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全部话题 - 话题: nodules
1 2 3 4 下页 末页 (共4页)
m******a
发帖数: 1639
1
以前打过疫苗,这次为了485体检要最近90天内的x-ray,所以就去拍了,但结果是:
“tiny peripheral right lung nodule could be the sequela prior tuberculosis.
otherwise, heart lungs bones pleura and mediastinum are normal”.医生说我
exposed to tuberculosis,对别人没有危害,但我自己有危害,建议我吃药,我这种情
况严重吗?为什么以前拍x-ray是clear的,这次就有nodule了?我拍这个为了申请绿卡
,我这样是不是不能申请绿卡了?很沮丧,希望大家帮忙看看,谢谢!!!
M***e
发帖数: 531
2
妈妈近期皮试阳性,胸部x-ray发现阴影,然后在CT发现lung nodule..下面预约了
biopsy
不知道是什么原因引起的lung nodule?会是肺癌么?
比较着急。。
M***e
发帖数: 531
3
以前有过钙化点,是不是这个在ct上会显示成nodule呢?
ct上看到有nodule,是不是就基本排除肺结核的可能性了?
g********l
发帖数: 242
4
一个朋友得了甲状腺结节(thyroid nodule) 10x5mm
http://www.sle999.com/zhuanti/jzxjj/
国内的医生坚持不管是良性还是恶性的都要手术,她不想手术,想问问美国这里的作法
是什么样的?有没有不做手术的方法。
h*****1
发帖数: 7
5
an echogenic nodule measuring 9 x 8 x 9 mm.
说可能是肝血管瘤,建议作MR or CT. 不太想做这个,大虾看严重吗?
g******p
发帖数: 111
6
来自主题: MedicalCareer版 - 妈妈的肺癌seek 2nd openion thx!
Update:
I attended an webinar by NCCN on adjuvant therapy for NSCLC pts and asked the case. The presenter is leaning towards using adjuvant chemo therapy. I am still collecting more openion on this. My mom will have first first follow up CT in Aug. I guess (guess only) if obvious disease progression were seen, chemo should be used. I still have the hope that if she can rest well and build up her immuine system, she will be able to keep the cancer in check.
Also I put together my mom's diagnosis ... 阅读全帖
h******g
发帖数: 65
7
来自主题: Medicine版 - 甲状腺问题
第一次在这里发贴, 不知道这样可以不
7月份b超是这样的,大家看看像不像恶性? 甲状腺双侧叶及峡部大小形体正常,被膜光
滑,腺体组织回声欠均匀,稍增粗,甲状腺左叶内见多处大小不等低等回声结节,较大
者位于腺体浅层,大小2.4*1.0cm,边界清晰。右叶中部深面似见0.7*0.4等回声结节,
边界欠清晰,CDFI上述结节周边可采集散在血流信号。左颌下见1.7*0.8淋巴结回声,左
颌下见2.1*0.9淋巴结回声。
8月份在国内另一家做的,想看一下那个大的变大没,没想到不同医院仪器不一样,没
法比较:甲状腺右叶1.79cm,峡部厚0.32cm,左叶厚1.89cm,实质回声增粗欠均,甲状腺
左叶可见中等回声结节,大小约2.36*1.15cm,边界尚清CDFI:期内可见血流信号显示,
左叶可见多个囊状回声及中强回声结节,较大者约1.1*1.0cm,甲状腺弥漫性改变。国内
这两个看着也不一样.
10月份回美国:
US THYROID OR NECK OR SOFT TISSUE
CLINICAL HISTORY: Palpable left thyroid nodule
TECHNIQUE: S... 阅读全帖

发帖数: 1
8
来自主题: Military版 - 12 月26日 可能的真相
【Filariasis
From Wikipedia, the free encyclopedia
Filariasis
Life cycle of Wuchereria bancrofti, a parasite that causes filariasis
Classification and external resources
Specialty Infectious disease
ICD-10 B74
ICD-9-CM 125.0-125.9
Patient UK Filariasis
MeSH D005368
[edit on Wikidata]
Filariasis is a parasitic disease caused by an infection with roundworms of
the Filarioidea type.[1] These are spread by blood-feeding black flies and
mosquitoes. This disease belongs to the group of d... 阅读全帖

