Are multiple nodules in the right lung lung cancer?

Are multiple nodules in the right lung lung cancer? In clinical practice, many patients will ask their doctors with a nervous mood. In fact, although multiple nodules in the right lung are a manifestation of tumors, they may also be caused by benign tumors. Therefore, if the patient is diagnosed with multiple nodules in the right lung, he should not be too nervous and should pay attention to further examination and diagnosis.

Pulmonary nodules can be divided into benign and malignant. Benign nodules include pulmonary tuberculoma, benign lung tumors (hamartoma, lipoma, etc.), lung inflammation (spherical pneumonia, inflammatory pseudotumor), lung cysts, pulmonary sequestration, etc.; malignant nodules include primary malignant tumors (lung cancer, carcinoid) and secondary malignant tumors (metastatic cancer).

First, ask whether the patient has any recent discomfort symptoms, such as cough, sputum, hemoptysis, chest pain, difficulty breathing, fever, weight loss, hoarseness, etc. Secondly, review the medical history, especially whether there have been other types of malignant tumors. If you have had a chest X-ray or chest CT scan before, find it and compare it with the film of this examination to see whether the nodule is a recent occurrence or has existed before.

Pathological diagnosis is the ultimate basis for determining the nature of pulmonary nodules. If the patient has sputum, the sputum can be examined for tumor cells and tuberculosis bacteria. If there is pleural effusion, the fluid can be extracted by puncture for cytological examination. Fiberoptic bronchoscopic biopsy is suitable for central lesions close to large airways, while CT-guided puncture is suitable for peripheral lesions close to the chest wall.

Cytological examination and biopsy may give negative results for real tumor lesions due to the limitation of sample amount and sampling site. In this case, other methods can be used, such as blood tumor markers (SCC-squamous cell carcinoma, CEA-adenocarcinoma, NSE-small cell carcinoma), isotope tumor imaging, PET-CT, tuberculin skin test (PPD), erythrocyte sedimentation rate, blood tuberculosis antibodies, etc. to indirectly provide diagnostic reference opinions. A history of tumors in other parts of the body is important for the diagnosis of lung metastatic tumors.

If the nature of the lesion still cannot be determined after the above examination process, two different treatment methods can be adopted according to the patient's wishes. The first is observation, with regular follow-up imaging examinations, initially at an interval of 3-6 months. If the lesion remains stable, it can be extended to 6-12 months for long-term observation. If the lesion shows a trend of enlargement during the observation process, surgical treatment should be adopted unless the patient's body cannot tolerate it.

This article will stop here to introduce the question of whether multiple nodules in the right lung are lung cancer. In fact, there have been clinical cases of multiple nodules in the right lung caused by lung inflammation. However, no matter what the cause of the multiple nodules in the right lung is, patients must be mentally prepared and do a good job in disease treatment and health care. Only in this way can they make their bodies healthy.