Pulmonary ground-glass density nodules may be inflammation, tuberculosis, tumors, etc. The grinding glass density nodule in the apical segment of the upper lobe of the right lung changes from 3mm to 5mm still belongs to the range of small nodules. Treatment includes drug therapy, regular follow-up and surgery.
1. Drug treatment: the apical segment of the upper lobe of the right lung is a favorable site for tuberculosis, which can cause pulmonary nodules, and if the diagnosis of tuberculosis is clear, anti-tuberculosis drugs can be used to treat pulmonary nodules. Nodules caused by other infectious factors can be treated with oral moxifloxacin.
2. Regular follow-up: It takes a long time for a pulmonary nodule to grow from 3mm to 5mm, and the nodule is smooth in shape, with flat edges, no burr sign and other high-risk factors, so you can have a follow-up chest CT in three to six months, and then decide whether surgical treatment is needed based on the results of the follow-up.
3. Surgery: It takes a short time for a pulmonary nodule to grow from 3mm to 5mm, and the internal changes of the nodule, the appearance of burr sign at the edge, pleural pulling and other signs require immediate puncture biopsy or surgical treatment.
Ground-glass density nodules in the apical segment of the upper lobe of the right lung growing from 3mm to 5mm need to be treated under a doctor’s supervision to avoid delaying the disease.