发帖数: 1
9
来自主题: Military版 - 中美进入你死我活新时代
12月27日 为什么我要替中国辩护
我要替中国辩护,并不是因为我是一个中国人,而是因为我知道中国就和这世界上绝大
数的国家一样,虽然有很多丑陋的现象,但是他们是受害者。就
象这个犯罪集团里很多的人一样,他们来自各种种族,他们可能充当了工具,但他们不
是制造这一切,谋划这一切的人。虽然经常会暴露中国产品出现问题。但要知道中国是
世界工厂,他们只是打工者,他们只是按照各种雇主提供的配方来生产,他们并不知道
他们会产生怎样的后果。或者这些工人知道后果,但他们只是奴隶,他们又如何去改变
这一切? 所以,当我的调查不断往前推进的时候,不可避免地会涉及各国的企业,但
这并不表明是针对这个国家或这个国家的人民,而是针对一种社会现实和丑陋现象。就
拿菲律宾来说,菲律宾是一个犯罪猖獗的国家,有很多犯罪分子,但是菲律宾人民却是
这个集团的受害者,他们/她们被绑架,沦为了牺牲品,人体实验对象。一个日本人,
强奸上千名菲律宾女孩,却没有受到惩罚。以前我也提到过,有20个国家的名单,这20
个国家的人民其实都是受害者。现在他们把矛头对准中国,或许仅仅是因为我揭示了他
们图害世界人民的内幕,而我是一个中国人的缘... 阅读全帖

发帖数: 1
10
12月27日 为什么我要替中国辩护
我要替中国辩护,并不是因为我是一个中国人,而是因为我知道中国就和这世界上绝大
数的国家一样,虽然有很多丑陋的现象,但是他们是受害者。就
象这个犯罪集团里很多的人一样,他们来自各种种族,他们可能充当了工具,但他们不
是制造这一切,谋划这一切的人。虽然经常会暴露中国产品出现问题。但要知道中国是
世界工厂,他们只是打工者,他们只是按照各种雇主提供的配方来生产,他们并不知道
他们会产生怎样的后果。或者这些工人知道后果,但他们只是奴隶,他们又如何去改变
这一切? 所以,当我的调查不断往前推进的时候,不可避免地会涉及各国的企业,但
这并不表明是针对这个国家或这个国家的人民,而是针对一种社会现实和丑陋现象。就
拿菲律宾来说,菲律宾是一个犯罪猖獗的国家,有很多犯罪分子,但是菲律宾人民却是
这个集团的受害者,他们/她们被绑架,沦为了牺牲品,人体实验对象。一个日本人,
强奸上千名菲律宾女孩,却没有受到惩罚。以前我也提到过,有20个国家的名单,这20
个国家的人民其实都是受害者。现在他们把矛头对准中国,或许仅仅是因为我揭示了他
们图害世界人民的内幕,而我是一个中国人的缘... 阅读全帖

发帖数: 1
11
来自主题: Military版 - 12月28日。 答案
12月28日 仔细阅读以下文章
或许这些文章可以告诉你们孩子被伤害病毒的答案。
Astellas Pharma 应该和这些人体实验有莫大的关系!
Founded 2005; 11 years ago
Headquarters 2-5-1, Nihonbashi-Honcho, Chūō-ku, Tokyo 103-8411, Japan
Key people Yoshihiko Katakana
(President and CEO)
Filariasis
From Wikipedia, the free encyclopedia
Filariasis
Life cycle of Wuchereria bancrofti, a parasite that causes filariasis
Classification and external resources
Specialty Infectious disease
ICD-10 B74
ICD-9-CM 125.0-125.9
Patient UK Filariasis
MeSH ... 阅读全帖
d**r
发帖数: 315
12
来自主题: Medicine版 - 孕妇可以做thyroid biopsy吗?
目前已经孕32周了,日常体检时查出有thyroid nodules,B超结果如下:
Both lobes are enlarged and heterogeneous.
This isthmic portion of the glad is 6 mm.
The right lobe measures 6.6 x 2.8 x 1.7 cm, volume 16 cc. Well-circumscribed
heterogeneous nodule with mild internal vascularity in the mid pole is 1.2
x 1.4 . 1.9 cm.
The left lobe measures 8.2 x 2.2 x 1.4 cm, volumn 13cc. Well-circumscribed
hypoechoic nodule without internal vascularity in the mid pole is 0.4 x 0.6
x 0.8 cm.
No suspicious cervical lymphadenopathy.
Impr... 阅读全帖

