n**h
发帖数: 694 | 1 我母亲66岁，最近例行体检CT发现右上肺有直径1cm长2cm左右的磨玻璃状病灶。两周抗
炎治疗后无大变化。肺部并未发现纵膈淋巴结不正常。本人无任何不适症状，但是近8-
9年来历次体检白血球水平都偏低（2500左右).
因为磨玻璃状病灶很多时候高度怀疑癌变可能，所以基本决定手术摘除。现在需要决定
是传统开胸手术还是胸腔镜微创手术。胸腔镜有人认为肺纵膈淋巴结清扫不如传统手术
彻底。
希望能听听达人的意见，另外国内那里胸腔镜肺叶切除手术做得好。万分感谢！！！！ | c********e
发帖数: 496 | 2 whenever single nodule is found in the lungs, first thing the doc needs to
do is to compare it with other CXRs. Duration is very important.
Other points:
if the border is clear, if not, invasive.
if calcification around nodule, if yes, malignancy.
if lymphadenopathy, if yes, cancer.
if smoking history +, if family history +.
if there is any endocrinolgoical changes recently, if yes, pancoast tumor.
Many others.
If malignancy is more likely (80-90%), go for thoracotomy.
If not clear cut. do VA |
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