The patient is a woman in her forties, from Zhejiang, with a very cheerful personality. She smiles every day during her hospitalization and gets along very well with the doctors and nurses.
In 2016, a patient with a lower lung pulmonary resection was performed in a specialized hospital in Shanghai due to the discovery of 8mm ground-glass nodules of the right lower lung. Postoperative pathological report: microinvasive adenocarcinoma.
The first month after surgery, a CT scan was found, and ground glass nodules were found in the upper lobe of the right lung, 5mm. I compared the preoperative CT scan and found that there was one at that time. The doctor recommends follow-up.
During the 6-year follow-up, the ground glass nodule of the upper right lung was gradually enlarging, and this year it grew to 10mm. Because it involves a secondary operation that requires a right lung, and the lung lobe was removed before, doctors were reluctant to take it and suggested ablation. Some doctors also recommend taking targeted drugs or radiotherapy.
was recommended by friends and found us. After scanning with high resolution CT in our hospital combined with artificial intelligence , it was found that there was more than one nodule . There are three nodules. The two right upper lungs are 10 mm and 4 mm (Figures 1 and 2). There is also a small mixed mill for the right middle leaf, 5mm (Figure 3).
This time the patient was highly alert and nervous. It is required to cut all dangerous nodules in one place. 4mm must be cut, and you must cut them, and you must cut them at any time.
met the patient's wish. We took all three ground glass nodules in the patient's right lung in one go, and all were done with wedge-shaped resection surgery. In fact, these micro mixed ground glass nodules are not easy to cut. The main difficulty is that the nodules are too small and difficult to locate, and it is difficult to find during surgery.
Intraoperative pathological report: Nodules 1: microinvasive adenocarcinoma, nodules 2: in situ adenocarcinoma, nodules 3 (small mixed grinding in the middle lobe, this position is a small mixed grinding in the middle lobe, and the lower lobe is gone): microinvasive adenocarcinoma. Although it was a second operation, all the remaining dangerous nodules were captured in one go, and the lesions were still early and were cured.
The day before yesterday morning, I asked how I felt and recovered during the second surgery? The patient's reply was: 10 times more relaxed and 100 times better than the surgery 6 years ago (this is the highest rating, although I know there are exaggerated elements).
Because the patient is young and loves beauty, we used the original incision six years ago for her secondary operation, and also used beauty without stitching after the operation, so we would definitely not find the incision for the secondary operation. There are several secondary surgery such as
, which is performed due to multiple ground glass nodules, which are leaky and leaky cases almost every month. We have almost become professional secondary surgery users of multiple ground glass nodules, and have also allowed us to explore many experiences and skills of secondary surgery.
This position is a small mixed mill in the middle leaf, and the lower leaf is no longer
