How big is a lung nodule that needs surgery? I regretted it after surgery for the lung nodules

Surgery for pulmonary nodules** depends on the size of the lung nodule and its imaging features. For lung nodules that are not completely calcified, less than 1 cm, this condition can be observed first, and regular check-ups can gather more information about the nodules. However, if the patient is at high risk, surgical removal of the lung nodule is recommended.

Therefore, it must be analyzed on a case-by-case basis.

In general, when the lung nodule is more than 1 cm, the chance of malignancy will be relatively high, and it is recommended to perform surgery in time**.

Pulmonary nodules refer to the abnormal solid structure of the lungs, which can be observed regularly when it is less than one centimeter, but whether surgery is required, in addition to the size of the nodule, it is also necessary to combine imaging features, when there are burr needles around the pulmonary nodules, maple leaf needles often indicate that the pulmonary nodules are more likely to be malignant, even if the diameter of the pulmonary nodules is less than one centimeter, surgery should be considered. However, if the periphery of the lung nodule is regular or completely calcified, even if the nodule is relatively large, there is no need for surgery or even observation. Therefore, when a patient has a pulmonary nodule, he should go to a regular hospital in time and conduct a systematic examination, and according to the results of the examination, under the advice and entrustment of the doctor, and consider whether to carry out surgery in combination with his own situation**.

Whether a lung nodule requires surgery usually depends on the imaging findings and the determination of whether the nodule is benign or malignant

The lung organs are used for detoxification, so the most problems in the lungs, many people will have the problem of pulmonary nodules after examination, pulmonary nodules usually do not affect normal life, but there are also surgeries that can be carried out**, some people regret after pulmonary nodule surgery, so what happened to me regretting after pulmonary nodule surgery?

Pulmonary nodules are one of the common diseases of the lungs, and the impact on the body is not very great under normal circumstances, so there is no need for surgery**, there will be chest tightness and shortness of breath in daily life, but many people will also undergo surgery**, and there will be regrets after surgery**.

After pulmonary nodule surgery, if you do not get a good recovery, you will be left with a series of sequelae, such as postoperative hemorrhage, pneumothorax, lung swelling, infection, etc., and in severe cases, there will be problems such as sputum and fever.

After the nodule appears in the lungs, don't worry too much and care, calm down, as long as the nodule is less than 8 mm, the doctor will recommend observation; Therefore, patients should go to the hospital regularly for re-examination, according to the doctor's advice**, but also stop smoking and drinking, and eat a light diet.

The size of the pulmonary nodule that requires surgery cannot be generalized, but depends on the nature and location of the pulmonary nodule and the patient's personal situation and wishes, as follows:

1. Benign nodules can be observed, and malignant nodules should be detected and operated on early;

2. Pulmonary nodules are simple burr-like nodules, 7mm do not require surgery, and regular observation is sufficient;

3. Pulmonary nodules are 8mm, with some solid components, in addition to long-term observation, different measures should be taken according to the changes of pulmonary nodules;

4. The lung nodules are solid, with calcification points, and the edges are relatively regular, and no surgery is required, no matter how large or small the nodules can be observed;

5. If it is an old lesion or fibrous nodule, there is no change after long-term observation, and no surgery is required**;

6. Ground-glass pulmonary nodules "2cm, or mixed density ground-glass nodules", solid components", need surgery**;

7. The lungs are indirectly solid, > 2cm or have burrs and lobulations, such as typical malignant and invasive tumors, and need to be punctured or operated on as soon as possible.

The general standard is about 1 cm or more, and surgery can be considered. But this is not necessarily, some small lung nodules, such as exceeding, need to be closely observed. In the left and right lung nodules, if the characteristics of the malignant tumor are more obvious, there are lobulations, burrs, or the pulmonary nodules have distorted blood vessels, or there are solid components, the nodules also need surgery.

For general pulmonary nodules, close observation is required, and patients need to be dynamically observed at 3 months, 6 months, or 1 year. If the lung nodule is found to have changes in texture, morphology, and growth rate, surgery is still advised. For relatively large lung nodules of more than 1 cm, surgery is generally recommended.

Hello friend, if the pulmonary nodule is larger than one centimeter, it needs to be intervened**, and it must be pathological first. If it is less than 1 centimeter, surgery is not needed for the time being, but it should be observed. Good luck.

