Fellowship: Cleveland Clinic Foundation (2020) OH Board Certification, American Association of Bronchology and Interventional Pulmonology, Interventional Pulmonology (2021) Board Certification: American Board of Internal Medicine, Critical Care Medicine (2019)
Fellowship: Cleveland Clinic Foundation (2020) OH Board Certification, American Association of Bronchology and Interventional Pulmonology, Interventional Pulmonology (2021) Board Certification: American Board of Internal Medicine, Critical Care Medicine (2019) miduoma 发表于 2023-12-29 01:13
回复 9楼meishan123的帖子 这里年轻人没有症状不会查CT of chest,不像国内体检常规会查CT。小孩子感冒发烧也会上CT,挺让人担心辐射。 The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years. 50-80岁之间符合以上条件的每年会查CT of chest. pack-year是每天吸一包烟、连续吸一年叫做one pack year. 肺部多发结节在经常做CT的情况下更容易被发现。看大小和稳定性决定,一般8毫米以下、变化不大的不用担心。
Fellowship: Cleveland Clinic Foundation (2020) OH Board Certification, American Association of Bronchology and Interventional Pulmonology, Interventional Pulmonology (2021) Board Certification: American Board of Internal Medicine, Critical Care Medicine (2019)
当然水平不一定和简历直接挂钩
活检这东西还要第二次?不怕伤身体吗
你担心的应该是bronchoscopy能不能取到活检标本,有些部位bronchoscopy不能到达,或者取到的标本不足以确诊。CT guided biopsy 也是一个选择,但通常要求肿瘤部位更靠近胸壁。
至于bronchoscopy,正常完成training的Pulm/critical care医生都有能力完成。
这里年轻人没有症状不会查CT of chest,不像国内体检常规会查CT。小孩子感冒发烧也会上CT,挺让人担心辐射。
The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years.
50-80岁之间符合以上条件的每年会查CT of chest.
pack-year是每天吸一包烟、连续吸一年叫做one pack year.
肺部多发结节在经常做CT的情况下更容易被发现。看大小和稳定性决定,一般8毫米以下、变化不大的不用担心。
祝福一切顺利!
非常谢谢详细的解答。
我以前在county 医院的时候,扎针医学生都有机会,在有钱人多的医院resident都不一定让