Whether the hilar and mediastinal lymph node enlargement is serious should be considered in combination with the cause of lymph node enlargement: 1. If the hilar and mediastinal lymph node enlargement is caused by ordinary inflammation, anti-inflammatory treatment should be given. After the patient's condition improves, the swollen lymph node part can become normal, and it can still appear enlarged after a long time; For the lymph node swelling caused by pulmonary tuberculosis, antituberculosis treatment is given, most of the lymph nodes can be improved, and some may still be swollen or become calcified. Generally speaking, the prognosis of these two types of lymph node enlargement is relatively good and not serious. 2. If the hilar and mediastinal lymph nodes are enlarged due to malignant tumors, it indicates that the disease may be in an advanced stage, requiring radiotherapy, chemotherapy and other treatments. Some patients have lost the opportunity for surgery, and their condition is relatively serious, often with poor prognosis.
