I have posted some short articles about pulmonary nodules in the past few days, mainly about two cases. These two cases refreshed some of my ideas about pulmonary nodules. This case is a female patient who consulted me on the Internet. Her pulmonary nodule was followed up for 8 years, and it was confirmed to be malignant after surgery. The main question she consulted was whether it was too late for her to have surgery after 8 years, because she heard 100% of the cancer can be cured, and now it is slightly infiltrated. Has the cure rate dropped?
I have no way to refute her on this question, because she considers the problem from an after-the-fact perspective. If there is no enlargement before, the operation will be performed directly. In case the surgery is benign, yes It’s not like I’ll complain if I knew it if I didn’t open it. It’s unknown. After all, if there is no change in several years, the probability of malignancy is not high. Besides, the radical cure rate of microinvasion is similar to that of carcinoma in situ. If Carcinoma in situ is 100% curable, and microinvasion is at least 99% curable. I have never seen a patient with minimally invasive lung cancer relapse in my career.
Another tiny nodule with bone metastases at an advanced stage after 8 months is extremely rare. I have also seen this case. In January, this patient had nodules with only 2-3mm, and it grew to 2cm in August. The fastest growing lung cancer patient I saw before was a 1cm-long lung cancer patient, which is very rare. This patient has successfully changed my perception of small cell lung cancer Intuitive experience of time.
Many patients with pulmonary nodules were very nervous after reading my two articles, and they consulted me on the Internet. I told them that such cases are rare and cannot be used as their own lungs. If the reference for diagnosis and treatment of nodules is too tense, it will lead to excessive medical treatment.
