Five years ago, Uncle Yang underwent lung cancer resection
Five years later, the shadow of the lung was found during the review
I thought it was tumor recurrence at one time
However, I didn’t expect to find this during bronchoscopy
The shadow of terrifying Uncle Yang
is actually related to the same thing he eating… p>
Shadows in the lungs
Suspected tumor recurrence
“Why is there a shadow?” Uncle Yang was startled when he got the CT report. It turned out that Uncle Yang was diagnosed with a right lung nodule five years ago. The postoperative pathology report was lung adenocarcinoma, which was still in the early stage. After the operation, 4 times of chemotherapy were performed. This year just turned 5 years ago, and Uncle Yang had a CT scan in the hospital as planned, and the results found “enlarged lymph nodes in the right hilum and soft tissue density shadows in the right lower hilar” . “I thought that if the results of this re-examination were all normal, it would be a medical cure. The examination was fine half a year ago, but I didn’t expect an accident at this juncture. “Uncle Yang said in frustration.
The culprit
was a bird bone< /span>
In The First Ward of Medical Oncology, Hangzhou Cancer Hospital, after the deputy chief physician Wu Ang learned about the medical history, he arranged Yang Dabo re-examined the contrast-enhanced CT examination, and the result was also an irregular soft tissue shadow in the right lower hilum with mild enhancement. Combined with the medical history, it was considered to be an enlarged lymph node. In order to further clarify the condition, Uncle Yang underwent PET-CT examination. The results showed: soft tissue shadow of the right lower hilum with basal bronchial stenosis and increased FDG uptake, considering the possibility of lymph node metastasis; For obstructive changes in the right lower lobe, bronchoscopy is recommended. Lesses on chest enhanced CTDr. Wu Ang invited doctors from the Department of Imaging and Nuclear Medicine to conduct a joint consultation (MDT) with Yang Dabo. situation was discussed. Is it the lymph node metastasis in the lung cancer that was operated on 5 years ago? Or second primary lung cancer? Or another question? After multidisciplinary discussions, it was decided that Dr. Wu Ang would first perform a bronchoscopy for Uncle Yang. Dr. Wu Ang found during the bronchoscopy examination of Uncle Yang that the stump of the right upper lobe of the right lung operated by Uncle Yang 5 years ago had no abnormality, but in the right lung A foreign body with a large amount of pus moss attached to the surface can be seen in the opening of the basal segment of the lower lobe. After the foreign body was clamped out with biopsy forceps, it could be vaguely identified as a piece of poultry bone. When asked about his medical history, Uncle Yang said that he had no memory of when he had sucked a bone.
foreign body specimens
Introduced by Dr. Wu Ang, bronchoscopy is used to diagnose respiratory diseases It cannot be replaced by chest CT or PET-CT. Even if no obvious lesions are found on chest CT, bronchoscopy is needed to confirm the diagnosis.
Which conditions require bronchoscopy?
For unexplained cough or hemoptysis< /span>, atelectasis, difficulty breathing, fever , and thoracic CT found lesions, bronchoscopy is a very important examination when it is necessary to further clarify the etiology, pathology and other causes.
In addition, US-guided transbronchial needle biopsy (EBUS-TBNA ) can be used for the diagnosis of hilar and mediastinal lymph nodes, helping clinicians to stage lymph nodes in patients with lung cancer. Some patients have a certain sense of fear about bronchoscopy. At present, our hospital has carried out painless bronchoscopy, which has well resolved the concerns of these patients.
Correspondent Xie Wenzhu Reporter Chai Yueying