定时炸弹|「双语」人体内的＂定时炸弹＂肺癌

世界卫生组织表明：中国癌症发病率世界第一
The World Health Organization shows that China ranks first in the world for cancer incidence
早期癌症治愈率大于90%，晚期治愈率小于10%！
得了癌症并不可怕，关键是要......
1 早发现
早诊断
2 3 早治疗
等于
延长寿命！
The recovery rate of early-stage cancer patients is greater than 90%, and forlater-stage patients it is less than 10%
Cancer is no cause for alarm. The important thing is to detect, diagnose and treat it early on to prolong lifespan.
定期体检太重要
Regular checkups are extremely important
肺癌
我国发病率，死亡率均第一
肺癌占全部癌症死亡22.7%
China ranks first in incidence and mortality of lung cancer patients in the world.
Lung cancer accounts for 22.7% of the total cancer mortality rate.

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以前：筛查肺癌靠胸片为主
现在：精准诊断，低剂量CT
In the past, chest X-rays were the main tool for lung cancer screening
Now, low-dose CT provides accurate diagnoses
科普时间到了，为你深扒一下
Time for science popularization,
Give you a deep explanation
01 肺结节到底是什么鬼？
What is a lung nodule?

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肺结节在CT片上表现为小的、局限性、类圆形、密度高的阴影，可单个或多个。边界清楚、影像不透明、直径小于或等于3cm的结节，无肺门增大或胸腔积液的表现。
Lung nodules appear on CT scans as small, localised, quasi-circular, dense shadows of single or multiple counts. These nodules are singular, well-defined, opaque in images, with diameters of 3cm or less, and show no signs of hilar enlargement or pleural effusion.
02 报告常说的毛玻璃样结节又是什么？
What are the commonly
reported GGNs
(ground-glass nodules)?

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毛玻璃样结节是一种影像学表现，是指局部结节样区域，肺的模糊度增加，表现为密度轻度增高的云雾状淡薄影或圆形结节，样子像磨砂玻璃一样，所以叫毛玻璃样结节。
GGNs are imaging manifestations that refer to a localised nodule-like area with increased lung ambiguity, showing as a nebulous faint shadow or round nodule with mildly increased density. They have the appearance of ground glass, hence the name ‘ground-glass nodules’.
03 为什么我们要这么重视肺毛玻璃结节？
Why should we be vigilant
【 定时炸弹|「双语」人体内的"定时炸弹"】of GGNs?

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单纯磨玻璃样变恶性率高达59%-73%；混合性磨玻璃样病灶恶性率>93%
因为毛玻璃结节有可能是早期肺癌，我们不能放任其发展，及早的采取措施，防止向周围及远处脏器转移，甚至造成更为严重的后果。
The malignancy rate of pure GGNs is as high as59%-73%; the malignancy rate of mixed GGN lesions isgreater than93%.
Since GGNs can be early-stage lung cancers, we must intervene by taking early measures to prevent it from metastasizing to surrounding and distant organs, or leading to even more severe consequences.

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患者对待毛玻璃结节的两种态度
随它去-体检没什么可做的
太紧张-过度就医
The two types of attitudes patients have towards ground-glass nodules
Let it be – checkups are pointless
Extremely anxious – excessively visiting the doctor
我们到底该怎么办？
What should we actually do?
很简单
It’s simple

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1
找影像科诊断专家问诊
Inquire with a diagnostic radiologist
2
读片，片子就像是“罪犯现场”，专家寻找蛛丝马迹，不放过每个角落，每一病灶。
When reading radiographs, the radiograph is like the “crime scene”, the specialist searches for clues, and scours every nook and every lesion
3
解读片子，具体病例，具体分析、给予最终诊疗方案。
Study the radiograph –conduct a case-specific analysis – and provide the ultimate treatment plans
温馨提示：Tips
孤立的纯毛玻璃样肺结节：如果小于5mm，一年随访一次；如大于/等于5mm，3个月后复查CT，至少每年1次肺CT检查，观察结节大小性质变化。肺部毛玻璃结节一般主张大于8mm，结节形态欠规则，边缘存在分叶，毛刺等恶性征象就需要手术切除。
Solitary pure GGNs: if it is smaller than 5mm, follow up once a year; if it is 5mm or larger, CT scan re-examination after 3 months, and lung CT scan at least once a year to observe changes in size and nature. Excision is required if malignant symptoms appear, such as:GGNs in the lungs become larger than 8 mm, irregular nodule shapes, lobulated margins, and jagged edges.