Diagnosis and stadging of lung cancer Flashcards

1
Q

what is a pulmonary noduel

A

a opacity in the lung up to 3cm with no medialstinal adenopathy or atlectasis

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2
Q

what is a pulmonary mass

A

a opacity in the lung over 3cm with no mediastial adenopathy or atelectasis

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3
Q

what is a atelectasis

A

partial collapse of the lung

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4
Q

hamartoma

A

disorganzied tissue in the lung

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5
Q

what is t lung stadging

A

how big it is and how farti it as sprea

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6
Q

what is n ludge stading

A

where the cell has spread to lymph nodes

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7
Q

what is m lung stadging

A

wheter the tumor has spread anywher else in the body i.e. metastes

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8
Q

what can detect t lung stading

A

ct, pet, bronchosopcy

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9
Q

what scanners can detect n lung staging

A

pet-ct, mediatinoscopy, ct, ebus/eus

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10
Q

what scanners can detect m lung staging

A

pet - ct, ct, bone scans

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11
Q

what is fdg

A

Fluorodeoxyglucose, used to show the uptake of glucose in the body

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12
Q

what is the metasat of nodes greater than 4 cm

A

100%

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13
Q

what is a mediastinoscopy

A

look at mediastul through a camera passed tough sholder area, sample the nodes as well

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14
Q

mediastinaomoty

A

look at anteria mediastinal dneoes

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15
Q

tx

A

tumor cannot be assesed

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16
Q

t0

A

no evidence of priary tumor

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17
Q

tis

A

carcinoma in situ

18
Q

t1 size, t1a, b, c

A

t1 - less than 3cm
t1a - less than 1cm
t1b - 1 -2 cm
t1c - 2-3 cm

19
Q

where is teh location of t1

A

in the tissue in the lungs, no attached to choncus

20
Q

what is the invasion of t1 and t2

A

none

21
Q

what is the size of t2 an t2a, b

A

t2 - 3-5cm
t2a - 3-4 cm
t2b -4-5 cm

22
Q

where are t2 tumors found

A

main bronchous,

23
Q

what can t2 tumors cause

A

atelectatsis or obsutive pnumatiis

24
Q

what local invasion can the t2 extended

A

viceral plura

25
Q

what size is t3

A

5-7 cm

26
Q

where can t3 invade locally

A

chest wall, phrenic nerve, parental plura an dparential pericardium

27
Q

what seperte tumor modes can t3 be found in in

A

same lobe as primary tumor

28
Q

what size is t4

A

greater than 7cm

29
Q

where can t4 be found

A

carina or treaceha

30
Q

what is the local invasion of t4

A

diaphram, ediastium , heart, greatervessles, learygeal nerve, esophagus, vertebarel

31
Q

where can seperate tumor moduels be found

A

ispilateral lobes

32
Q

what is no

A

no lymph lobes spread to

33
Q

what is n1

A

ipsilateral peribroncail, hilary or intrapulmnary nnodes

34
Q

n2

A

ispilateral mediastium, subcrainal

35
Q

n3

A

contralateral mediastinal , contralateral hilar, scalene, supracalvialuar

36
Q

what is m0

A

no metastais

37
Q

m1, m1a,b,c

A

distant meatiasion
m1a - seperate modules in conralalerla lobe, tumor with pleura or pericardial noduesl or maolicared plure or pericareid effusion
m1b - single distant metastasis,
m1c - multiple distant metastates

38
Q

what is in 1a and 1b stages

A

1A t1, no, mo
1B - t2 no,mo

39
Q

what is in IIa and b stages

A

IIa - t1, n1, mo
IIB - t2,n1, mo or t3 n2 mo

40
Q

what is IIIa and IIIb and IIIC

A

IIIA - t1/T2 and N2
IIIB - T3/T4 and N2 or t1/t2 N3
IIIC - T3/t4 and N3

41
Q

what is 4A or 4B

A

4A - any t any n , m1a or M1b
4B - any t, any n, m1c