Pulmonary Neoplasms (Handorf)

Question 1

Is may be a connection between lung cancer and ____

Answer 1

skrokes

Question 2

What lung cancer may appear in any part of the mung

Answer 2

large cell undifferentiated carcinoma

**tumor is rather large by time of Dx

Question 3

What lung cancers have a high likelihood to metastasize?

Answer 3

small cell > large cell undifferentiated > others

Question 4

“scar” carcinoma

Answer 4

Bronchial-derived adenocarcinoma

Question 5

No relation to cigarette smoking

Answer 5

carcinod tumors

Question 6

May be multifocal, bilateral

Answer 6

Adenocarcinoma in situ (Bronchioloalveolar carcinoma)

Question 7

virtually never seen in nonsmokers

Answer 7

small cell carcinoma

Question 8

if the patient coughs up some tumor cells and then aspirates them, the tumor will seed wherever the cells land. Most lung cancers DO NOT spread this way.

Answer 8

Adenocarcinoma in situ (Bronchioloalveolar carcinoma)

Question 9

Derived from neuroendocrine cells

Answer 9

small cell carcinoma

Question 10

“Biphasic” histologic pattern

Answer 10

Pleural Mesothelioma

Question 11

Tend to be centrally located in the lung

Answer 11

squamous cell carcinoma

Question 12

Nuclei normally do not touch due to more cytoplasm.

Moderate amount of cytoplasm

Answer 12

large cell undifferentiated sarcoma

Question 13

neuroendicrine neoplasms

Answer 13

small cell carcinoma

carcinoid

Question 14

there is almost no cytoplasm, and the nuclei will characteristically mold around one another

Answer 14

small cell carcinoma

Question 15

many mitotic figures

Answer 15

small cell carcinoma

Question 16

no mitotic figures and small, regular nuclei

Answer 16

carcinoid tumor

Question 17

lepidic growth pattern

Answer 17

Adenocarcinoma in situ (Bronchioloalveolar carcinoma)

Question 18

What is carcinoid syndrome? What causes it?

Answer 18

a group of symptoms associated with carcinoid tumors– tumors of the small intestine, colon, appendix, and bronchial tubes in the lungs

systemic effects of vasoactive substances produces by the tumor

Question 19

symptoms of carcinod syndrome

Answer 19

Abdominal pain that comes and goes 
Bright red flushing of the face 
Diarrhea (may be explosive and severe) 
Heart palpitations 
Hypotension
Wheezing

Question 20

Least correlated with smoking

Answer 20

Adenocarcinoma in situ (Bronchioloalveolar carcinoma)

Question 21

Spreads widely through the pleural space

Answer 21

Pleural Mesothelioma

Question 22

sometimes cavitating

Answer 22

large cell undifferentiated sarcoma

Question 23

assc with Cushing syndrome

Answer 23

small cell carcinoma

Question 24

keratin pearls

Answer 24

squamous cell

Question 25

Characteristic intrabronchial spread

Answer 25

Adenocarcinoma in situ (Bronchioloalveolar carcinoma)