What are the 5 most common problems of pulmonary nodules?

Many people will find lung nodules during physical examinations, so should they be paid attention to? What are some of the most frequently asked questions about lung nodules? Let's find out with me.

If the weather is not particularly hot, we will not have the problem of severe sweating when we sleep at night, but if there are nodules in the lungs, then this kind of sweating will occur. At this time, you must not take it lightly, and it is best to go to the hospital to consult a doctor, because severe sweating during sleep is an obvious sign of nodules in the lungs.

Frequent coughingEveryone knows that in a healthy state, we rarely have a cough, unless it is too urgent to drink water and eat, and the bronchial choking will cause coughing. If you have a recurrent cough, it means that the lungs have been damaged, and the lungs' self-protection mechanism is activated, and the cough will be repeated.

Infection: Lung infections should be considered the most common cause of pulmonary nodules and multiple small nodules. Both new infections and scarring from infections are important causes of lung nodules. Some fresh lung nodules, if caused by an infection, can sometimes be eliminated by fighting infection, but most lung nodules caused by infection are unlikely to be eliminated if they have been organized for a long time.

The lung organs of the body of a person with a color will mainly be reflected in the **. Therefore, when a person's lung function has nodules, the person's ** will also be affected, especially prone to dull complexionIn severe cases, the lips may even be black and purple.

If you can feel that your lungs are not in good condition, you need to have a detailed lung examination。In addition, we must first do a good job of lung maintenance, especially for people who like to smoke for a long time, the probability of lung problems is greater.

Chest tightness and shortness of breath because lung infection may lead to the appearance of pulmonary nodules, when the lungs are infected, people will have chest tightness and shortness of breath, and this phenomenon will be aggravated at night, which shows that pulmonary nodules are in the process of development, must not be ignored, need to be treated in time.

In fact, it is a small nodule found on the lungs, which is generally about one centimeter, and many people have such a disease, which is divided into two parts, one part is benign, that is, some inflammation, and the other is more serious, that is, lung cancer has appeared.

Lesions with a diameter of less than 1 cm in the lung parenchyma are called pulmonary nodules, which may be early lung cancer, but they are not equal to lung cancer. The formation of lung nodules can be difficult to pinpoint or trace back to the specific cause. Moreover, pulmonary nodules do not require injections, medicine or surgery**, but they need to be carried out regularly under the guidance of experienced doctors**.

And people who have the habit of smoking and drinking too much, it is easy for this to happen.

First of all, after the problem occurs, you must go to the hospital for examination, and you should go to the hospital for a review every three months; Then we must pay attention to controlling our diet, and we must quit smoking and drinking; After the emergence of such a disease, it must be treated by minimally invasive surgery.

Small nodules in the lungs need to be examined in detail, regular re-examinations of less than two millimeters are sufficient, if the nodules are relatively large, you need to take medication or surgery**.

1.Regular reexamination: If it is a small nodule in the lungs within two millimeters, it is generally benign, and you can go to the hospital regularly for re-examination to check the changes in the nodules, and once the nodules have changed in size, relevant treatment should be carried out in time.

2.Medications**: If the small nodules in the lungs are related to a lung infection, the patient will generally have other respiratory symptoms, and it is best to choose after a detailed examination**.

Common ** drugs are amoxicillin, cephalexin, roxithromycin, etc., which can help to remove inflammation. 3.Surgery**:

When the lung nodule is relatively large, especially if it is more than 8 mm, the possibility of a tumor should be considered. Surgery is generally required**, and at present, minimally invasive surgery for the chest is more common, like thoracoscopic hands, the risk is smaller, the trauma is smaller, and the recovery is faster. Postoperative pathological examination of the nodule should also be taken into account.

There is no need to be overly concerned when there are small nodules in the lungs, and there is no need for special ** in the absence of obvious clinical manifestations, because small nodules in the lungs do not cause obvious clinical manifestations. It is usually related to bad lifestyle habits, such as long-term smoking, obesity or a history of lung disease, and regular follow-up at any time is sufficient.

If the small nodules in the lungs are enlarged or fused into lumps, it is necessary to do further **, if there is usually a lung infection such as cough and sputum, it is necessary to take antibiotics and cough expectorant drugs**, commonly used drugs are levofloxacin hydrochloride capsules or licorice tablets, etc., and amoxicillin capsules can also be taken. Developing good living habits and eating habits, quitting smoking and drinking, maintaining a good mood, exercising, and reducing the occurrence of respiratory tract infections are all good for the lungs or lung function.

You can try quercetin, which is still effective for pulmonary nodules. Elders often cough, the key is often spitting, since I ate mkule, the cough has indeed decreased significantly The phlegm is also less, two days ago, the doctor said that the nodule was a little smaller than two months ago, and I don't feel anything else, and I will insist on eating.

This listens to the doctor, if you talk about the nuclear recommendation surgery, you will have surgery, and you need to observe regularly without surgery.

There is also a companion digging that is to calm down and help the condition improve.

I wish the sick and chaotic people a speedy day**.

