Qilu Evening News Qilu One Point Correspondent Cheng Qinghua Li Jing Reporter Huo Jiaxing
From the Department of Cardiothoracic Surgery, Department of Respiratory and Critical Care Medicine, Department of Oncology and Hematology, Medical Imaging, Tai’an Municipal Hospital The “Early Pulmonary Nodule Screening Benefit Public Welfare Activity” organized by the department and other departments was officially launched on March 1. This activity meets the above characteristics for people aged 40-75, with long-term smoking history, occupational exposure history, and lung disease history. One of the people implemented 100 yuan low-dose spiral CT screening (original price 390 yuan), which has been widely concerned and recognized by the citizens of Taicheng.
The routine development of this activity has realized the one-stop diagnosis and treatment service of early detection, early diagnosis and early treatment of pulmonary nodules, bringing the gospel of recovery to patients with pulmonary nodules. A pulmonary nodule is a single, well-circumscribed lesion less than or equal to 3 cm in diameter surrounded by air-containing lung tissue. According to the density of the nodules, they can be divided into calcified, solid, partially solid and ground glass nodules. Is a lung nodule diagnosed with lung cancer? Should a nodule be removed immediately? These questions often confuse patients. Zhang Zhiyong, director of the cardiothoracic surgery department of Tai’an Municipal Hospital, said: “The size of nodules is related to benign and malignant nodules, and most of them are tiny benign nodules. If a pulmonary nodule is found in the physical examination, the most important thing is to let a professional doctor judge the lung. Consider the possibility of malignant transformation of nodules, and proceed to the next step of examination and treatment according to the opinions. Lung nodules and cancer are not directly equivalent, so don’t be too anxious in thought, face them positively, follow up scientifically and treat according to the doctor’s advice, and you will definitely be , ‘eliminate’ the knot and ‘solve’ the knot.”
Ms. Wang is 50 years old this year. Not long ago, she found a lung nodule during a physical examination. This 6 mm nodule caused Ms. Wang and her The family’s heart is cloudy. The medical examination unit told her to go to a large hospital for further examination. This nodule may mean benign lesions such as pneumonia, or it may be an alarm for lung cancer. Ms. Wang went to several hospitals, but came to different conclusions. Under the introduction of a friend, she came to Tai’an Municipal Hospital and found Director Zhang Zhiyong. After careful analysis and judgment, Director Zhang believes that Ms. Wang has a very high possibility of developing early-stage lung cancer through the 3-month follow-up observation of the patient, relying on the hospital’s 256-slice CT examination and the newly introduced artificial intelligence (AI) lung cancer screening system. She was advised to have surgery as soon as possible. “I don’t have a cough, I don’t have chest tightness, I never smoke, and I don’t have any symptoms. How could I have lung cancer?” Ms. Wang was a little hard to accept. Zhang Zhiyong told her: “The causes of pulmonary nodules are complicated. The most common ones are smoking, car exhaust, smog, and oil fumes. They are all high-risk factors. The detection of pulmonary nodules should not be taken lightly. Fortunately, you find it early, and the tumor is still in the earliest stage. , the surgery was done well, and there is no problem in returning to a healthy life.”
For pulmonary nodules that need to be treated, thoracoscopic minimally invasive surgery can be used, Only need to make 1-2 incisions of about 1-3 cm on the chest wall to complete the operation. The operation time is short, the recovery is fast, the bleeding during the operation is relatively small, and the trauma to the body is relatively small. You can leave the hospital in 4 days. In response to Ms. Wang’s situation, Zhang Zhiyong led the doctors in the department to quickly discuss and formulate an individualized surgical plan, and decided to carry out “wedge resection of the right upper lobe of the right upper lobe under thoracoscopic single operation hole” for Ms. Wang. During the operation, he performed meticulous operations, and the rapid pathology during the operation showed that Ms. Wang was a minimally invasive adenocarcinoma, so he performed “resection of the posterior segment of the right upper lobe + mediastinal lymph node dissection”. The surgery went well and the patient recovered well. Zhang Zhiyong said: “Segmentectomy for early-stage lung cancer patients, on the premise of ensuring early radical cure, avoids resection of the entire lung lobe, which can preserve more lung tissue, greatly increases the accuracy of surgical resection of lesions, and reduces the risk to patients. lung function.”
Zhang Zhiyong introduced: “The ‘early lung nodule screening public welfare activity’ organized by the municipal hospital is being carried out routinely. , There are many methods for the diagnosis and treatment of pulmonary nodules, using 256-slice CT, 5G mobile CT vehicle, artificial intelligence recognition system and other scientific and advanced hardware equipment to conduct early screening of pulmonary nodules, and cooperate with relevant professional departments, including Cardiothoracic surgery, respiratory and critical care medicine, tumor hematology, medical imaging and other multidisciplinary experts jointly help patients make a clear diagnosis, choose the correct treatment and follow-up plan, perform minimally invasive surgery when necessary, and carry out accurate anatomical segmentectomy , so that patients with pulmonary nodules can receive comprehensive, effective and systematic management and treatment, and control lung cancer in the bud. This activity aims to improve the cure rate of pulmonary nodules, reduce the economic burden of patients’ families, and ensure patients’ quality of life and family happiness. index.”