肺結節１

【問題】どこに何がある？

CT_20240520103643_Image065
CT_20240520103643_Image064
CT_20240520103643_Image063
CT_20240520103643_Image062
CT_20240520103643_Image061
CT_20240520103643_Image060
CT_20240520103643_Image059
CT_20240520103643_Image058
CT_20240520103643_Image057
CT_20240520103643_Image056
CT_20240520103643_Image055
CT_20240520103643_Image054
CT_20240520103643_Image053
CT_20240520103643_Image052
CT_20240520103643_Image051
CT_20240520103643_Image050
CT_20240520103643_Image049
CT_20240520103643_Image048
CT_20240520103643_Image047
CT_20240520103643_Image046
CT_20240520103643_Image045
CT_20240520103643_Image044
CT_20240520103643_Image043
CT_20240520103643_Image042
CT_20240520103643_Image041
CT_20240520103643_Image040
CT_20240520103643_Image039
CT_20240520103643_Image038
CT_20240520103643_Image037
CT_20240520103643_Image036
CT_20240520103643_Image035
CT_20240520103643_Image034
CT_20240520103643_Image033
CT_20240520103643_Image032
CT_20240520103643_Image031
CT_20240520103643_Image030
CT_20240520103643_Image029
CT_20240520103643_Image028
CT_20240520103643_Image027
CT_20240520103643_Image026
CT_20240520103643_Image025
CT_20240520103643_Image024
CT_20240520103643_Image023
CT_20240520103643_Image022
CT_20240520103643_Image021
CT_20240520103643_Image020
CT_20240520103643_Image019
CT_20240520103643_Image018
CT_20240520103643_Image017
CT_20240520103643_Image016
CT_20240520103643_Image015
CT_20240520103643_Image014
 

    ▶答えはこちら

    左S9　6mm

    他、傍隔壁型肺気腫、重力効果あり。

    ▶【Advanced問題】今後のフォローはどのようにするのが適切か？

    充実型（solid nodule）とした場合、全体経が10mm未満なので、喫煙者であれば3/6/12/18/24か月でフォロー、非喫煙者であれば6/12/24フォローとなる。2mm以上増大していれば確定診断の対象となる。

    ※日本CT検診学会　低線量CTによる肺がん検診の肺結節の判定基準と経過観察の考え方 第6版より引用改変