[ 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！
陳嘉華醫生回覆: [ 25/07/2022 ]
要抽組織檢查，及進行正電子掃瞄（ PET scan )
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