Sx: lung cancer – Flashcards
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Lung cancer is the leading cancer killer of
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women
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lung cancer is the ?
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silent cancer
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more death from lung cancer than
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breast, uterine, and ovarian CA
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most deaths are due to
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distant metastases
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risk factors
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smoking FHx COPD asbestos
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small cell 20%
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less than 20% NOT surgically treated treat with Chemo/XRT less than 5% 5 year survival
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non- small cell 80%
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squamous adenocarcinoma carcidoid large cell
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squamous
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usually central
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adenocarcinoma
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peripheral lesions
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20% of lung cancers are in
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NON smokers
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advanced stages symptoms
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cough, weight loss, dyspnea, chest pain, hemoptysis, bone pain, lymphadenopathy, hepatomegaly, clubbing, hoarseness, SVC syndrome
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workup
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CXR- first step, supports case for obtaining other tests CT- anatomic study- size, location, without contrast, lymph node size, also gets liver and adrenal glands PET scan- metabolic study, resolution is limited to findings > 8 mm , provides excellent metastatic survey MRI- chest wall invasion, superior sulcus tumor- invading brachial plexus Brain CT scan if the mass is bigger than 2 cm
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diagnosis
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bronchoscopy Transthoracic Needle Aspiration (TTNA) cervival mediastonoscopy anterior mediastonoscopy Throcascopy VATS
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Treatment
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depends on disease
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Treatment Stage I
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SURGERY
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VATS
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is performed after patient has been proven to be a candidate for surgical biopsy or resection based on node and metastasis status facilitates minimally invasive approach for diagnosis and resection
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Tx stage IB
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1. surgery 2. adjuvant chemo
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Stage II
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1. surgery 2. chemo or xrt
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Stage III
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1. CHEMO and rxt 2. surgery
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stage IIIA
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same side or subcorinal 1. chemo/xrt 2. surgery
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Stage IIIb
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chemo and radiation NO surgery
