赵晓刚教授：肺结节先别急着切！这几个判断很重要vol.124

每期必听。说一下我的经历，2019年年底单位体检，发现胸部0.9cm结节，毛刺，医生也认为是一个早期肺癌，但是觉得先吃半个月的消炎药看看。显然从今天对肺癌的认识来看，这一步耽误了治疗时间。半个月后再想去手术的时候，疫情管控，一直拖到2020年3月份手术，这个时候已经是晚期了。有几组淋巴结转移。幸运的是ALK突变，目前吃阿来替尼至今。每天可以超慢跑4.5公里，和健康人一样。

赵主任当年发表的诗： 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.

还想听听乳腺结节～纠结如果准备怀孕的话，需不需要先去开掉。

我是八年前在肺科医院做的微创手术，病理结果是错构瘤，站在事后的上帝视角，当年如果选择随访，大概率也平安无事，不过没有病理就没有办法百分之百确认是良性。肺科医院的水平毋庸置疑，要是能照顾一下女性患者的感受，提高下伤口缝合水平就更好了，毕竟我们还想美美的😂

51:33 诗歌呢😂

听到最后一句：你若性命相依，我必全力以赴！给赵医生点赞！

53:27 医生只和你聊5分钟，你应该高兴到飞起！如果医生和你谈半小时，你多半要挂了。。。。

太好了，很需要听一听

每周来学习了！

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