Pulmonary nodules should be individualized according to the condition, according to the size of the pulmonary nodules, the specific treatment methods are as follows:

The following nodules of MM are mainly followed up, and CT is rechecked in the hospital regularly;

For 10mm nodules, according to the nodule morphology, patient characteristics, imaging status, lifestyle habits, family history and patient compliance, an individualized ** plan is formulated;

For nodules above mm, invasive examinations, such as tracheoscopy, lung puncture, and PET-CT examination may also be recommended to determine the benign and malignant nature of the nodules, and then organize the imaging department, pathology department, respiratory department, and thoracic surgery department to do multidisciplinary collaborative diagnosis and treatment, discuss the nature of the nodule, and formulate the best plan. The nodules of the lungs generally refer to the maximum diameter of 10mm or 18mm, and most of them still use 10mm to represent the nodules, which are called lung nodules at 1-3cm, and small nodules below 10mm. There are several causes of this type of nodule.

It can be an infection, such as some mycoplasma infections, viruses, fungi, and even some bacterial infections can manifest as nodules. Nodules can be single or multiple, single refers to one nodule, and multiple nodules are two or more nodules called multiple nodules. It should be analyzed on a case-by-case basis.

If the infection has passed through the corresponding **, it can be absorbed and changed in the short term, and it can become smaller. Now that the knowledge of nodules is popularized, some people may be more anxious or even fearful. Because some nodules may be malignant, but this kind of small nodules, the smaller the degree of malignancy, the greater the possibility of benignness, first of all, it depends on the size, if it is a nodule below 3mm, basically do not need to pay special attention, if it is a nodule 3mm to 1cm large, according to the size of the binding density, edge, or whether there is gas in it, etc., different situations are analyzed.

It is best to go to the hospital and follow the doctor's specific face-to-face instructions, how long it will take, and how to deal with it.

1. Regular observation is required, for small nodules that are nodules with a diameter of 5mm, regular observation is required, early observation, and regular reexamination is recommended for 3-6 months. After regular reexamination, if there is no obvious change in the nodule, it is recommended to have regular reexamination for 6-12 months after three years of observation

2. In the process of observation, it was found that the nodule had obvious enlargement, or malignant manifestations. For example, if there are malignant features such as obvious lobulation, a marked increase in solid components, or pleural shrinkage, aggressive surgery is recommended**. At present, the surgery for nodules is generally minimally invasive in relatively large central hospitals, so the trauma is relatively small, the recovery after surgery is relatively fast, and the long-term prognosis effect is also better.

For example, small nodules cause early lung cancer, the long-term five-year survival rate, the overall survival rate is relatively high, probably more than 80%, especially like carcinoma in situ and atypical adenomatous hyperplasia, these five-year survival rates are relatively higher, about more than 95%, or even 100%.

Advice: Generally speaking, if the physical examination finds white spots or spotted calcifications in the lungs or the physical examination report states that "there are shadows (small nodules) in the lungs", then in order to determine the nature of the nodule, it is best to go for chest CT or flexible bronchoscopy for further examination. Nodules are generally not easy to characterize, so it is necessary to comprehensively judge the nature of the lesions based on the medical history and conduct regular reexamination.

If the nodule does not change or becomes smaller or even disappears after a long period of follow-up, it means that there is no problem with the patientHowever, if the re-examination finds that the lesion has become larger, especially in the short term, it means that it is not benign and must be timely.

It is recommended that you check it regularly.

Do not know the number, distribution, size, shape, edges, and internal density of nodulesPlease trust the instructions so that it can be analyzed.

It may be inflammatory pseudotumor, metastasis, miliary tuberculosis, etc.

CT scan with contrast is recommended to aid in diagnosis.

Chest CT is more helpful if it is available.

Peripulmonary solitary nodules, such as small size, bronchoscopy and puncture are difficult to obtain pathological diagnosis, and the methods to exclude tumors include tumor markers, isotope pro-tumor scintigraphy, and sputum to find tumor cellsMethods to rule out tuberculosis include stool staring and answering tuberculin test, tuberculosis antibody, erythrocyte sedimentation rate, and sputum for tuberculosis bacteria;Ways to rule out inflammation include regular anti-inflammatory** 1-2 weeks followed by a repeat CT scan. If there are no contraindications after a comprehensive cardiopulmonary function assessment, surgical exploratory biopsy, intraoperative rapid freezing of the lesion by thoracoscopic local excision, and the end of the operation if benign, and lobectomy and mediastinal lymph node dissection if malignant can be considered.

Dr. Wang Jingdi of the Third Hospital of Beijing Medical University solemnly reminded that because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! Jujube and.

Small nodules in the lungs are soft tissue lesions that are round or round-like within the lung parenchyma, with clear or indistinct borders, 75px in diameter, and surrounded by air-containing lung tissue. Some asymptomatic 5 mm ground-glass lesions on routine CT can be considered to be atypical adenopathic hyperplasia (AAH) or adenocarcinoma in situ (AIS), and if 10 mm in diameter, more than 80% are malignant.

Low-dose spiral CT of the chest (LDCT) can be used to confirm the diagnosis of a small lung nodule. If a small nodule of more than 5 mm is diagnosed, a single-port thoracoscopic minimally invasive procedure can also be performed**. It is to make a small hole of 3-100px in the chest, place the thoracoscope into the chest cavity, and perform minimally invasive resection of the lobe or lung segment where the small nodule is located under the thoracoscopy.

You can be discharged from the hospital three to four days after surgery.

There are a lot of people like this, and you can have a physical examination once a year.

If the nodule is within eight millimeters, and the boundary is clear, and there is no burr sign, the possibility of benign nodules is high, so there is generally no need for special **, and it can be followed up by regular re-examination CT. Therefore, since you have completed the examination and the attending doctor recommends that you have regular follow-up visits, you can follow the instructions of the hospital doctor.