Are 5mm pure ground glass nodules used for cryoablation? Vigilance ablation is easy to "die without proof"

Compared with surgery that requires surgery, ablation is less invasive, but it has already strangled the tumor in the body. However, the disadvantages of ablation are also obvious, and the patient benefit is small, especially for young patients, although it is possible that the short-term 5-year survival rate is not much different from the surgical ratio, but the long-term survival rate is not guaranteed. Ground glass lung cancer, on the other hand, requires the pursuit of long-term survival rates, especially ten years, or even 30 years. At the same time, ablation can not get the lesion tissue, nor can it get accurate pathological diagnosis results and clinical staging.

In addition, the use of ablation technology is not possible to determine whether it has been cured. If surgically removed, the excision of the tissue edge will be confirmed negative by the pathologist, otherwise the scope of resection will be expanded, and the mediastinal lymph nodes will also be examined for tumor cells to determine whether there is metastasis, but these are not achievable at the time of ablation, because even if the tumor foci are killed, the "corpse" will still stay in the body and cannot be taken to the microscope for observation. This is also the title of the lung nodule ablation is easy to "die without proof".

In short, ablation is a palliative treatment for patients with advanced lung cancer and advanced age intolerance to surgery, although radiotherapy or ablation is often called radical treatment, but early lung cancer takes these methods, doctors are generally very cautious.

The following is transferred from the patient's message:

In November 2019, because of a cold and low fever to go to the hospital for examination, the doctor asked me to do a ct, I have never done ct, after getting the ct report, the legs instantly softened, several ground glass nodules on the lungs, the maximum 5mm pure ground glass nodules. The doctor looked at my CT data and asked me to review it for half a year. I have not waited for half a year, due to the huge psychological pressure, I went to the hospital again in January 2020 for examination, and the size of the review did not change. Then I went to the hospital in May and then in August, and the re-examination showed that the size of the nodules remained unchanged.

The doctor said that I was checked too frequently, did not give me a list, and asked me to go back first and come back in half a year. After returning home, my psychological pressure was still huge, and I did not listen to the doctor's advice and ran to another Chinese medicine hospital, and as a result, after taking Chinese medicine for a month, I only ended up with diarrhea. On September 1, I went back to the original hospital for a review, and after the doctor saw the CT shot, he said, "Follow up." ”

My husband, who was standing next to me, asked the doctor if there was any way to remove all the nodules from my lungs, and the doctors introduced us to the new technology of their hospital, "cryoablation", and took us to the next room, saying that their director was an ablation specialist.

Since the report sheet did not come down at that time, the dean read the film on the computer, measured a 4.6mm ground glass nodule with the mouse, and said to us: "The 5mm pure ground glass is still a little changed, and it can be frozen ablation." "I don't know if there was any change (later the report came out, it said that it was roughly the same as before), and I thought that the size of the nodule would be eliminated immediately, because the psychological pressure was too great."

The next day, he was quickly hospitalized, and on the third day of hospitalization, he ablated. After waiting for about a few days, the pathological results showed that it was a benign nodule.

The doctor explained that the pathological results of the lavage tomorrow can be discharged if they are good. As a result, the next day, the lavage pathology came out, but it was a series of words that I could not understand but were very scary, and what individual cells were abnormal, so that they could be consulted in other hospitals. The result of the consultation is that the individual cells are severely squeezed and deformed, and small cell carcinoma is not excluded.

When I got the result of this pathology, my heart was uncomfortable and I couldn't cry. My husband didn't want me to see sadness, so I secretly hid in the toilet and cried.

My husband and I have been on campus for 14 years, and my husband has always spoiled me. We worked hard together to earn money to build a house, bought a car, and later bought a house, and gave birth to two lovely daughters, I am very happy, I am very blessed, cherish every relative around me, filial piety to adoptive parents. Why was this happening? Even if I had an unhappy childhood, I was optimistic, didn't complain, tried to live every day, and now Heaven is going to take away my happiness?

I thought that ablation could remove the fear in my heart, but now it is better, even more afraid. Sometimes when I look up and see the stars in the sky, I think of lung nodules, so much so that seeing dots later makes me think of the panic that lung nodules bring to me. Slowly I became unhappy and couldn't go back to my previous state of mind.

Around the 10th day of hospitalization, I told my husband that I wanted a girlfriend, so I took a leave of absence to go home and pick up my eldest daughter from school. The eldest daughter is 12 years old this year. On the way to pick up the eldest daughter, I said to the eldest daughter: "The eldest daughter is like a mother, she can't be willful, she must learn to take care of her sister and father." The girl cried and asked, "Mom, what's wrong with you?" Is it that the pathological results are not good? I suddenly realized that my daughter had grown up, and I forced a smile and said, "Mom is fine, she is about to be discharged from the hospital!" When I got home, I could sleep with my two girls. ”

The next day on the way back to the ward, the old man was silently crying in the car and said to me: "Don't be afraid, there I am, the house is sold, I will accompany you to treat the disease." "I didn't speak.

Back in the ward, the dean called my husband into the office, and I stood at the door of the ward and stared at the door of the dean's office, waiting for my husband to come out. After about 30 minutes, my husband came out with a humming tone, saw me in the distance, ran to me, hugged me hard, and said, "Wife, you can accompany me for the rest of your life." After so many days, I finally couldn't hold back, and I cried wow, and my husband said: "The dean said that they are only suspicious at the moment, even if it is bad, it will not affect the life expectancy!" ”

The results of the consultation allowed me to go home for observation and review it after 3 months. In the end, my husband was still not at ease, and all the doctors who participated in the consultation were looking for a clear consultation, asking about the consultation situation at that time, and the director of the pathology department said: "From my 40 years of experience as a doctor, it is not 100% bad." Doctors in other departments also said that the chance of badness was very small, and only the thoracic surgeon said: "If the patient is stressed, cut once and for all." ”

Finally I went from respiratory medicine to thoracic surgery for resection, and finally the big pathology was inflammatory nodules.

I went to work half a month after the operation, and now 5 months have passed, and the 2 doctors who have reviewed have said that they are recovering well.

After this incident, I see a lot, don't want so much, live in the moment.

My Reply:

Thank you for sharing, it seems that the psychological lethality of ground glass nodules is very huge! But you really don't have anything to do, come on!

5mm pure ground glass nodules, 100% benign, benign is not necessary to ablate ah! And malignant, ablation does not guarantee cure.

A 5mm ground glass nodule can't be small cell lung cancer! Was the last second surgery lobected? But all of them have ablated, and the lesions cannot be found. #Chongqing headlines ##关注她健康 #