Pneumonia 8mm requires surgery and requires a combination of multiple aspects.Nature of the sectionImage characteristics: The appearance, edge, density and growth rate of the knot are important indicators of its nature. Edges are smooth, shape rules usually have a nodes, while edges are vague and shapeless can be bad.Dynamic monitoring: If there is a significant increase in the number of knots in the short term, it may be a sign of malignation, and surgery needs to be considered.High-risk factors for patientsHistory of smoking: Long-term smokers are at a higher risk of lung cancer, and pulmonary knots can be malignant.Family history: Patients with a family history of lung cancer may have increased the likelihood that the knots will be malignant.Past medical history: Other lung diseases, such as tuberculosis, chronic obstructive pulmonary disease (COPD), may influence the nature of the knot.3. Biological markersBlood testing: Certain tumor markers, such as the cancer embryo antigens (CEA) and neuronspecific ethanol enzymes (NSE), can assist in judging the nature of the nodals.Molecular markers: Molecular markers associated with lung cancer, such as EGFR mutations, AlK reordering, etc., are detected through slurry, blood or tissue biopsy.Diagnostic examinationsCT-led piercing work: A pathological examination of the knot tissue obtained through a needle piercing can be specified.PET-CT Scan: By observing the intake of radioactive glucose at the nodes, it helps to judge the badness of the nodes.5. General situation of patientsAge and state of health: Young, good-health patients may be more exposed to surgical risks, while older or poor-health patients may need more conservative treatment.Symptoms: Patients who have other serious health problems, such as heart disease, diabetes, etc., may influence surgical decision-making.6. Surgical risks and benefitsSurgical risks: including surgical complications, post-operative recovery, etc.Expected benefits: whether the operation was able to completely remove the knot and its impact on survival.Multidisciplinary team discussionsMDT discussions: Multidisciplinary teams of chest surgeons, radiologists, pathologists, oncologists, etc., work together to integrate information and provide individualized treatments for patients.8. Patient ‘ s will and expectationsPatient preference: Patient ‘ s willingness to treat, acceptance of surgical risks and expectations of quality of life are also important factors in decision-making.ConclusionsWhether or not a pulmonary knot 8mm is operated requires a comprehensive consideration of its visual characteristics, the high-risk factors of the patient, biomarkers, the results of diagnostic tests, the general condition of the patient, the risks and benefits of the operation, the discussions of multidisciplinary teams and the wishes of the patient. Usually, surgical hysterectomy is a viable option if the nodal is likely to be malignant and the patient is fit for surgery. However, the situation of each patient is unique and final treatment decisions should be based on individualized assessments. Before deciding whether to operate, adequate communication and discussion with professional doctors is recommended.
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