physical examination every year
Many people will sigh
Once you climb to the age of thirty,
How many will you find some small problems in physical examination
For example, lung nodules
For this nodules
Should we be facing a big enemy?
or should we turn a blind eye?
Come and listen to the opinions of Hangzhou respiratory experts
Explain the lung nodules at one time!
A man had cough symptoms a month ago
A test suspected cancer
Xiaohu (pseudonym), 36 years old, working in a shoe factory in Zhejiang.
A month ago, Xiaohu had coughing symptoms without obvious causes, not severe coughing, no fever, no coughing sputum, chest pain, and other symptoms, so Xiaohu didn't take it seriously. However, after coughing intermittently for about ten days, Xiaohu found that he would feel short of breath when walking faster or lifting heavy objects. Although sitting down to rest would relieve it, the symptoms of shortness of breath became more and more frequent. So Xiaohu walked into the local hospital under the persuasion of his wife.
During the examination, the hospital found that Xiaohu's pleural fluid was 74.30 ng/ml, tumor marker carcinoembryonic antigen (CEA). This index should be less than 5ng/ml for normal healthy people, which means that Xiaohu is very likely to suffer from malignant tumors, but no cancer cells were found in the local pleural fluid smear. To this end, Xiaohu is advised to go to the Hangzhou superior hospital for further examination.
has multiple solid nodules. After the diagnosis of advanced lung adenocarcinoma, there is no possibility of surgical treatment.
, Xiaohu walked into the outpatient clinic of the attending physician of the Department of Respiratory Medicine of Zhejiang University First Hospital. Considering that Xiaohu's pleural fluid had been drained, Dr. Zhang reviewed the lung CT for Xiaohu. The CT results showed that Xiaohu's right lung had space occupied and multiple solid nodules.
" lung adenocarcinoma , advanced stage." The pathological results confirmed the experts' preliminary judgment. Since Xiaohu's lung cancer has undergone pleural metastasis and is in the fourth stage of lung cancer, there is no possibility of surgical treatment in this situation. It can only rely on radiotherapy and chemotherapy for treatment, as well as gene detection to see if there are any sensitive gene mutations, and thus targeted therapy is used.
"Lung cancer is definitely not something that happened suddenly"
He never had physical examination
"Doctor, why did I suddenly get lung cancer?" 36 years old, in my prime, with old age and young people above and young people below. As the pillar of the family, Xiaohu really couldn't believe that he was diagnosed with advanced lung cancer because of cough.
"Lung cancer is definitely not something that happened suddenly, but you didn't have regular physical examinations to find its changes and developments." Chief physician Zhou Jianya said that since Xiaohu never had regular examinations, it was impossible to judge how long it took for this advanced lung cancer to develop from lung nodules. "All lung cancers did not grow in a few days, so we say that early detection, early diagnosis, and early treatment are very important."
Of course, Xiaohu was diagnosed at a young age and had a late stage of lung cancer. In addition to irregular physical examinations, he also had a high-risk factor, which is his 8-year smoking history. In addition, the anxiety caused by bad living habits, the acceleration of life rhythm and the increase in work pressure also have an important impact on the body's immunity. Daily working environments exposed to dust, paint, and radioactive substances will also increase the incidence of lung cancer.
Is there any relationship between lung nodules and lung cancer? Tell me through
at one time and read the story of Xiaohu, let’s go back to the lung nodule that everyone cares about. Many people are concerned about the issue of lung nodule. First of all, we need to understand what lung nodule is?
//
Lung nodules are the most commonly found circular-like, dense-densified lung shadows in lung cancer screening. If we look at the size, a diameter less than 5 mm is called a tiny nodule, a diameter between 5 mm and 10 mm is called a tiny nodule, and a diameter less than 30 mm is a tiny nodule, and if the diameter is greater than 30 mm, it should be called a lump. The cause of lung nodules may be inflammation or tumors.
It can be divided into three types of nodules according to its morphology:
1
ground glass nodules. This nodule looks like a cloud on a CT film.
2
mixed ground glass nodules. The so-called mixed nature refers to the fact that there is also solid component in the clouds and fog.
3
solid nodules. It looks like a solid point. Among the three types of nodules, the most malignant is the mixed ground glass nodules.Chief physician Zhou Jianya said that the probability of solid nodules is the lowest;
ground glass nodules is the second. Although the detection rate is the highest in clinical practice, it may be just ordinary inflammation or fungal infection;
Many small solid nodules are like spots on our faces, which are traces of time left on the lungs. But it should be noted that the probability of larger solid nodules is also not small.
So, does it require surgery to detect lung nodules? Which lung nodules need to be qualitative or surgically immediately? How should I follow up?
Chief physician Zhou Jianya emphasized that with the popularity of low-dose CT in physical examinations, the discovery rate of micro-nodular lesions in the lungs has increased significantly. Most lung nodules are actually benign, and the ground-glass nodules that make people feel scared are not as terrifying as imagined. However, its causes are complex, and the clinical manifestations are lacking in specificity, so it is difficult to diagnose benign and malignant diseases.
How to determine whether the lung nodule will become cancerous? Doctors need to comprehensively consider their density, size, shape, growth location and growth rate. Therefore, if you find lung nodules in physical examination, don’t scare yourself first. You can come to a regular hospital for examination and treatment. Sometimes poor nodules are found, and the appropriate time of follow-up will not affect the treatment effect and patient survival rate. Exercise too small or prematurely may also lead to excessive treatment.
CT examination is the most effective screening method at present.
Doctors recommend that people who are older than 40 years old and have any of the following risk factors should undergo a low-dose spiral CT examination at least once a year. This is also the most effective screening method at present:
1
7777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777778877888888888888888888888888888888888888888888888888888888888888 History of occupational exposure (such as contacts such as asbestos, beryllium, uranium, radon, etc.);
3
3
3
in combination with chronic obstructive pulmonary disease (COPD), diffuse pulmonary fibrosis or previous history of tuberculosis;
4
4
0 family history of lung cancer, especially first-degree relatives;
5
In addition, people who have long-term exposure to kitchen oil smoke, second-hand smoke, dust, gas and other volatile substances should also pay attention.
Reprinted from: Zhejiang University First Hospital
Source: Hangzhou Daily
