"Doctor, I heard youIf you have nodules in your lungs, you will soon get lung cancer, how did I get lung cancer at such a young age! Mr. Wu looked at the examination on the physical examination report and asked the doctor anxiously.
Lung nodules are not lung cancer, it depends on the specific situation, don't worry," the doctor replied helplessly after listening to Mr. Wu's question.
How about a female colleague from our previous companyPulmonary nodules are detectedAfter that, a needle biopsy is doneAdenocarcinoma of the lungThis! Mr. Wu was clearly not at ease with the doctor's statement.
In daily life, I believe that many people will be like Mr. Zhang, once the nodule is detected during the physical examination, they begin to worry that they will develop cancer in the near future, especially when more and more people are suffering from cancer.
1. Why are more and more people finding out pulmonary nodules, and the reason is **?
In recent years, the number of lung cancer patients seems to be increasing, and people who are found to have lung nodules during physical examinations abound, and many people are very anxious when they see the word "lung nodules", fearing that they will get lung cancer in the near future.
Actually, pulmonary nodules are not a disease, but:An imaging finding, refers to:Diameter less than 3cmof focal, dense lung shadows.
There are many causes that induce pulmonary nodules, which can be divided into:Infectious and non-infectiousTwo kinds:
Infectious factors include:Mycoplasma, chlamydia, bacterial, parasitic, and viral infectionsetc., if passedInflammation of the lungs, ** after the formation of local scar adhesions, which will also appear as nodules on imaging.
Noninfectious factors include inhalationCoal, stone powder, autoimmune diseases cause inflammatory substances to fill the alveoli and form pulmonary nodules, and partlyEarly stage lung cancerIt may also appear nodular as well.
Tan Fengwei, Deputy Director and Chief Physician of the Department of Thoracic Surgery, Cancer Hospital, Chinese Academy of Medical SciencesExplain that the reason why more and more people are finding pulmonary nodules in recent years is that on the one hand, everyone's attention to health has increased, and many people will go for chest CT examination, which has improved the detection rate of pulmonary nodules; On the other hand, with the improvement of medical equipment, small lesions in the lungs can be detected in time, which also increases the detection rate of pulmonary nodules to a certain extent.
Many people are very anxious after being diagnosed with lung nodules, fearing that they will get lung cancer.
Feng Xing, deputy chief physician of the Department of Cardiothoracic Surgery, Hangzhou First Hospital, Zhejiang ProvinceReminder, aboutThe nodules areBenignPathological changes. However, if these two types of nodules appear, it is best to be vigilant: first, nodules with a diameter of 8mm, unclear boundaries, burrs at the edges, vacuoles in the nodules, vascular penetration, etc., it is necessary to be vigilant against a greater tendency to malignant transformation; The second is that with the development of time, larger and larger nodules should also be highly vigilant for malignancy.
2. Radish is the "catalyst" of lung nodules and will aggravate the condition?
Many people with lung nodules in the body regard radish as a "flood beast", believing that radish is a hair that promotes the development of nodules, and eating radish regularly will accelerate the development of nodules and increase the risk of cancer, which is actually not scientific.
There is currently no research evidence that radish promotes malignant transformation of pulmonary nodules. Although radish is a member of the cruciferous vegetable, it contains glucosinolates, which are produced by hydrolysisthiocyanate, but in very low levels that are not enough to pose a health risk. and thiocyanateIt affects the absorption of iodine in the body, which is not associated with an increased risk of cancerous lung nodulesPatients with pulmonary nodules can eat radishes with confidence.
Ding Huizhen, chief physician of the Department of Respiratory Medicine of the Affiliated Hospital of Yangzhou UniversityReminder, if you have pulmonary nodules, you really need to eat less of these foods:
First of allFoods high in salt, such as pickles, salted fish, cured meat, etc., excessive salt intake will lead to water and sodium retention in the body, which is not conducive to the recovery of pulmonary nodules.
And there isIrritating foods, such as fried food, chopped pepper, chili pepper and other foods, these irritating foods are easy to cause gastrointestinal discomfort after ingestion, and may play a role in promoting the progression of pulmonary nodules.
FinallyStimulant drinksDrinks such as strong tea, cola, and coffee should also be consumed sparingly, which can stimulate the central nervous system and increase anxiety in patients with pulmonary nodules.
3. Is the pulmonary nodule incision or not? The doctor will tell you the answer
According to incomplete statistics, 5Of the 500 million people, about 20% have lung nodules, or about 100 million people. Many people are very panicked when they are diagnosed with lung nodules, fearing that they will get lung cancer, and thinking about surgery as soon as possible.
In this regard,Fang Wentao, Director of the Department of Thoracic Surgery, Shanghai Chest HospitalDr. Fang, who needs nearly 1,000 surgeries a year, said that most patients with small lung nodules do not need surgery.
At the same time, he also gave three suggestions for patients with pulmonary nodules:
1. Regular follow-up is important
For people who have found pure ground-glass nodules in the lungs, there is no need for any **, the only thing that needs to be done is regular follow-up. It is generally recommended to re-examine once every 3 to 6 months after the first examination, and the follow-up time can be extended to 1 2 years after there are no abnormal changes.
2. Don't make unnecessary knives
Many patients want to go under the knife after a nodule is detected, but most nodules do not require surgery. Benign nodules can cause unnecessary lung damage when surgery is carried out, and some patients find ground-glass nodules and rush to undergo surgery, in addition to the risk and pain of surgery, the quality of life after surgery will also be reduced, and the removal of one lobe of the lung will result in a loss of at least 20% of lung function.
Third, the end of the knife is not the same as the end**
After the surgery, patients also need to exercise their lung function on their own, such as deep breathing, stair climbing are good options, through exercise is conducive to better recovery, improve cardiopulmonary function. Regular follow-up is also required after surgery to observe whether the condition has recurred.
Nodules are a very common problem in modern people, and there is no need to panic too much after discovering nodules, follow up with the doctor's instructions or actively carry out **.
References: 1] Why are more and more people detecting pulmonary nodules? 》.Technology** 2022-09-27
2] "Polyps, nodules......Doctor's reminder: eat less of these types of food! 》.Popular Science China 2023-10-13
3] "What do doctors who have performed nearly 1,000 surgeries a year want to say to patients with lung nodules?" 》.Shangguan News 2019-04-17
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