什么样的肺小结节需做手术

• 作 者: 杨跃
• 机 构: 北京大学肿瘤医院胸外科,
• 出 处: 人人健康
• 发表日期: 2016年09期
• 关键词: 肺小结节 医患双方 患者 影像学 是肿瘤 金标准 并发症 医生 体检 临床 病理 病变

很多患者体检时发现肺小结节之后,往往第一时间就想知道是不是肿瘤?要不要切掉?其实在临床上这是一个非常难以回答的问题。从影像学上可以大致判断一个病变的性质,但这并不是绝对,因为病理才是确诊的金标准。那么患者和医生都要面临这样一个问题,如果不切可能永远不知道结节是不是恶性的。但是如果最后结果是良性,会觉得挨一刀有点冤枉,如果再因为开刀不幸出现了并发症,就让医患双方更觉得“亏”了。

Many patients found that small pulmonary nodules during physical examination, often the first time I want to know is not a tumor? Or do not cut? In fact, this is a clinically very difficult question to answer. From the imaging can roughly determine the nature of a lesion, but this is not absolute, because the pathology is the gold standard for diagnosis. So both the patient and the doctor have to face such a problem, if not impossible to never know nodules is not malignant. However, if the final result is benign, you may feel that you are being wronged by the knife. If there is any unfortunate complication after surgery, you will feel that both doctors and patients feel that you are losing money.