[ 會員#28043 ] Wong Chi Ming
Suspicious of malignancy
病患者男 - 63歲
CT Throax Findings :
1. An irregular heterogeneously enhancing mass with spiculations is noted at the anterior segment of left upper lobe. Measuring 2.2x1.9x1.6cm in size. No intralesional calcification or cavitation is noted. Findings are highly suspicious of malignancy.
2. Irregular nodular thickening of the left oblique fissure is noted, suggestive of metastatic pleural deposits.
3. Interlobular septal thickening with irregularity is noted at the apico-posterior segment of left upper lobe, lymphangitis carcinomatosis cannot be excluded in current clinical context.
4. Several soft tissue nodules; up to 0.5cm are scattered at right middle and left lower lobes, could be intrapulmonary metastases.
5. Moderate left pleural effusion is evident. There is no right pleural effusion. Trachea is not deviated. Major airways are patent.
6. Mediastinal lymph nodes are not significantly enlarged.
7. A few subcentimeter hypoenhancing foci are noted in the liver, they are too small to be characterised.
病人於7月19日，進行電腦掃描得出上述結果，因要排期等候見公立醫院醫生。
請問醫生可否代為解釋上述報告。
如屬肺癌應該怎樣跟進？謝謝！
CT Throax Findings :
1. An irregular heterogeneously enhancing mass with spiculations is noted at the anterior segment of left upper lobe. Measuring 2.2x1.9x1.6cm in size. No intralesional calcification or cavitation is noted. Findings are highly suspicious of malignancy.
2. Irregular nodular thickening of the left oblique fissure is noted, suggestive of metastatic pleural deposits.
3. Interlobular septal thickening with irregularity is noted at the apico-posterior segment of left upper lobe, lymphangitis carcinomatosis cannot be excluded in current clinical context.
4. Several soft tissue nodules; up to 0.5cm are scattered at right middle and left lower lobes, could be intrapulmonary metastases.
5. Moderate left pleural effusion is evident. There is no right pleural effusion. Trachea is not deviated. Major airways are patent.
6. Mediastinal lymph nodes are not significantly enlarged.
7. A few subcentimeter hypoenhancing foci are noted in the liver, they are too small to be characterised.
病人於7月19日，進行電腦掃描得出上述結果，因要排期等候見公立醫院醫生。
請問醫生可否代為解釋上述報告。
如屬肺癌應該怎樣跟進？謝謝！
陳方婷醫生回覆:
9/28/2022
9/28/2022
From the CT report, it suggested there is highly suspicious lung nodules. First step is tissue diagnosis and get the exact histology and further analyze any genetic markers for further management
以上資料只供參考，不能作診症用途，
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
Andy : 應否繼續用keytruda進行鼻咽癌的免疫治療?
病患者女 - 70歲 陳方婷醫生: 您好! 因媽媽點都想試一試免疫治療,所以治療前無做PDL1嘅指標.......Andy : 應否繼續用keytruda進行鼻咽癌的免疫治療?
病患者女 - 70歲 本人的媽媽鼻咽癌已擴散至骨及肝，經化療後，去年10月嘗試轉用keytruda進行免....... 發出提問使用細則
致陳方婷醫生 提問
