[問題] 發現肺部毛玻璃結節 求推薦醫生
我的先生（今年35歲）在近半年前因為久咳不癒去看醫生,
那時醫生有幫忙照了低劑量電腦斷層說有發現結節,
並說三個月後再來照一次確認是否有變化.
上個月月底有再去照了一次,只是先生工作很忙加上搬家了,
交通比較不方便所以一直沒去看報告,
我剛剛上網查了一下醫生是否有把報告登陸上健保局的網站,
卻發現結節不僅沒有變小,以我的破爛英文來看似乎還多增加了一個！？
而且,我查了一下網路,先生的結節居然是毛玻璃狀的.......
請問有推薦的位於台北或新北的醫生嗎？
想要去找其他醫生再次判讀一下,
如果有必要,是不是要馬上動手術根除比較好？
我們夫妻兩人沒有小朋友,計畫是兩人一起相伴到老的,
現在網路上越查越心驚,真的真的很怕,現在整個手都在發抖,
希望能請大家推薦醫生
以下是健保局上所登錄的原醫生所寫的檢驗資訊,
(3月)
Findings: CT of chest without IV contrast injection showed:
l. The trachea and bilateral main bronchi are normally identified
without endobronchial lesion.
2. No grossly enlarged lymphnodes in the mediastinum and hilar regions.
3. In lung window setting, a nodular ground glass opacity (0.6cm) in
RUL(Se3 Im21).
4. The pleura and diaphragm appear unremarkable.
5. Gallstones.
IMP: A nodular ground glass opacity (0.6cm) in RUL.
Suggest interval follow up (6-12 months).
Note: Limited evaluation of the visceral organs
and vascular structures due to a non-enhanced study.
(6月)
Findings: CT of chest without intravenous contrast medium show:
* The trachea and bilateral main bronchi are normally identified
without endobronchial lesion.
* No evidence of enlarged lymph nodes in the mediastinum and hilar regions.
* In lung window setting, previously noted a nodular ground glass opacity
(0.6cm) in RUL appear stationary (Se3 Im22).
Newly developed ground-glass opacity with partial solid component
at RLL and another ground-glass nodule at RLL (series/image: 3/43).
Suggest clinical correlation for infective/inflammatory change and
close follow-up to R/O malignancy.
* The pleura and diaphragm appear unremarkable.
* No obvious bony lesions.
* Gallstones.
Impression:
1. Previouslynoted a nodular ground glass opacity (0.6cm)
in RUL appear stationary. Newly developed ground-glass opacity with
partial solid component at RLL and another ground-glass nodule at RLL.
Suggest clinical correlation for infective/inflammatory change and
close follow-up to R/O malignancy.
2. Please refer to the above description for other miscellaneous findings.
PS: Please be aware that some lesions may not be shown on
non- contrast CT study.
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方才忘記補充了，只有二三月的時候有咳嗽，
四月多到現在已經都沒咳了。
可是最讓我驚慌的是，怎麼會在兩個月內又長出兩個來？
我知道自己該堅強，可是手還是忍不住一直發抖。
※ 編輯: kumamon01 (106.104.136.112), 07/26/2017 15:00:29
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謝謝您！
因為自己上網查詢後,包括版友們的經驗,
看來只要是毛玻璃狀,小於1cm的惡性機率也非常高,所以才這麼緊張.
我會再次尋求醫生意見的,謝謝您！
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十分感激您的回覆！
因為今天還沒拿到影像光碟,所以預備在拿到影像光碟後求診.
請問蔡俊明醫生是胸腔內科的話,國泰是否有推薦的外科醫生？
或是跟蔡醫生求診後,再到北榮找外科較好？
不好意思我一直鍵盤問診,因為今天看到醫生披著後整個人都心慌到不行了...
像這種突然增生的肺結節（無咳嗽也無特殊身體不適）,會是比較不好的情況嗎？
因為看起來增生的也是毛玻璃狀........
※ 編輯: kumamon01 (106.104.136.112), 07/26/2017 19:43:23
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