17355
55查出肺结节，为什么不要急着开刀？肺结节离肺癌还有多远了？磨玻璃结节、实性结节、混合型结节，到底哪一种更危险？
这一期，我邀请上海市肺科医院胸外科赵晓刚教授，一起聊聊这个很容易让人焦虑的话题：肺结节。什么时候该观察、什么时候该切，其实都是在做一场关于风险、治愈和生活质量的权衡。
🎵本期BGM
《雨后轻风有香》 - 孙丽芳（电影《牛来》主题曲，赵教授自选BGM~）
🫁肺结节≠肺癌
04:00 磨玻璃结节，到底是个啥？
06:38 发现结节，为什么不能随便穿刺？
11:54 肺结节，到底有多大概率是恶性的？
13:37 看肺结节，别只盯着大小
🔪该等，还是该切？
17:07 肺结节多久复查一次？什么时候该手术？
25:19 单孔、多孔、开胸，多种手术方式有什么区别？
35:04 多发结节,可以分期分批切吗？
37:19 抽血、基因检测，能替代CT判断吗？
🏃♀️好好生活，比神药靠谱
42:01 网上那些“消结节神药”，是真的吗？
44:35 发现磨玻璃结节，生活上该注意什么？
47:47 为什么有人特别容易长肺结节？
🎙️主播
赵晓刚：上海市肺科医院胸外科 主任医师
李治中（菠萝🍍）：杜克大学癌症生物学博士，北京大学药学院客座教授（微信公众号@菠萝因子）
剪辑 | 川川
✉️商务合作请＋VX：xyusummer
I long to be king
I am ground glass opacity (GGO) in the lung,
A vague figure shrouded in mystery and strangeness,
Like looking at the moon through clouds,
Like seeing beautiful flowers in the fog.
I long to be king,
With my fellows swimming in every vessel.
My people crawl in your organs and body,
Holding the rights for life or death, I tremble with excitement.
When young you called me “atypical adenomatous hyperplasia”,
Then when I had matured, you declared me “adenocarcinoma in situ”,
When fully developed, your fearful denomination: “invasive adenocarcinoma”.
You forgot my strenuous journey to become the king.
From tiny to strong,
From humble to arrogant.
None cared when I was young,
But all fear me we when full grown.
I’ve been nourished on the delicious mist and haze,
That sweetly warmed my heart,
Always loving when you were heavy drunk and smoking,
Creating me a cozy home.
When I was less than eight millimeters, I was so fragile,
Waiting for a chance to grow up.
Now, more than eight millimeters, I am more mature,
And considered worthy of notice.
My continuous growth gives me a chance to be king,
As I break through layers of obstacles,
Spanning the mountains and waters.
My fellows march to every corner and occupy every region.
My quest to become king was full of obstacles,
I was cut until almost dead in childhood,
Burned once I’d matured,
And poisoned when older.
Happiness after sorrow, rainbow after rain.
I faced surgery, radiotherapy, and chemotherapy,
But continued to chase my dream,
Some would have given up, but I will be the king.
I long to be king, with fellows and subordinates,
I long to be king, to have people’s fear and respect
I long to be king, to dominate my domain,
I long to be king, to direct your fate.