A few days ago, at the class reunion, several classmates invariably wished the elderly in the family health and longevity!
One of the 6 parents in our class of more than 30 people was diagnosed with cancer, and the proportion was very high, two of which were lung cancers.
People in middle age most look forward to the health of their parents, parents are there, and there is still a place in life!
The father of the old squad leader is lung cancer, because he found it in time, he went to the district hospital for lobectomy and lymph node dissection, which was no obstacle.
To protect the elderly at home, we should pay attention to some early signs of lung cancer.
Today, with the help of several cases, we focus on explaining the connection between chest and back pain and lung cancer, hoping to remind and help middle-aged friends.
The symptoms of lung cancer are diverse, which is mainly related to the location, size, and surrounding involvement of the tumor, the most common symptom is cough, mostly irritating dry cough, occasionally blood in sputum, in addition to chest tightness, chest pain, back pain, fatigue, weight loss and other conditions, often no specificity.
However, repeated back pain in the same part should be taken seriously!
If we look at two cases, you can understand why.
Case 1, right parapleural lung cancer
This is a middle-aged woman, because of intermittent cough, back pain for 2 months to check, the location of her pain is in the middle of the back to the right.
CT found right lung cancer, the tumor is located next to the spine under the pleura, there are rich nerves on the pleura, stimulated by the tumor caused by pain, manifested as frequent episodes of vague pain, stuffy pain, sometimes like forks.
Follow-up 2.5 years after surgery
Fortunately, it was found that it was relatively timely, the cancer cells did not spread, and surgery was performed in time.
Pathology is a low-differentiation lung adenocarcinoma, after surgery to do neoadjuvant chemotherapy, it has been almost three years, the recovery is very good!
Case 2, left interlobite parapleural lung cancer
This man is also a relatively lucky person, because of kidney stones, urine and blood hospitalization, tell the doctor during the round, his left back is a little slightly stuffy, sometimes the same as the needle, occasionally cough a few times, do you want a piece of check?
ResultsClass scan of the chest revealed that the left side of the mixed ground glass nodule was irregular in morphology, and the edge caused a pulling depression in the interlobeal pleura.
He later underwent surgery on the thoracic surgery, also an invasive lung adenocarcinoma.
These two cases remind everyone that lung cancer close to the pleura can sometimes be pulled to stimulate the pleura, causing repeated chest and back pain in the same part, the degree is different, but the position is fixed, and the middle-aged and elderly should pay attention to this symptom.
So, does back pain in the same location have to be lung cancer?
not necessarily!
Many rural elderly people have worked hard when they are young, leaving low back pain, waist and leg pain, and like to sleep in hot soil kang in winter, these problems are years or even decades, not lung cancer, do not be afraid.
There are also some tuberculosis, pneumonia and other irritation of the pleura can also cause back pain, usually some other accompanying symptoms.
This is a middle-aged man, often coughing, occasional fever, CT found an irregular nodule foci next to the right spine, enhanced CT is ring-shaped strengthening, there is some fluid in it, unlike the intensification of lung cancer.
But he later did not respond to antibiotic treatment, so he underwent surgery to remove it, and the pathology was a bronchogenic cyst, a benign lesion, many of which were related to developmental abnormalities.
This is a diabetic patient, usually blood sugar control is not ideal, a lung infection, the formation of an inflammatory mass in the left lung, irritation of the pleura caused by chest and back pain, tingling.
He recalled that he had intermittent fever and cough two months ago, and that he had gotten better after taking a little fever reducer and antibiotics.
This situation is actually not uncommon, especially in autumn and winter, there are many lung abscess patients with symptoms of infection is not obvious, especially some diabetics (high blood sugar state is prone to lung infection), inflammation stimulates the pleura can also appear back pain, need to be hospitalized for anti-inflammatory treatment.
Brief summary:
1. Middle-aged and elderly people should pay attention to regular health examinations, especially chest CT, because lung cancer is the most common malignant tumor and can be cured at an early stage.
2. Adults repeated back pain in the same part, pay attention! Regardless of whether other symptoms are present.
I am Dr. Imaging Kehao, welcome to follow!