is there any older chest ct for comparison? preferably something older than 2 years? if your dad has no other cancer and this is an incidental finding, being that it is so small, and there is no significant change between the current CT and the prior CT in April. a ground glass nodule that small in size, its better to continue follow up in 6, 12 and 24 months to document its stability and if its unchanged in size in 2 years, it should be benign. if your dad has other cancer and they are worried about pulmonary metastases, then you should consider getting a pet ct.
更新: 小结节5mm. 大小一直没有变化
真心感谢
还没有做,刚刚做的CT。 PET做了就可以去确诊了吗?
谢谢指点
谢谢。好难。。。 他们有10年签,现在还能用吗?
PET 确诊不了。确诊还是要看病理结果。
但肿瘤标志物检查结果结合 pet 结果,心里会有数,可能性多高,有没有转移可能等等。 现在能做的还是定期随访,注意饮食,锻炼身体。
if your dad has no other cancer and this is an incidental finding, being that it is so small, and there is no significant change between the current CT and the prior CT in April. a ground glass nodule that small in size, its better to continue follow up in 6, 12 and 24 months to document its stability and if its unchanged in size in 2 years, it should be benign.
if your dad has other cancer and they are worried about pulmonary metastases, then you should consider getting a pet ct.
现在基本都是微创。 如果CT,肿标和其他检查结果都指向肺癌,那么手术切除是首选方案。 当然也可以考虑做穿刺活检,再决定是不是手术。
当然要考虑患者的身体状况,有没有别的基础疾患什么的。
不管10年签能不能用,也不提是不是负担得起费用,单纯说现在这阶段不适合来美看病。很多医院人仰马翻,听说重灾区的择期手术停了不少
Thank you
第一次知道“好大夫在线” 谢谢
野生医学专家观点,仅供参考。这是个钙化点,不是肺癌。可以做一下生化指标,看看有没有肺癌相关指标升高。不负任何责任。
给你看个肺结核片子。是不是很像? 只能说,你爸看的医院太水了,肯定杀人无数。建议赶紧换医生。
太牛了!!!
决定去其他医院看看
基本5mm 又没大小变化 医生多会推荐随诊继续观察
我的医生的话:即使恶性,也有惰性肿瘤,不发生变化就不要去动它,毕竟所有手术都是侵害型的,对病人是不受益的
实性结节恶性肿瘤的可能性比较低,磨玻璃的要重视。PET对小结节显示不出来,对转移瘤意义比较大,而且做一次辐射也很大,可以多看几家医院,定期随访
大大的祝福