Respiratory

Question 1

what symptoms would suggest a central tumour in lung cancer

Answer 1

haemoptysis
bronchial obstruction ion
SOB due to retention pneumonia
cough

Question 2

what symptoms would suggest a peripheral tumour in lung cancer

Answer 2

may have few symptoms
pain if pleura or chest wall is involved

Question 3

what are some sites that there can be local spread to in a lung tumour

Answer 3

the pleura
hilar lymoh nodes
adjacent lung tissue
the pericardium
mediastinum (areas close to here that can be effected are the recurrent laryngeal nerve and phrenic nerve and also a superior vena naval obstruction
ALSO REMEMBER TO CONSIDER PANCOAST TUMOUR

this has involvement with the brachial plexus so can give sensory and motor symptoms so if there is this and symptoms of lung cancer then THINK OF THIS
+ horners syndrome

Question 4

what treatment is used in small cell carcinomas

Answer 4

CHEMOTHERAPY

Question 5

What treatment is used in non small cell carcinomas

Answer 5

SURGERY OR RADIOTHERAPY

Question 6

what is the most common type of lung cancer

Answer 6

adenocarcinoma

Question 7

where is a squamous or small cell carcinoma likely to arise

Answer 7

centrally in and around the hilus

Question 8

where are adenocarcinomas likely to develop

Answer 8

in the periphery

Question 9

if you have lung fibrosis where is it possible to get squamous cell carcinomas

Answer 9

the periphery