1. Pulmonary nodules are common and difficult to diagnose in thoracic surgery. Its diagnosis and treatment has always been a clinical difficulty and a hot topic of discussion. Its etiology is complex, its clinical manifestations lack specificity, its diagnosis is difficult, and it is easy to be misdiagnosed and missed. Peripheral lung cancer is called small lung cancer with tumor diameter ≤2cm and small lung cancer with tumor diameter ≤ 1cm. Small lung cancer is not completely early lung cancer, especially adenocarcinoma and small cell undifferentiated cancer. It is reported that about 20% of patients with small lung cancer have tiny lymph node metastasis. Therefore, some patients missed the best opportunity for surgery.
2. Peripheral solitary pulmonary nodules, such as small size, are difficult to obtain pathological diagnosis by fiberoptic bronchoscopy and puncture. The methods to exclude tumors include tumor markers, isotope tumor-friendly imaging and finding tumor cells in sputum. The methods to eliminate tuberculosis include tuberculin test, tuberculosis antibody, ESR and sputum to find tuberculosis; The methods to eliminate inflammation include routine anti-inflammatory treatment 1-2 weeks, and then CT review. If there are no contraindications after the comprehensive evaluation of cardiopulmonary function, surgical exploration biopsy can be considered, and the pathology can be quickly frozen when thoracoscopic local resection is performed. If it is benign, the operation is over. If it is malignant, lobectomy and mediastinal lymph node dissection can be performed.
3. Pulmonary nodules are common and difficult to diagnose in thoracic surgery. Its diagnosis and treatment has always been a clinical difficulty and a hot topic of discussion. Its etiology is complex, its clinical manifestations lack specificity, its diagnosis is difficult, and it is easy to be misdiagnosed and missed. Peripheral lung cancer is called small lung cancer with tumor diameter ≤2cm and small lung cancer with tumor diameter ≤ 1cm. Small lung cancer is not completely early lung cancer, especially adenocarcinoma and small cell undifferentiated cancer. It is reported that about 20% of patients with small lung cancer have tiny lymph node metastasis. Therefore, some patients missed the best opportunity for surgery.
Fourthly, small nodules usually refer to small diameter and solid lesions in an organ, which are common and difficult to diagnose. It has always been a clinical difficulty. Its etiology is complex, its clinical manifestations lack specificity, its diagnosis is difficult, and it is easy to be misdiagnosed and missed. In recent years, with the increasing popularity of spiral I-beam 16mn [1], the detection rate of small nodules has been significantly improved, and small nodules can be benign or malignant.