发帖数: 1
13
来自主题: Returnee版 - 中国骨干人才正在流失海外
12月27日 为什么我要替中国辩护
我要替中国辩护,并不是因为我是一个中国人,而是因为我知道中国就和这世界上绝大
数的国家一样,虽然有很多丑陋的现象,但是他们是受害者。就
象这个犯罪集团里很多的人一样,他们来自各种种族,他们可能充当了工具,但他们不
是制造这一切,谋划这一切的人。虽然经常会暴露中国产品出现问题。但要知道中国是
世界工厂,他们只是打工者,他们只是按照各种雇主提供的配方来生产,他们并不知道
他们会产生怎样的后果。或者这些工人知道后果,但他们只是奴隶,他们又如何去改变
这一切? 所以,当我的调查不断往前推进的时候,不可避免地会涉及各国的企业,但
这并不表明是针对这个国家或这个国家的人民,而是针对一种社会现实和丑陋现象。就
拿菲律宾来说,菲律宾是一个犯罪猖獗的国家,有很多犯罪分子,但是菲律宾人民却是
这个集团的受害者,他们/她们被绑架,沦为了牺牲品,人体实验对象。一个日本人,
强奸上千名菲律宾女孩,却没有受到惩罚。以前我也提到过,有20个国家的名单,这20
个国家的人民其实都是受害者。现在他们把矛头对准中国,或许仅仅是因为我揭示了他
们图害世界人民的内幕,而我是一个中国人的缘... 阅读全帖

