Term
| Once a diagnosis of lung cancer is suspected, which imaging studies can aid in the completion of staging? |
|
Definition
| Chest and abdominal CT with contrast, bone scan, and CT or MRI of the head. |
|
|
Term
| What are the three C's of squamous cell carcinoma? |
|
Definition
Central
Cavitary
HyperCalcemia |
|
|
Term
| What is Pancoast's syndrome? |
|
Definition
| Shoulder pain, Horner's syndrome (miosis, ptosis, anhidrosis), and lower brachial plexopathy. |
|
|
Term
| What are the characteristics of small cell lung cancer? |
|
Definition
| Highly related to cigarette exposure. Usually centrally located and ALWAYS presumed to be disseminated at the time of diagnosis. |
|
|
Term
| What is the treatment for small cell lung cancer? |
|
Definition
|
|
Term
| What are the characteristics of Non-small cell lung cancer? |
|
Definition
| Adenocarcinoma has peripheral location women>men. |
|
|
Term
What are the characteristics of Non-small cell lung cancer?
Adenocarcinoma, bronchoalveolar subtype: |
|
Definition
| Associated wiht multiple nodues, bilateral lung infiltrates, and metastases late in the disease course. |
|
|
Term
What are the characteristics of Non-small cell lung cancer?
Squamous cell carcinoma |
|
Definition
| Presents centrally and is usually cavitary |
|
|
Term
| What is the treatment for non-small cell lung cancer? Stage I and II. |
|
Definition
| Early-stage disease; candidate for surgical resection. |
|
|
Term
| What are the characteristics of Non-small cell lung cancer? Local or regionally advanced disease. |
|
Definition
| (supraclavicular or mediastinal lymphadenopathy or chest wall/pleural/pericardial invasion): Treated wiht combination chemotherapy and radiation ; surgery is not indicated. |
|
|
Term
| What are the characteristics of Non-small cell lung cancer? With distant Mets... |
|
Definition
| Chemotherapy or radiation for palliative care only. |
|
|
Term
| What is superior vena cava syndrome: |
|
Definition
| Swelling of the face and arm, most often on the RIGHT side, and elevated JVP. Treated with radiation therapy. |
|
|
Term
| How does hoarseness signal cancer? |
|
Definition
| Vocal cord paralysis from entrapment of the recurrent laryngeal nerve, most often on the LEFT |
|
|
Term
| What cancer is hypercalcemia most associated with and how do you treat? |
|
Definition
Squamous cell carcinoma
Treat with bisphosphonates |
|
|
Term
| What cancer is hyponatremia/SIADH most associated with? |
|
Definition
|
|
Term
| What is Lambert-Eaton syndrome? |
|
Definition
| Similar to myasthenia gravis, except that muscle fatigue improves with repeated stimulation. |
|
|
Term
| What is the differential diagnosis of a lung mass? |
|
Definition
| TB, fungal disease, abscess, metastasis, benign tumors, and hamartoma |
|
|
Term
| How do you distinguish benign v. malignant lesions in the lung? |
|
Definition
Serial CXR
If stable >2 yrs, they are generally not cancerous. |
|
|
Term
| What are the features of benign lesions in the lung? |
|
Definition
| young age, smooth margins, small size (<2cm), presence of satellite lesions. |
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