
Lung Nodule
Cardio-thoracic SurgeryRespiratory Medicine
Lung nodules refer to localized shadows or masses in the lungs with a diameter of less than 3 cm. “Lung nodules” per se is not a disease name. They are often asymptomatic and are usually discovered incidentally during health check-ups or imaging studies. The management of lung nodules is highly individualized. If you discover that you have lung nodules, do not panic. It is advisable to seek assistance from a specialist for evaluation and management as soon as possible.
Symptoms
Lung nodules refer to localized shadows or masses in the lungs with a diameter of less than 3 cm. They are often asymptomatic and are usually discovered incidentally during health check-ups or imaging studies. However, in some instances, patients may experience the following symptoms:
- Cough: Persistent dry cough or cough with a small amount of sputum.
- Chest Pain: Localized discomfort or dull pain.
- Hemoptysis (Coughing up Blood): Some malignant nodules can cause blood in the sputum.
- Shortness of Breath: Occurs when the nodule is large or compresses the bronchi.
Classification
Based on the nature and imaging characteristics, lung nodules can be classified as follows:
(1)Classification by Nature
- Benign Nodules: Commonly caused by inflammation, infection, tuberculosis, or benign tumours (e.g., hamartoma).
- Malignant Nodules: May indicate lung cancer or other malignant lesions.
(2)Classification by Imaging Characteristics
- Solid Nodules: Nodules with uniform and higher internal density and complete obscure the underlying lung markings.
- Part-Solid Nodules: Nodules containing both solid components and ground-glass opacity.
- Pure Ground-Glass Nodules (GGN): Nodules that appear hazy and translucent.
(3)Classification by possibility of malignancy
- Low-risk Nodule:risk of malignancy <5%
- Intermediate-risk Nodule:risk of malignancy 5-65%
- High-risk Nodule:risk of malignancy >65%
Diagnosis
Imaging Examinations |
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Pathological Examinations |
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Follow-Up Monitoring | Regular imaging surveillance (e.g. every 3-12 months) to observe any changes over time. |
Treatments
The treatment plan depends on the size, nature, and pathological results of the nodule.
Related Services
Advanced Diagnostic Bronchoscopy
Asthma
Bronchiolitis
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