A netizen in his 30s left a message: "The unit just did a physical examination, and found that there are ground-glass nodules in the lungs.
Upon inquiry, it was learned that the young man had been tired from work recently, his resistance was relatively low, he had caught a cold twice in a row, and he had been coughing a little, so the ground-glass nodules were likely to be related to lung inflammation. Sure enough, after a period of anti-inflammatory, the ground-glass nodules began to shrink and finally disappeared completely.
Professor Zhang Xueliang, an expert in TCM internal medicine, said: "Some patients in clinical practice are in a hurry to undergo surgery when they first find a ground-glass nodule in the lungs, but in fact, if the doctor thinks that there is no tendency to malignant transformation after watching the film, there is no need to be particularly worried. Because most ground-glass nodules are benign and often caused by inflammation, from the perspective of traditional Chinese medicine, it is phlegm-dampness accumulation. ”
Ground-glass nodules" are not scary.
Ground-glass nodules are very common, and a foreign census results show that about 15% of 20% of people will find pulmonary nodules during CT screening, and nearly half of them are ground-glass nodules. There are many factors that induce pulmonary ground-glass nodules, such as lung tumors, lung inflammation, tuberculosis, etc. Therefore, before choosing the best plan, it is necessary to clarify the condition.
If a ground-glass nodule shrinks or disappears significantly after fighting infection**, it may be an inflammatory nodule. If it does not shrink or disappear, it may be another lung disease, or it may be early lung cancer or a precancerous lesion with malignant potential. But even if they are malignant, most ground-glass nodules are indolent tumors with low malignancy, rarely metastases or develop rapidly, and are completely under control with current medical technology.
According to reports by scholars in the United States and Japan, it takes about 3 years on average for pure ground-glass nodules to double in size, and for mixed ground-glass nodules to double in size in about 1 and a half years.
Because of its slow development and low degree of malignancy, it is rare to immediately surgically remove pulmonary ground-glass nodules when they are first discovered.
What kind of ground-glass nodules can become cancerous?
So, which of the ground-glass nodules is more likely to become cancerous?Clinically, it is often judged comprehensively according to the size, shape, margin, and density boundary of the nodule.
01 First of all, look at the size.
Clinical data show that about 80% to 90% of patients with small lung nodules found on the first low-dose chest CT are benign and only 5% are diagnosed as malignant. However, 50% of single nodules in the lungs with a diameter greater than 25 mm are diagnosed as malignant.
02 Secondly, look at the composition and density.
Pure ground-glass nodules are more than 95% ground-glass nodules and do not contain solid components, and the overall density is relatively uniform, which is the most common ground-glass nodule in clinical practice, and most of them are benign nodules. Mixed ground-glass nodules, which contain both ground-glass and solid components, have the highest chance of becoming cancerous among all lung nodules, especially nodules with more than 50% solid components, and should be highly vigilant.
Blind surgery" is not as good as Chinese medicine to break up.
For ground-glass nodules that do not have a significant tendency to malignant, doctors generally recommend observation and follow-up. At this stage, there are always many patients who are worried about the deterioration of their condition and rush to have their surgery removed. However, any surgery is bound to cause harm to the body, and if the surgery is done again, the situation will become more troublesome. At this time, it is better to follow the doctor's instructions for follow-up and re-examination, and try to use traditional Chinese medicine methods to do the ** of dispersal knots.
Real case: 3 months of Chinese medicine 0The 5cm ground glass nodule is gone.
Professor Zhang Xueliang has used traditional Chinese medicine methods in clinical practice to treat many patients with ground-glass nodules in the lungs. One of the patients, a 52-year-old woman, was found to have a ground-glass density nodule under her left lung two years ago, and the nodule was 09×0.8cm, the smaller ones are about 05cm, the patient reported a lot of worries at work, had uterine fibroids, and had gastroduodenal cyst removal surgery 10 years ago.
Although the nodules have exceeded 08cm cordon, but the attending doctor of Western medicine believes that there is no problem for the time being, and it is recommended to recheck it regularly. The patient was afraid of cancer and had been going everywhere**, but unfortunately there was no effect, so he wanted to seek traditional Chinese medicine conditioning and found Professor Zhang Xueliang.
Professor Zhang Xueliang is a combination of four diagnoses and references, and believes that it is pulmonary fever, so it is mainly treated with heat and phlegm, soft and hard and dispersing knots, and the prescription uses Zhejiang shellfish and raw oysters to dissolve phlegm and eliminate symptoms for pulmonary nodules, and uses Prunella vulgaris and Wang Buliuxing to relieve depression, and uses Yujin to clear dampness and heat, soothe the liver and relieve depression, and use Tiandong to clear heat and cool blood ......
The patient took the drug for 3 months and went to *** again for re-examination: the density nodule of the ground glass under the left lung was from 09×0.8cm is reduced to 07cm, another 0The 5cm nodule has completely disappeared. The nodule shrinks and disappears without surgery, and the patient is very surprised by this ** effect.
Professor Zhang Xueliang prompts:
If you have ground-glass nodules, it is important to have regular check-ups. During the observation period, it is beneficial and harmless to control through traditional Chinese medicine**, if the nodule can be improved or even dissipated, it is better, if it cannot be improved, it can also be decisively removed once the danger is found. The combination of traditional Chinese medicine and Western medicine can give patients a better protection. However, the nature of each person's nodules is different, and the individual physical condition is also different, and the effect of medication cannot be generalized. For many nodules, it is often not eaten for a month to shrink immediately, and a certain amount of persistence is required to be effective.
Some patients have multiple nodules, not only pulmonary nodules, but also thyroid nodules, breast nodules, etc., and even after surgery, they are again **. Such patients often run to multiple departments, after many years of Western medicine, have not achieved good results, in addition to following the doctor's instructions for re-examination, it is also very suitable for trying to use traditional Chinese medicine methods for conditioning.