(Disclaimer: This article is only for scientific use, and the relevant information in the following content has been processed to protect patient privacy)
Abstract: A 67-year-old male presented to the hospital with recent blood in his sputum. A complete chest CT revealed the presence of a ground glass nodule shadow in the middle lobe of the right lung, followed by a complete pathological examination, which finally confirmed the diagnosis of lung cancer. After discussion with the family, the patient underwent surgery to remove the lung lesion and perform mediastinal lymph node dissection in the hilum. The operation went smoothly, and the patient was discharged with good recovery after the operation.
Basic information】Male, 67 years old
Disease Type】Lung Cancer
Hospital】Tengzhou Central People’s Hospital
Date of Consultation】March 2022
Treatment plan】Surgical treatment (right middle lung lobectomy, hilar mediastinal lymph node dissection) + nebulization treatment (sodium chloride injection, budesonide formoterol powder inhalation, terbutaline sulfate nebulizer) + intravenous drug treatment (levofloxacin hydrochloride injection)
[Treatment period] 15 days of hospitalization and regular follow-up
Treatment effect】The lesion was completely removed, and the patient recovered well after surgery and was discharged from the hospital.
I. Initial consultation
The patient, a 67-year-old male, complained of blood in the sputum in the morning, and after 5 days of worsening, the blood in the sputum disappeared. The patient’s son and daughter brought the patient to the hospital after being informed. The patient was given a complete chest CT examination, which revealed a ground glass nodule shadow in the middle lobe of the right lung. The patient and his family agreed to be admitted to the hospital for further examination.
II. Treatment process
The patient was admitted to the hospital and underwent fiberoptic bronchoscopy and CT-guided percutaneous lung aspiration to clarify the pathology, which showed that the patient was indeed a malignant tumor and a microinvasive lung adenocarcinoma. Since the patient was found early, his condition was in the early stage, and no other metastases were seen in the relevant imaging examinations, he was decided to be given surgical treatment, and the patient and his family agreed to the surgery after discussion.
The patient was treated with right middle lobe resection and hilar mediastinal lymph node dissection, and the diseased tissue was completely removed. After the operation, the patient was given electrocardiographic monitoring, continuous nasal catheter oxygenation with an oxygen flow rate of 3 L/min, as well as sodium chloride injection, budesonide formoterol powder inhalation, terbutaline sulfate nebulizer inhalation, and intravenous levofloxacin hydrochloride injection, and the patient’s family was instructed to pat the patient’s back.
III. Treatment effect
The patient’s surgery went smoothly with little intraoperative bleeding, and the lesion was completely removed. After the operation, the patient was stable and conscious, and was given a liquid diet after exhaustion. On the third postoperative day, the surgical incision was examined and no obvious blood or fluid leakage was seen, and no wound infection occurred.
At 7 days after surgery, the patient’s wound healed better, and the diet was changed to normal diet, and the fluid in the chest drainage tube was significantly reduced, less than 20mL, and no bloody drainage fluid was seen, so the chest drainage tube was removed. Fifteen days after the operation, the patient’s surgical incision had completely healed and the stitches were removed.
IV. Notes
We are glad that after active treatment, the patient’s lesion was completely cleared and her postoperative recovery was good. However, since the patient was not completely cured at the time of discharge, the following points still need to be noted.
1. After discharge, patients need to strengthen their own nutrition, avoid spicy and stimulating food, and avoid oily and smoky environment, which in turn will be beneficial to their own postoperative recovery.
2, the patient can go home after appropriate activities, in order to avoid long-term bed rest and lead to deep vein thrombosis of the lower limbs, but need to pay attention to exercise moderate, not strenuous exercise.
3.Patients should pay attention to the presence of fever, chills and other related symptoms within 1 week after discharge from the hospital, and pay attention to the regular review of chest CT, which plays an important role in the evaluation of surgery.
V. Personal insight
Lung cancer is not as scary as imagined. For most patients, if lung cancer is detected early, early detection, early diagnosis and early treatment, it is entirely possible to obtain a cure. For this patient, it is because of early detection and no metastasis of tumor that the patient recovered well without any obvious discomfort after timely resection of the lesion. It can be said that this patient can be considered as a successful case in terms of treatment.
Nowadays, due to the serious environmental hazards, lung cancer is becoming a common and high incidence disease, so the general public should pay more attention to their own health condition. Patients who smoke or are exposed to smoke, chemical reagents, cotton dust and other high-risk environments need to undergo regular medical checkups or examinations.