Problem description: Condition description (time of onset, main symptoms, symptom changes, etc.): Cough for about a week, no chest pain, chest tightness, a small amount of blood streaked out of sputum once. Description of CT films: The anterior segment of the right upper lobe has a patchy shape, about 2.6*2.5cm in size, and the left upper lobe has a patchy dense shadow, about 1.6*1.4cm in size. For details, please refer to the attached picture. Haven’t been to the current medication instructions: No medication, previous medical history and surgical history: none
Date of problem: 2021-01-19
Patient information:Age : 65 years old Gender: female
Problem analysis: Female, 65 years old, cough, intermittent blood in sputum, CT right upper lung space, high possibility of peripheral lung cancer with metastasis to both lungs, bone The possibility of metastasis is high.
Guiding suggestions: According to the information provided, consider peripheral lung cancer in the upper right corner with metastasis to both lungs, and bone metastasis! Need CT-guided needle biopsy to confirm the pathological diagnosis! If it is adenocarcinoma, genetic testing is needed to determine whether it can be treated with targeted drugs! If you can eat targeted drugs, it is recommended to use targeted drugs! If it is not suitable, systemic chemotherapy is recommended!
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection