There is no need for surgery for all of them. In fact, we understand which nodules need surgery during the normal CT, PET-CT and liquid biopsy follow-ups we perform before surgery. We do not need to operate on a nodule smaller than 6 mm that is detected in a young patient who is not growing and whose shape is not strange, but if a person over the age of 55 is a smoker and has a newly developed nodule larger than 6 mm in his lung and this nodule If we do not like the shape, then the patients need to undergo surgery after some necessary radiological and PET-CT examinations.
Diagnosis of lung nodule
We all become anxious when a nodule is detected in our lungs. Because we are faced with a suspicion of cancer. Most nodules are not cancerous. Many nodules can develop in our lungs due to air pollution or other problems. But nodules should not be neglected. As surgeons, we can help with the diagnosis and treatment of a person with a lung nodule.
In the method we callVATS, we place a camera through two or three holes in the chest cavity to see the inside of the chest and locate the small nodule inside. We find it and remove that nodule using the stapler system, which we call a stapler, which is a type of automatic sewing and cutting machine. While the patient is sleeping, the nodule can be examined pathologically, and in this pathological examination, the tissue is examined under a microscope and a diagnosis is made whether it is cancer or not. After that, the surgery continues or is completed with a surgical intervention appropriate to the diagnosis
Lung nodule treatment
Our lungs cover a very wide area. It covers. It is located inside our chest, and when we spread the alveoli inside our lungs, it becomes the size of a tennis court. Therefore, it is not very easy to find and diagnose a nodule that is 4.5 millimeters or slightly larger. We, surgeons, use a number of special methods to find these nodules during surgery. Firstly, because our camera systems are very advanced, we can see the entire interior of the chest cavity and move the lungs up and down, back and forth, using some long instruments. We can move it around and touch it. In other words, we touch the lung with our finger and can feel the hardened tissue by touch. Normally, the lung is a spongy tissue, but when there is a nodule, we feel the hardening in that area with our finger. If it is an unhardened nodule and difficult to find, then we seek help from the radiology department. Our Radiology doctors can mark us where the nodule is by placing small wires where the nodule is in the lung. Sometimes they can even show its location with a painted substance. When we go into surgery, we know that there is a nodule where the wire or dye is, and we can remove the nodule using it as a guide.
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