发帖数: 1
14
11 月13日 终于找到另一股在我家害我的势力
昨天,这些人折腾了一天,白天,晚上皮啦啦,也不知道谁把谁杀了,谁把谁带走了。
反正我先生和孩子被绑架了,就不知道是不是已经遇害了。我本来是打算睡觉的,但他
们头上,地下装电磁波攻击器,让我几乎窒息。虽然我没倒下,但其实他们在我身上扎
的毒针已经蔓延,我能感觉到我的呼吸有窒息的感觉。我想我对他们已经非常仁慈了,
但他们不依不饶地攻击我,欲置我于死地,让我非常生气,特别是肆意伤害我家里的人
,绑架我先生和孩子,而且有许许多多无辜的生命毁于他们之手,有必要把他们曝光。
当然我还没分析这里边是那几个人具体攻击我,伤害我的,但他们显然都是一伙的。鉴
于他们伤害我的头部,胸部 和胃部,我就把这几部分的医生都曝光,受害者慢慢去调
查,追查他们吧。
Cleveland Clinic, Website: my.clevelandclinic.org
Call 855. REFER. 123 or 855.733.3712
Lung Cancer
Results: 57 Doctors
PREV123NEXT
Results per page:
Dav... 阅读全帖
w******s
发帖数: 37
15
来自主题: Medicine版 - 妻子体检怀疑肺癌
It seems that your wife share a similar case as my mother. Several years ago
, my mother was diagnosed with lung cancer as a PET scan showing a ground
glass like nodule in her left lung. The so called lung cancer expert doctor
insisted she need a surgery right away even without a biopsy exam; and they
refuse to order one as the nodule's location is very tricky. Fortunately I
took my mother to MD Anderson Cancer Center in Houston to seek second
opinion. And luckily the doctor we seen is very cons... 阅读全帖
w******s
发帖数: 37
16
来自主题: Medicine版 - 妻子体检怀疑肺癌
It seems that your wife share a similar case as my mother. Several years ago
, my mother was diagnosed with lung cancer as a PET scan showing a ground
glass like nodule in her left lung. The so called lung cancer expert doctor
insisted she need a surgery right away even without a biopsy exam; and they
refuse to order one as the nodule's location is very tricky. Fortunately I
took my mother to MD Anderson Cancer Center in Houston to seek second
opinion. And luckily the doctor we seen is very cons... 阅读全帖
g******p
发帖数: 111
17
could you please help review/complete/edit my translation of my mom's PET/CT
report, in particular, on the chest part (attached in the 2nd post)? i
skipped many places that i cannot find the words.
i am bringing her in for a follow-up in the states. Really appreciated your
help!
PROCEDURE: (18F)-fluorodeoxyglucose was administered intravenously via the
right antecubital vein. To allow for distribution and uptake of radiotracer,
the patient was allowed to rest quietly for 60 minutes in a shielded... 阅读全帖
p***n
发帖数: 17190
18
https://www.cancer.gov/about-cancer/causes-prevention/risk/radiation/i-131
Get the Facts about Exposure to I-131 Radiation
Resize font
Print
Email
Facebook
Twitter
Google+
Pinterest
Use the Thyroid Dose/Risk Calculator
This calculator estimates radiation dose and risk of developing thyroid
cancer from fallout exposure from nuclear tests.
ON THIS PAGE
Introduction
How Americans Were Exposed to I-131
The Search for Answers
I-131's Rapid Breakdown
The Milk Connection
About Thyroid Disease
Thyroid C... 阅读全帖
d********1
发帖数: 77
19
来自主题: Medicine版 - Seeking opinions. Possible Thyroid cancer?
Wife was doing neck MRI recently, and the image showed a nodule on the right
thyroid gland. So an ultra-sound was done as suggested. Based on ultra-
sound, that nodule on the right thyroid gland was 2cm in diameter (she also
has a <1cm nodule on her left thyroid gland, based on ultra-sound).
So the surgeon did a fine needle aspiration (biopsy), and the result was
something like “atypical cell arrangement”. He said there are usually 4
possibilities coming out of the fine needle aspiration: 1) cle... 阅读全帖
d*w
发帖数: 384
20
this is not an easy question. it depends on the sizes of the nodules,
locations and pathology. from your description, i assume all the nodules are
pretty small and located close to each other, and all lymph nodes are
negative. i suggest the following:
borrow the tissue blocks from the hospital where she had surgery, and ask a
pathologist working on lung cancers in a major medical center in the US to
read the pathology.
1. if the nodules are of different pathology and all are relatively low
grade... 阅读全帖
c**p
发帖数: 42
21
来自主题: Programming版 - 数据科学碗2017
我和Radiologist一起研究了大约60个case,包括阳性和阴性
初步印象:
1. 多数的阳性case有1-2个较大的spiculated mass, 但有些只有小nodule. 形状比尺
寸重要. 不少阴性case有多个相当大的nodule或者mass,但形状比较规则. (传统上小于
3cm叫nodule,大于3cm叫mass).
2. 有些阳性case没有典型nodule或者mass,而是大片阴影, 单从图像上很难跟肺炎等疾
病区分. 临床上一般会结合病史,症状等初步诊断,并要求病人follow up.
3. CT scan未必一定能提供足够的诊断信息. 有的阳性case和阴性case图像上没有实质
区别. 因为给出的最终ground truth是由一年内的病理确认的.
4. Ground truth仅以0和1给出, 缺乏位置信息. 有的case甚至未必存在与图像的相关
性.
总体看来如果只是直接把所有数据塞CNN, 未必能有满意的结果. 我有一些初步的想法,
大家可以线下交流
I****a
发帖数: 407
22
来自主题: Medicalpractice版 - 贡献两个case, cancer related
1. 65 y/o white female with PMH/PSH of DM, stage 2 endometrial cancer in
1990, S/P TAH/BSO who presented with a rib fracture after bicycle accident.
Her chest x ray identified a round 2 cm nodule of right upper lobe
suggestive of primary lung cancer. She is not a smoker. Her PET CT showed
uptake of that nodule, no other abnormality. The nodule is not accessible by
CT guided biopsy so the decision was to take her to OR for lobectomy if
frozen shows lung cancer. To our surprise, the nodule is turn... 阅读全帖
c***o
发帖数: 131
23
文不好,医学知识不够, 请大家帮忙
Thyroid ultrasound:
clinical history , golter
technique: Real-time images were obtained through the thyroid gland
Comparison: none
Findings
Right lobe measures 4.4cm x 1.5cm x1.5cm. Echogenicity is homogeneous. no
nodule, mass, or cryt is seen.
Left lobe of the thyroid gland measures 4.6cm x2.1 cm x 1.5cm
there is a complex nodule in the upper pole of the left lobe of the thyroid
gland. It measures 2.5 cm x 2 cm x 1.3 cm. It has solid and cystic component
.Remainder of left lob... 阅读全帖
c***o
发帖数: 131
24
来自主题: Medicine版 - 请大家帮忙看看甲状腺B超结果
文不好,医学知识不够, 请大家帮忙
Thyroid ultrasound:
clinical history , golter
technique: Real-time images were obtained through the thyroid gland
Comparison: none
Findings
Right lobe measures 4.4cm x 1.5cm x1.5cm. Echogenicity is homogeneous. no
nodule, mass, or cryt is seen.
Left lobe of the thyroid gland measures 4.6cm x2.1 cm x 1.5cm
there is a complex nodule in the upper pole of the left lobe of the thyroid
gland. It measures 2.5 cm x 2 cm x 1.3 cm. It has solid and cystic component
.Remainder of left lob... 阅读全帖
y*****g
发帖数: 193
25
来自主题: Medicine版 - 请教一下关于乙肝 肝硬化
I am not a doctor and I try to answer some questions you have. Hopefully, it
will clear some things up for you.
胃镜 will not cause 阴影. The reason the doctor asking whether your dad has
胃镜. He wants to know whether he has esophageal varices which could be
caused by liver cirrhosis or portal hypertension, or stomach ulcers, etc..
Usually, CT-scan with IV contrast will give some details about the liver
nodule, whether it has vascular invasion or not. AFP is serum tumor marker
for hepatocellur carcin... 阅读全帖
a**m
发帖数: 184
26
来自主题: Medicine版 - 请教肠镜切片结果
肠镜结束时候直接出来的report说
3-4mm nodule removed with cold biopsy forceps
然后等了5天拿到biopsy结果
说是有tumor,具体结果如下:
RECTAL NODULE BIOPSY: Colonic mucosal biopsy with presence of carcinoid,
margin can not be definitely assessed. Tumor is positive for CD56 and
synaptophysin and negative for chromogranin confirming the diagnosis.
爸妈知道以后强烈要求回国具体查。这边极不靠谱,联系不上医生不说,一开始说是
nodule not removed completely,之后又说要double check,切片结果要了好多次要
不到。现在第二次的结肠镜怎么也约不上。
请问严重吗?需要回国么?
包子答谢
m*****a
发帖数: 2160
27
nodule字面意思是结节,理论上良恶性都有可能,所以只有病理检查才能确认
[在 PVU (PVU) 的大作中提到:]
:前天做了肠镜,发现长了一非常小的息肉,当时就去除了,还长了个Nodule。上周的
CT一切正常,CEA也正常。请问Nodule是什么?是不是表示我肠癌有可能复发了?
:我当时问肠科医生是不是复发了,他说等结果。结果下周才能出来,我很害怕,上来
请教大家。
:谢谢!
P*U
发帖数: 466
28
谢谢回答!即使CT和CEA都正常,结节也有可能是恶性的对吗?息肉肠镜下可以去除,
结节不能吗?还是医生根据结节的形状不敢去除,要等病理报告出来再除。


