[ 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:
25/07/2022
25/07/2022
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。
Zhou jianqun : 腹腔淋巴鳞状细胞癌
病患者男 - 43歲 您好！患者目前为不明原发灶腹腔淋巴鳞状细胞癌，想寻求这方面医生专家治疗，和相关靶向.......cheung mei52 : 癌指數不段升
病患者女 - 73歲 媽媽在2017年11月確診肺癌骨轉移到脊髓C7位置，做了電療和已服食標靶藥約半年，.......Zhou jianqun : 食道鳞癌
病患者男 - 43歲 您好！内地患者诊断为食道鳞癌，想寻求香港医生治疗和香港治疗方面的药物。期盼推荐医生.......郑芳 : 肺小细胞癌并大细胞内分泌癌的治疗
病患者男 - 79歲 潘医生，您好！我父亲患肺小细胞癌并大细胞内分泌癌，肿瘤约4-5公分，淋巴结及纵隔转.......Elsa Wong : 胰臓癌
者男 - 58歲 請間胰臟癌第三期的病人在化療期間可以食那一種食材或補健品來補充体力.......fishdood : 疑似腫瘤
病患者男 - 50歲 CT體檢照出一個疑似腫瘤，係左腹位置，請問應該搵腸胃科醫生or 腫瘤科醫生去確診及.......kcc chan : Igg4 醫生
本人有igG4 免疫病, 想問除政府專科可找那一類專科醫生睇?....... 發出提問使用細則
致潘智文醫生 提問
