恶性孤立性肺结节诊断与治疗

肺部结节发病总体呈增长趋势.肺结节按密度分为纯毛玻璃样结节、部分实性结节和实性结节,按良恶性分为良性肺结节和恶性肺结节.恶性孤立性肺结节以早期肺腺癌为主.对于部分液体活检及肺活检诊断为早期肺癌的患者以手术治疗为主;不能手术的早期肺癌患者可考虑体部立体定向放疗;对于诊断不清的患者,应根据生长的速度、影像学资料、高危险因素给予定期随访.随访过程中如发现肺结节体积增大、密度增强应给予手术治疗.

Diagnosis and treatment of solitary malignant lung nodules

The incidence of pulmonary nodules as a whole show an increasing trend.The pulmonary nodules can be divided into pure wool hyaline,part of the solid nodules and solid nodules.There are also sorted of as malignant and benign into independence malignant lung nodules and benign lung nodules.The independence malignant lung nodules is based on the early lung adenocarcinoma.A part of early lung cancer patients who are already via part of liquid biopsy's and lung biopsy's diagnosis will accept the operative treatment.But,for another part of patients who are inoperable,we will adopt body stereotactic radiotherapy.And some uncertain diagnosis patients,we should follow-up with them regularly according to their velocity of growth,iconography,the high danger.If the pulmonary nodule's volume is expanding and the density is increasing.We should give them an operative treatment during follow-up with them.