: nodule字面意思是结节,理论上良恶性都有可能,所以只有病理检查才能确认

: [在 PVU (PVU) 的大作中提到:]

: :前天做了肠镜,发现长了一非常小的息肉,当时就去除了,还长了个Nodule。
上周的

: CT一切正常,CEA也正常。请问Nodule是什么?是不是表示我肠癌有可能复发了?

: :我当时问肠科医生是不是复发了,他说等结果。结果下周才能出来,我很害怕
,上来

: 请教大家。

: :谢谢!

m*****a
发帖数: 2160
29
nodule字面意思是结节,理论上良恶性都有可能,所以只有病理检查才能确认
[在 PVU (PVU) 的大作中提到:]
:前天做了肠镜,发现长了一非常小的息肉,当时就去除了,还长了个Nodule。上周的
CT一切正常,CEA也正常。请问Nodule是什么?是不是表示我肠癌有可能复发了?
:我当时问肠科医生是不是复发了,他说等结果。结果下周才能出来,我很害怕,上来
请教大家。
:谢谢!
P*U
发帖数: 466
30
谢谢回答!即使CT和CEA都正常,结节也有可能是恶性的对吗?息肉肠镜下可以去除,
结节不能吗?还是医生根据结节的形状不敢去除,要等病理报告出来再除。


: nodule字面意思是结节,理论上良恶性都有可能,所以只有病理检查才能确认

: [在 PVU (PVU) 的大作中提到:]

: :前天做了肠镜,发现长了一非常小的息肉,当时就去除了,还长了个Nodule。
上周的

: CT一切正常,CEA也正常。请问Nodule是什么?是不是表示我肠癌有可能复发了?

