[ 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！
潘智文醫生回覆:
7/25/2022
7/25/2022
掃描顯示，肺部有可影像，應盡快抽取組織作細胞檢查，已盡快確診和治療
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。
capohon : 鼻咽癌病毒抗體
病患者女 - 33歲 剛剛檢查鼻咽癌病毒抗體0.821，需要再詳細檢查嗎？謝謝！.......Eric : 肺部有影終於ct有報告
病患者男 - 43歲 在扫描范围内没有看到破坏性骨病 变。T9椎体左侧出现1.1厘米x1.3米 的病.......Kaka : 大腸癌轉移肺部有擴散
病患者男 - 66歲 家人前年確診大腸癌初期，術後無做任何化療電療，2月尾照ct發現右邊肺有粒新嘅1cm.......chung hang cheong : 肺部陰影
病患者女 - 68歲 Private CT thorax, low dose plain 4/1/22:.......Fatlun : 減輕標靶藥副作用
病患者女 - 72歲 我媽媽食了肺癌標靶藥一代已一年，情況算穩定，癌指數1.8以下，照了ct 及pet .......Sheila : 肺部有麿沙結節
病患者女 - 59歲 請問 做CT scan (C+P) abdominal cavity 及low .......stcheung822 : 3B期肺線癌治療方案
病患者女 - 65歲 家人患3b期肺線癌, 有EGFR EXON 19 基因特變, 已驗PDL1<1% .......Ng Kai Kwong : 骨髓瘤患者適打新冠疫苗
病患者男 - 68歲 本人5月被通知患上骨髓瘤,看完專科後,因血液及骨頭檢測都正常，並沒有相關病徽，故現.......Ng Kai Kwong : 骨髓瘤治療
病患者男 - 68歲 本人於今年4月尾抽骨髓檢查，5月被醫院通知患上骨髓瘤； 被安排6月尾睇血液腫瘤科.......Simon : 前列腺癌
病患者男 - 59歲 本人前列腺癌一期 請問可否用免疫細胞治療？....... 發出提問使用細則
致潘智文醫生 提問
