High-risk ground glass nodules for pregnancy or surgery?Hormonal changes can affect pulmonary nodules, so…

2022-06-15 0 By

This patient, faced with a difficult choice in life.The body has high-risk ground glass nodules (large or at least minimally invasive adenocarcinoma).Small microinfiltration or in-situ), worried that this would be a “destabilizing factor” in fertility;No, at this age, the risk of fertility is getting higher, plus the hormones during pregnancy can affect pulmonary nodules, and the risk is even more uncontrollable.Life on the road of two roads, how to choose?The patient repeatedly consulted many times, expecting me to give her a positive answer, to help her “centering” to choose the future of life.I can understand her psychological change very well, because every mother wants her child to grow up healthily and safely, and then accompany her child for the rest of her life.However, as a professional doctor, I had to reassure her, so I replied at the first time that she could give birth, but surgery would be required within 3-5 years, the nodules could be controlled and the operation could be radical.Large or at least minimally invasive adenocarcinoma can be cured by wedge resection with minimal surgery, and those at risk ipsilateral can also be removed.35 years old is considered as advanced maternal age, the risk factor itself is relatively high, coupled with the pressure caused by high-risk nodules, these will have a great impact on the mentality of pregnant women.Hormonal changes during pregnancy can also affect pulmonary nodules, which is a real challenge.In general, I still suggest that surgery can be performed first, such as this micro-infiltrating lung adenocarcinoma. In my case, a small wedge resection can be cured, pregnancy can be prepared three months after the operation, and there is no follow-up during pregnancy.Won’t it be a bad time to be ready for pregnancy?Director Dai, could you please help me to have a look? I am anxious about this lung and I would like your guidance. Do I need an immediate operation for this lung?As I am 35 years old and have not given birth to my baby, I am anxious. Can I have my baby now?You still need surgery to have a baby, and the CT was in November 2021.My reply: live, but must operate in 3 years, controllable, operation can cure radically.Large or at least minimally invasive adenocarcinoma can be cured by wedge resection with minimal surgery, and those at risk ipsilateral can also be removed.2022-01-14 Director Dai Is this real component serious?17 versus 21. Need surgery at this stage?My reply: serious.At least microinfiltrating adenocarcinoma, small microinfiltrating or in situ, can be cured by wedge resection with minimal surgery.2022-01-15 Director Dai is bothering you again. I’m confused. I want to get pregnant because I’m 35 years old.The comparison between January 2017 and November 21st, the comparison films of nearly five years, please kindly advise Director Dai on the final guidance. Can we prepare for pregnancy at this stage?Or do you need surgery first?The future and the unknown, in fact, can not be completely predicted, who can accurately know what tomorrow will be like?Surgery?Why don’t you follow your heart?Watching the news last year, a patient gave birth to a baby while having a lung transplant, there is no right or wrong.Believe what you want to believe, do what you want to choose, come on!In addition, I need to correct you: pregnancy can be prepared three months after the operation, and there can be no follow-up during pregnancy.In addition, I need to remind you that I have met many examples of abortion in pregnant women with high-risk nodules. The pressure is still very high. I do not know whether you have enough big heart.