作者terry881112 (屁孩)
看板Anti-Cancer
标题[问题] 肺腺癌术後後续治疗及相关问题
时间Tue Aug 20 16:10:30 2024
第一次在抗癌版发文
目前妈妈53岁，先前健检照LDCT的时候照到右肺三公分的GGO及其他不到一公分的小结节及左
肺也有其他不到一公分的结节，目前已经开刀拿掉右肺上的结节，病理报告如下
Lung, right upper lobe, S1 segmentectomy, minimally invasive adenocarcinoma and
adenocarcinoma in situ. (staging with right lower lobe, minimally invasive adeno
carcinoma)(mpT1miN0Mb) Pleura, right, pleurectomy, chronic lymphocytic inflammat
ion. Lymph nodes, sites specified as below, lymphadenectomy, free of cancer meta
stasis. SUMMARY OF GROSS AND MICROSCOPIC FINDINGS: Tumor type: minimally invasiv
e adenocarcinoma, nonmucinous. Histologic grade: well differentiated. Tumor loca
tion: right upper lobe. Tumor size: Total tumor size:(MIA)1.9x1.6x1.0 and (AIS)0
.7x0.4x0.4 cm, Invasive tumor size:0.3 cm. Tumor Focality: Separate tumor nodule
s in different lobes: right upper lobe AIS, right lower lobe MIA. Lymphovascular
Invasion: Not identified. Perineural invasion: Not identified. Spread Through A
ir Spaces (STAS): Not identified. Main bronchus: not included. Pleura: The pleur
a is free from tumor (type PL0). Non-neoplastic lung: There are multiple subpleu
ral chronic lympocytic inflammation, fibrosis, bronchiectatic change, mucous plu
gs with granulmatous inflammation and reactive respiratory metaplasia. There is
focal lymphocytic pleuritis. Margins: All margins are uninvolved by carcinoma, s
pecify closest margin: parenchymal margin, distance:3mm. Bronchial margin: not i
nvolved. Vascular margin: not involved. Parenchymal margin: not involved. Lymph
node status: no evidence of metastasis. N2: group 7: 0/3; group 9: 0/2; group3:
0/3; Extranodal Extension: Not identified. TNM Descriptors: m (multiple primary
tumors). Primary Tumor (pT): pT1mi: Minimally invasive adenocarcinoma: adenocarc
inoma (≦3 cm in
医生说明因为切下来的两颗都不是原位癌，原则上两颗都是各自原发的，但医生看有点多颗
左肺上也有其他结节，怕有可能是同一病灶，所以建议术後辅助治疗，口服化疗或是用注射
的都可以
想请问因为我看报告上是说一颗是MIA一颗是AIS，不过我看网路上及文献说AIS也算是原位癌
的其中一种，不晓得医生是有没有其他的考虑才说不是原位癌的？
还有这种状况的五年复发率会不会跟一般的MIA有差？
病人一直很焦虑，所以才想上来问一下，谢谢大家了！
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4F：→ terry881112: 完整病理报告出来了 应该两处都是MIA才对！ 08/20 19:00
5F：推 hyperboy1092: 预後很好，观察追踪就好。 08/20 20:29
6F：推 rexru: 建议加入脸书肺长寿，这是肺腺癌病友及家属的团体，里面有 08/21 01:37
7F：→ rexru: 很多资讯可供参考 08/21 01:37
8F：→ terry881112: 感谢h大跟r大回覆，相关社团有加入了，会在跟医生讨 08/21 09:40
9F：→ terry881112: 论看看 08/21 09:40
10F：推 Euglena: 1.9公分那颗是MIA，0.7公分那颗是AIS。 08/22 15:40