Pulmonary nodule surgery is mainly based on thoracoscopic minimally invasive surgery**. Surgical incisions are available in single and double incisions.

In the case of double holes, one of the incisions is inserted into the thoracoscope, and the intrathoracic condition is displayed through a monitor, and the doctor can know the intrathoracic condition by simply looking at the monitor. Another incision is a long-handled instrument that enters the chest cavity and is used to remove the pulmonary nodule.

First of all, through the observation of the monitor, find the lesion, determine the location of the lesion, and then use the cutting closure device to complete the resection of the lesion, and then send the lesion to the pathology department for rapid freezing pathology, about half an hour later, you can know whether the pathological result is malignant.

If it is reported as benign or localized carcinoma in situ, the surgery is over. If invasive cancer of the lung is reported, resection is enlarged, lobectomy, and thoracic lymph node dissection is done, which is also done under thoracoscopy.

Note: I am a respiratory doctor, if you have any respiratory problems, you can send me a private message to answer your questions in time. (COPD, asthma, emphysema, alveoli, pulmonary fibrosis, interstitial pneumonia, lung infection, cough, etc.......)）

Pulmonary nodulestomy is generally a minor procedure. Because the lung nodules are small, there is less lung tissue to be removed, and even if multiple nodules are removed, the trauma is not great. In addition, thoracoscopic minimally invasive surgery is generally selected for pulmonary nodule resection surgery, which can make a few holes in the body surface, without the need for a large incision like traditional surgery, so the body surface trauma is also small.

In addition, pulmonary nodule resection is a minor operation in terms of lung or body surface trauma and anesthesia.

The cost of minimally invasive surgery for pulmonary nodules is not very absolute, it is related to the specific city and the severity of the disease, some probably cost tens of thousands of yuan, and it is also related to the individual's physique, and some individuals may have lung adhesions, which will be relatively higher.

The size of the pulmonary nodule can be used as a key indication for whether to undergo resection surgery, and in clinical terms, surgery ** should be considered when the diameter of the lung nodule reaches more than 1 cm. However, pulmonary nodules with a diameter need to be closely observed, preferably within one year of diagnosis, and surgery is also required if there is a change in texture or morphology, as well as an increase in growth rate.

2. What are the indications for surgery for pulmonary nodules?

The size of the lung nodule is not the only indication for surgery**. In order to be able to formulate the most reasonable plan, it is necessary to take into account the imaging characteristics of pulmonary nodules, the severity of patients' symptoms, and the tendency of nodules to become cancerous. If ground-glass nodules are found in the lungs, or if the nodules have distorted blood vessels and pathological components, resulting in atypical hyperplasia or micro-invasion, aggressive surgical resection is required.

3. What surgery is needed for lung nodules?

1.Lobectomy or segmental resection.

If the nodule is located in the lobes of the lungs, or if there is significant damage to the lobes, a lobectomy is required promptly. If there is a large volume of nodular tissue in the lung segment, it will also be removed.

2.Wedge resection.

When a lung examination confirms that it is a mixed ground-glass nodule or a solid nodule, the best surgical procedure is wedge resection. This surgery can remove the diseased lung tissue and remove the existing lesions, thus achieving a complete ** effect. However, it is necessary to consider the condition comprehensively after surgery, and if necessary, lobectomy or segmentectomy can be done again to prevent adverse phenomena such as recurrence of the disease and malignant lesions.

Generally, lung nodules larger than 1 cm in diameter need to be surgically removed**. However, it is not absolute, and it should be analyzed on a case-by-case basis according to the degree of malignancy.

If the nodule presents partial solid changes, accompanied by short burrs, lobulated changes, and accompanied by other manifestations such as pleural traction and pleural depression, the nodule is very likely to become malignant and cancerous, and surgery needs to be performed as soon as possible after the doctor's judgment to clarify the nature of the lesion and prevent further deterioration of the condition.

If the diameter of the lung nodule is greater than 1 cm, if there are inflammatory pseudotumors or tuberculosis and other malignant changes under CT imaging, it can be observed first, not necessarily surgery.

Therefore, whether the patient needs surgery should be further judged according to the nature of the morphological characteristics of the patient's specific pulmonary nodule to determine the timing of surgical resection.