: :我当时问肠科医生是不是复发了,他说等结果。结果下周才能出来,我很害怕
,上来

: 请教大家。

: :谢谢!

m*****a
发帖数: 2160
31
不同结节恶性风险和处理不同,没看到肠镜下它长什么样,没法给你更精确的答案。但
很多结节是没法通过肠镜切除的
[在 PVU (PVU) 的大作中提到:]
:谢谢回答!即使CT和CEA都正常,结节也有可能是恶性的对吗?息肉肠镜下可以去除,
:结节不能吗?还是医生根据结节的形状不敢去除,要等病理报告出来再除。
:
: nodule字面意思是结节,理论上良恶性都有可能,所以只有病理检查
才能确认
:
: [在 PVU (PVU) 的大作中提到:]
:
: :前天做了肠镜,发现长了一非常小的息肉,当时就去除了,还长了个Nodule。
:上周的
:
: CT一切正常,CEA也正常。请问Nodule是什么?是不是表示我肠癌有可能复发了?
:
: :我当时问肠科医生是不是复发了,他说等结果。结果下周才能出来,我很害怕
:,上来
:
: 请教大家。
:..........
O******0
发帖数: 116
32
来自主题: Connecticut版 - re: 请教甲状腺瘤的治疗方法
看到有朋友询问 这个话题,
我略知一二,请大家参考:
甲状腺肿瘤 有多种情况:
最常见的是甲状腺结节 nodule,在人群中达到3-25%,这很大程度上是由于现代影像学
技术的普遍使用(CT, 超声检查等) 而 无意中发现的,称为incidentoloma. 但是大多
数都是没有任何症状和后果。
少数的nodule 有恶性的成分,也就是常说的癌症,但是,癌症和癌症是不同的。
有的癌症,比如肺癌和胃癌,大多数都是恶性度 很高的,在发现的时候半数患者只有
大约1年的预期寿命。
大部分的甲状腺癌症,包括papillary 乳头状癌, follicular滤泡状癌,是恶性度很低
的,虽然他们有癌症的特征,但是他们进展缓慢,很少要人的命。有一个从业多年的内
分泌科医生说他出来还没有见到一例因为甲状腺癌症 而死去的人。
极少数的甲状腺癌症是恶性度很高的:未分化癌 的预期寿命只有半年。但是,这种癌
症极为少见。
至于落实到个人身上,某人所患的癌症到底是什么,还是需要做活检biopsy和病理切片
pathology来决定。
具体什么样的nodule / tumor 需要做biopsy,是有具体标准的,... 阅读全帖
b***e
发帖数: 108
33
NBMESTEP1 FORM 1 SECTION 1 QUESTION 15
A 27-YEAR -OLD MAN IS FOUND TO HAVE A SOLITARY THYROID NODULE DURING A
ROUTINE HEALTH MAINTENANCE EXAMINATION. A THYROID Scintiscan shows uptake of
radiioactive by the nodule. which of the following is the most likely
diagnosis?
A. Chronic autoimmune(Hasimoto's)thyroiditis
B. Follicular adenoma
C.Granulomatous thyroiditis
D.Medullery carcinoma
E. Papillary carcinoma
参考答案是B.
但GOLJAN 第500页说 FOLLICULAR ADENOMA IS A COLD NODULE,WHICH DOESN'T TAKE UP
RADIOACTIVE
g*******l
发帖数: 58
34
来自主题: MedicalCareer版 - Step 2 CK Daily Question
A 42-year-old man consults a physician because he has a "lump" on his
forearm. Examination of the arm demonstrates a 3-cm diameter nodule
protruding above the forearm surface. The lesion is covered with apparently
normal skin and is soft and freely movable. It location appears to be
subcutaneous. The lesion has been slowly growing over the past 2 years, and
the patient has experienced no discomfort. He has consulted a physician at
this time because his wife keeps pestering him to get something d... 阅读全帖
s**********t
发帖数: 217
35
来自主题: MedicalCareer版 - 美国就医经历记
First of all, Bronchoscope training is part of pulmonary training. You would
not be certified as a pulmonologist if you have failed your bronchoscope
training. Every pulmonologist is capable to do bronchoscope except he/she
chooses not doing it. There is difference between can do it and do not do it
.
Second, I do not know the details, per your story, your relative looks like
having a peripheral lung nodule which regular bronch may not reach. From
this point the doctor in China is correct. But,... 阅读全帖
s**********t
发帖数: 217
36
来自主题: Medicalpractice版 - 美国就医经历记 (转载)
First of all, Bronchoscope training is part of pulmonary training. You would
not be certified as a pulmonologist if you have failed your bronchoscope
training. Every pulmonologist is capable to do bronchoscope except he/she
chooses not doing it. There is difference between can do it and do not do it
.
Second, I do not know the details, per your story, your relative looks like
having a peripheral lung nodule which regular bronch may not reach. From
this point the doctor in China is correct. But,... 阅读全帖
b******a
发帖数: 704
37
来自主题: Medicalpractice版 - 两个病例
谢谢楼上的老师们。 看见ultrasound就傻眼了。
If it's cystic mass, fine needle aspiration cytology (FNAC) is required
according to my review book.
DDX: fat necrosis of the breast;
breast infection, abscess, mastitis;
Fibrocystic lesion;
Fibroadenomas;
Breast cancer
I also found a review about fat necrosis of the breast :
http://www.ncbi.nlm.nih.gov/pubmed/16198567
Breast. 2006 Jun;15(3):313-8
The aetiological factors includes trauma (21–70%), radiotherapy,
anticoagulation (war farin),cyst aspiration, biopsy,... 阅读全帖
f*********1
发帖数: 189
38
来自主题: Medicalpractice版 - 参加[文献阅读活动] CT Lung cancer screen
好像去年2011年10/11月 NEJM 发过low-dose CT screening of Lung cancer.
这里有一片最近发在radiology的:
Lung Cancers Diagnosed at Annual CT Screening: Volume Doubling Times
Abstract
Purpose: To empirically address the distribution of the volume doubling time
(VDT) of lung cancers diagnosed in repeat annual rounds of computed
tomographic (CT) screening in the International Early Lung Cancer Action
Program (I-ELCAP), first and foremost with respect to rates of tumor growth
but also in terms of cell types.
Materials and... 阅读全帖
c****x
发帖数: 6601
39
来自主题: Military版 - 只看楼主 甲状腺大潮
niernier11
注册@2017-08-17
字体大小: 发表于 2018-01-23 00:42 |只看楼主
甲状腺大潮, 说说我的二次甲亢, 第二次进行中。。。 美国医生就是shit
高中在国内, 有一天, 我妈觉得我的头颈特别粗。 她以为我缺碘, 拼命叫我吃海带
。 。我对海带觉得很不好吃,但还被逼着吃。
直到有一天, 我骑自行车, 骑到一半, 心跳太快, 骑不动了, 倒在路边, 我妈带
我去医院看病。 一查, 甲亢。 碘太多了。
然后吃药。 吃了什么药, 忘了。 吃了三年, 就好了。 其实, 吃了几个月, 就感
觉好了。 后面是maintain。 当时吃药一点副作用都没有。觉得这甲亢不是个big
deal
二十年后, 我自己vacation, 带着我狗儿子去了一次cabo mexico, 顺便在这里推荐
一下我住的cabo resort: one and only palmilla
http://www.oneandonlyresorts.com/one-and-only-palmilla-los-cabos
特别pet friendly, 不但有freshly co... 阅读全帖

