China News Service, Suzhou, November 2 (Reporter Zhong Sheng) On the 2nd, a reporter from China News Service interviewed the head of the Changshu Rural Commercial Bank and the Changshu Medical Association on the occurrence of mass lung nodules at the financial technology headquarters of the Changshu Rural Commercial Bank.
It is understood that as of 3:30 pm on the 2nd, the Rural Commercial Bank has received a total of 107 lung nodules physical examination reports, including 2 patients with carcinoma in situ (minimal invasive surgery has been successfully performed, and one of them has returned to work), and 1 The person followed the doctor's order 3 months later.
According to the person in charge of Changshu Rural Commercial Bank, the financial technology headquarters of Changshu Rural Commercial Bank located in Suzhou 2.5 Industrial Park was renovated in 2018. After passing environmental testing, employees will be officially arranged to settle in.
The financial technology headquarters has a total office area of 10,000 square meters, and Changshu Rural Commercial Bank has 375 employees (193 officially contracted employees and 182 outsourced employees).
Beginning in June this year, Changshu Rural Commercial Bank organized employees in batches to undergo routine physical examinations.
Taking into account that since the new crown pneumonia epidemic, employees have paid more attention to lung health, so this year's routine physical examination has newly added a lung CT project.
As of November 1, 356 of the 375 employees in Suzhou 2.5 Industrial Park have completed physical examinations.
As of 3:30 pm on November 2, a total of 107 medical reports of lung nodules have been collected.
The online rumors of "3 people suffering from lung cancer" are actually 2 people with carcinoma in situ (the minimally invasive surgery has been successfully performed, and one of them has returned to work), and the other one followed the doctor's order for a review after 3 months.
The Financial Technology Headquarters of Changshu Rural Commercial Bank where the incident occurred.
Sun Quanshe
Shi Minhua, member of the Lung Cancer Group of the Chinese Medical Association of Respiratory Diseases, standing member of the Jiangsu Medical Association of Respiratory Diseases, and deputy leader of the Lung Cancer Group, analyzed that lung carcinoma in situ is an early pre-invasive lesion, which develops slowly and belongs to an inert growth lesion .
Not equivalent to lung cancer.
Carcinoma in situ has an excellent prognosis after complete resection. It belongs to the early stage of tumor that can be cured. The 5-year tumor-free survival rate and recurrence-free survival rate are 100%.
Shi Minhua also pointed out that the etiology of subsolid sarcoidosis in imaging is complicated.
Some benign lesions can disappear spontaneously during a follow-up of 3 to 6 months, or disappear after anti-inflammatory treatment.
Therefore, the first CT finding of pulmonary nodules requires follow-up, and it is impossible to make a final conclusion immediately. It should be viewed objectively and rationally.
"In recent years, all walks of life have paid more and more attention to lung nodules and early lung cancer. Many organizations and individuals use CT with high density and spatial resolution for chest physical examinations. Some hospitals and physical examination institutions are afraid of missed examinations and use manual labor. Intelligent software performs analysis and adjusts the nodule recognition threshold to a very low level. Therefore, respiratory doctors often find that there are no nodules in CT text reports two years ago. Now they can detect 7, 8 or more at a time. Some of them cannot be identified with the naked eye of doctors.” Shi Minhua said that combined with previous survey data from various places, the current number of lung nodules reported by Changshu Rural Commercial Bank is “not high”.
A staff member of the Changshu Medical Association told reporters that because employees’ physical examinations are scattered in many hospitals in Suzhou, the standards for specific examination reports are different. It cannot be compared with previous physical examinations, and it is impossible to distinguish between lung nodules and environmental factors in multiple physical examinations. related.
In addition, most of the lung nodules in the physical examination report are less than 3 mm in diameter, which is related to the participation of artificial intelligence in image reading, so the report rate of lung nodules has risen sharply.
Shi Minhua also believes that for nodules below 3 mm, foreign guidelines are usually listed as non-measurable nodules, which are of little clinical significance and can be followed up every year.
The Changshu Health Commission will also organize Suzhou city-level experts to further review the medical examination report and give employees personalized advice based on the specific situation.
(Finish)