[ 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！
陳焯雄醫生回覆: [ 7/23/2022 ]
明向同情你的情況
應該儘快安排在左肺考慮抽肺膜積水
應該儘快安排在左肺考慮抽肺膜積水
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。
其他陳焯雄醫生醫務信箱回覆karen : 有乙肝, 同肺線癌指數高少少, 13.41 NG/ML <12.5
病患者男 - 33歲 有乙肝是否定期要去做照聲波檢查? 是否搵專科醫生可以照埋照聲波? 肺線癌高左少少可.......cloudy : 抗生素問題
病患者女 醫生，你好，想問下什麼情況下需要食抗生素，我有一次氣管炎，醫生開左抗生素俾我，近日醫生話我應冒.......Hailee : 氣喘
病患者女 - 17歲 最近一到夜晚，氣管呼吸開始有聲，有氣喘問題，以前可以係氣管敏感，我想問由敏感轉為哮.......oden : 肺結節
病患者男 - 36歲 16年10月,咳血入院,拍了 CT 發現 1.5CM 結節.做了支氣管鏡,驗痰,沒.......oden : 有點 胆心,,,,,,,CT 報告及 X RAY 檢查
病患者男 - 36歲 14 年我的報告 Correlation is made with the .......TAM WAI SIM : 氣管擴張
病患者女 - 57歲 氣管擴張是否冇藥可醫??.......larlar : unfolding of aorta
病患者女 - 44歲 我剛收到驗身報告, 胸部X光報告內有一句: "there is unfolding.......Isaac : 有痰吐不出
病患者男 - 32歲 陳醫生你好, 我喉嚨有痰卡住, 很難吐出來. 間中可吐出來, 發現痰為黃綠色, .......Chan kwok leung : 睡眠有鼻呼
病患者男 - 28歲 我家人講我鼻呼好大聲,而且經常發生,我間中亦會中途睡醒並發現好多鼻水塞住...即使.......rong lam : 被車撞后咳嗽
病患者女 - 50歲 您好，本人在前一段時間於行人專用區過過路，不幸被車撞倒，經報警和送醫院檢查，拍x光....... 發出提問使用細則
致陳焯雄醫生 提問
即時提問 ?