发帖数: 1
40
来自主题: Military版 - 华人转来的 不贴链接了
华人转来的 不贴链接了
高中在国内, 有一天, 我妈觉得我的头颈特别粗。 她以为我缺碘, 拼命叫我吃海带
。 。我对海带觉得很不好吃,但还被逼着吃。
直到有一天, 我骑自行车, 骑到一半, 心跳太快, 骑不动了, 倒在路边, 我妈带
我去医院看病。 一查, 甲亢。 碘太多了。
然后吃药。 吃了什么药, 忘了。 吃了三年, 就好了。 其实, 吃了几个月, 就感
觉好了。 后面是maintain。 当时吃药一点副作用都没有。觉得这甲亢不是个big
deal
二十年后, 我自己vacation, 带着我狗儿子去了一次cabo mexico, 顺便在这里推荐
一下我住的cabo resort: one and only palmilla
https://www.oneandonlyresorts.com/one-and-only-palmilla-los-cabos
特别pet friendly, 不但有freshly cooked pet food, 还给了我家狗儿子一个dog
passport, 特别cute。。。
vacation weekend 回来, 去了gym, gym完, 觉... 阅读全帖
J***y
发帖数: 133
41
CT chest with contrast
Technique: spiral images were performed following intraveneous contrast.
Findings: The lungs demonstrate a vague 5 mm nodule in the right lower lobe,
adjacent to the major fissure. Subsegmental atelectasis is noted in the
right lung base. The lung otherwise are clear, with no evidence of
infiltrate or bronchiectasis.
There are so many medical terms. I can't understand the findings exactly.
Especially about the vague 5 mm nodule. Any doctor here can explain the
findings to
f******I
发帖数: 769
42

lobe,
nodule is just a nodule, could be benign or malignant, 5mm is small enough
not to do anything now but to repeat another scan in 6 months,
f******I
发帖数: 769
43
来自主题: Medicine版 - 爸爸检查出右肺下叶结节

