Lung nodules ineffective after one month of anti-inflammatory treatment 70% considered lung cancer
2012-04-20
Source
Business News (Reporter Li Sijing, Correspondent Zhang Yingying) Xu Xudong, director of thoracic surgery at Hangzhou Red Cross Hospital
Xu Xudong, director of thoracic surgery at Hangzhou Red Cross Hospital, recently operated on three patients with lung nodules, all of whom were found to have early-stage lung cancer during physical examinations and then came for review. Director Xu said that once a lung nodule is found, it should be seen in time. Generally, if a new nodule larger than 0.8 cm in the lung has no effect after one month of anti-inflammatory treatment, 70% of them are considered lung cancer, especially isolated nodules, which need to be taken seriously.
Ms. Wu, 42, repeatedly said that she is the great fortune of misfortune, last month unit physical examination, found a 2 cm size nodule in the lung, friends who know medicine suggested that Ms. Wu must go to the hospital for review. Ms. Wu went to the thoracic surgery department of the city’s Red Cross Hospital for relevant examinations. Director Xu suggested Ms. Wu to have thoracoscopic surgery, which resulted in early lung adenocarcinoma.
Director Xu said that lung adenocarcinoma belongs to a kind of lung cancer and has accounted for more than 40% of lung cancer patients. In terms of clinical incidence, lung adenocarcinoma is predominantly female and has no obvious relationship with smoking. It is mainly inextricably linked to the increasingly serious air pollution and is a type of cancer that is more closely related to PM2.5, which is a major concern nowadays.
According to clinical experience, if a nodule larger than 0.8cm in lung has no effect after one month of anti-inflammatory treatment, 70% of them are considered as lung cancer, especially isolated nodules.
Since early lung cancer does not have any special symptoms, it is often overlooked. Currently, the mortality rate of lung cancer continues to rise worldwide, one of the reasons is the missed p misdiagnosis, so it is important to pay attention to the early symptoms.
Director Xu said that it is difficult to diagnose early lung cancer by ordinary chest X-ray, and it is recommended that people over 40 years old should have low-dose CT examination every year, and those in high-risk occupations can have it once every six months. Once a nodule is found, it must be followed up in time. If surgery is needed after assessment, it must be done as early as possible. Current thoracoscopic surgery is a minimally invasive surgery with less trauma and faster recovery.
“Lung cancer is not a terminal disease and early diagnosis and surgery is important. If it is early stage lung cancer, the five-year survival rate can reach more than 90%. Once symptoms appear and then go to the hospital, they are usually in the middle and late stage, and most of them have lost the best time for radical surgery, so we must pay attention to it.” Director Xu said.