital of Beijing University people of examine, tubercle of lung of the discovery when check-up is not represented have lung cancer. The first time the lung that CT examination discovers is nodal, having 80% about is benign, need not be anxious too. But even if now is benign tubercle, also have the possibility of malign pathological changes in the future, cannot treat sth lightly so, should have done check regularly, certain interpose step also must be taken when having need.
Cannot blind
Choice " one knife is cut "
The expert expresses, lobar tubercle pathogeny is complex, video learn to behave diversity, clinical expression lacks particularity, because this diagnoses CT of helix of small dose of constant have the aid of.
According to nodal size, clinical go up to call the focus of a disease of 3cm of the ≤ inside lobar essence nodal, the focus of a disease of ＞ 3cm calls bump, and the tubercle of ＜ 1cm is called nodular, the tubercle of ＜ 5mm calls tiny tubercle. According to nodal property, lobar tubercle can be divided again for benign tubercle and malign tubercle, benign tubercle is the scar that after affecting the heal such as pneumonic, tuberculosis, leaves likely, also be benign tumor likely; Malign tubercle includes cancer of lung cancer, move to wait.
A lot of people can think, since tubercle has canceration risk, it is good to be excised immediately. Actually otherwise, cure is nodal, should according to individual circumstance, whether does judgement tubercle have development to be the likelihood of malignant tumor, cannot choose blindly " one knife is cut " . Excision tubercle is put possibly also in the risk that injures normal organization. But if check a result to show " low echo is nodal " " take a pathological change " when, the proposal consults professional doctor, undertake checking.
Fish lung is nodal
Look for an expert in time
With mountain health management center and expert of Beijing lung tubercle make a diagnosis and give treatment jointly, undertake sifting checking to lobar tubercle, classification, track, reinspect, diagnose reach affirmatory operation to point to proof, nodal to lung patient undertakes standard flow turns management, the government that there is the person that tumor sends the tendency high in raising lobar tubercle is led and dog diagnose rate, reduce the leakage examine of lung cancer, the person that can be lung cancer strives for bigger vivosphere.
The Xi Menzi that with mountain health the management center introduces opens source CT, can undertake to tubercle three-dimensional rebuild bulk is evaluated, measure than 2 dimension area can more size of tubercle of evaluation of choice accurate land and grow speed. In the meantime, to come examine user builds lobar tubercle special electron archives, pay close attention to nodal development continuously, undertake the trends of the circumstance contrasts growth, discover tubercle is evil in time change the tendency, adopt remedy.
In addition, heibei medical university is accessary held water with mountain hospital and combination of hospital of Beijing University people " nodular pathological changes combines lung center of diagnosis and treatment " , what can sift the patient of inchoate lung cancer that give to offer Gao Shuiping for expert outpatient service is small achieve an operation to treat, solve the inconvenience of different ground operation for the patient.
Expert brief introduction
Sui Xichao: Professor, surgery of bosom of hospital of Beijing University people and bust are small achieve doctor of central vice director
Learning holds a post: Institute of research of lung cancer of director of institute of surgery of world Chinese bosom, international (IASLC) surgeon association of bosom of member, Europe (ESTS) committee member of committee of experts of youth of medicine of lung cancer of foundation of award of medicine of member, Beijing
Professional specialty: Clinical and professional specialty is pectoral surgery of common disease small achieve operation cure, lung locates before tiny tubercle and the art that polish vitreous image and the operation is treated, and the comprehensive treatment of lung cancer of cellule of local and terminal blame.
Place: Ave of Shijiazhuang day hill and Pearl River highway make a southwest part with mountain fitness management center
(Tan Yanan of reporter of swallow Zhao Metropolis Daily)