1/
you didn't say how big the nodule is, and if it's calcified,
most of benign nodules are calcified, less than 2cm, and with smooth margin,
but then again these criteria is not foolproof,
h****2
发帖数: 69
44
Background:
1.Quantiferon -TB(血检):Positive
2.X-RAY:Abnormal(There is a nodule in the left upper lung zone, measuring
5 mm in diameter that may be calcified. Mild linear opacity in the left
retrocardiac region may represent atelectasis or scarring.)
3.CT:There is a subcentimeter calcified right paratracheal lymph node.
Calcification is present within the right hepatic lobe, as well as a
low-density lesion within the right hepatic lobe which is too small to
characterize.THE VISUALIZED NODULE SEEN
c********e
发帖数: 496
45
whenever single nodule is found in the lungs, first thing the doc needs to
do is to compare it with other CXRs. Duration is very important.
Other points:
if the border is clear, if not, invasive.
if calcification around nodule, if yes, malignancy.
if lymphadenopathy, if yes, cancer.
if smoking history +, if family history +.
if there is any endocrinolgoical changes recently, if yes, pancoast tumor.
Many others.
If malignancy is more likely (80-90%), go for thoracotomy.
If not clear cut. do VA
d******r
发帖数: 1389
46
甲亢病史,复发过很多次。去年又长了一个nodule,1.1cm,做了biopsy。结果出来,
医生说there is something we don't want. 说我还年轻,怕以后会变成不好的东西,
所以建议我手术。开始我还以为只切除nodule,谁知道今天一问是要切除甲状腺,然后
终身服药。
我知道吃优甲乐很安全,对怀孕无影响,可是还是心里有障碍,毕竟是要切除一个器官
。请问真的有必要切除整个甲状腺吗?
谢谢啦
g*****j
发帖数: 1211
47
来自主题: Medicine版 - 吸烟会影响胸透结果吗?
X-ray shows pathology. Smoking increases your risk of developing multiple
pathology, which can be seen on chest x-ray, including lung cancer (#1 cause
of cancer death), emphysema (#4 cause of death overall), esophageal cancer,
head & neck cancer, heart disease. All of may have different clues on a
chest x-ray.
If you are TB positive and you have a lung nodule, you are likely to have TB
and need treatment.
If there is a nodule, you need work up regardless whether you smoke or not.
l*h
发帖数: 4124
48
来自主题: Medicine版 - Seeking opinions. Possible Thyroid cancer?
because there is a nodule, it is clearly not normal. but some nodules do not
need treatment. the determination requires the overall evaluation by the
surgeon. if he feels it is more likely a cancer, then go for an open biopsy.
if the open biopsy is suggestive of a cancer, he can proceed to do the full
procedure.
thyroid cancers have better prognosis in young patients than in elder ones.
w******i
发帖数: 1899
49
来自主题: Medicine版 - 斯坦福告诉我是癌症stage IIB
What you said is very helpful! May I ask you the nodule will go away after
skin improve a lot?
I just take retinoic acid and increase to 300mg/day. No any other therapy
.
The nodule size 3cm*1.8cm. I stop put topical clobetasol on it. Because it
seems doesn't work and feel uncomfortable. I am very worry about that. What
do you think?
Thank you very much!
l*********i
发帖数: 30
50
来自主题: Medicine版 - 求教关于妈妈的肺癌,长
Thank you so much, leonsean! I appreciate the info and your time although
the info is quite frightening.
Do you refer to UICC's 7th lung cancer TNM classification and staging system
? One thing I am not sure about is that when they say "Separate tumor
nodules in a different ipsilateral lobe", does it mean that the tumor
nodules should be of the same type? In the following article,
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3351680/
it is mentioned that "satellite tumor" or "direct extent of t... 阅读全帖
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