Lung cancer - non surgical options Flashcards

1
Q

what percent of lung cancer are non small lung cell cancer

A

85%

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2
Q

what percent of lung cancers are small cell lung cancre

A

15%

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3
Q

what happends during a mdt meeting

A

discuses teh stading of teh cancer, the type and the patient whihx, and the possible therapeutic options

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4
Q

what its the easter cooperative group perfousce measuremt

A

give a number on their breathlessness e.g. 3 = has to rest for more than 50% of the day and 4 equals bed bound

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5
Q

what is the rough doubling time for a non small cell lung cancer

A

130 days

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6
Q

what si teh 5 year survical using surgery

A

about 40%

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7
Q

what requirements are needed for surgury

A

fev1 and lymph node sampling

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8
Q

what ar teh post oppoerative threray after surgy

A

rt, chemo

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9
Q

what stages are chemotherpy and radiothepry normally used

A

1 and 2

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10
Q

what is neoadjuvant therapy

A

given before procedures

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11
Q

what stadge lung cancer benifited from neoaddjvant cehmotherapy

A

3 only

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12
Q

what radiotheearpy ragimes are availible

A

monday to friady for 4 weeks, or 3 times a day for 12 consecutive days

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13
Q

what is teh 5 year survical for radiotherapy

A

about 20%

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14
Q

what test is essental for radiotherapy

A

peak flow

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15
Q

what is a risk on concurent chemotheray with rt

A

increse toxicity effects

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16
Q

what is the 2 year survical rate for ougbe cheoheary

A

27%

17
Q

what is immunotherapy

A

giving the body chemical to incrae imune system response, this mean that it is more likely to attack the cancer cells

18
Q

what is stereotactic ablative radiotherapy

A

very high doese of radiothery which can have similar outcomes to surgery

19
Q

what are the pallitive care options

A

chemotherapy, immunotherapy, tki, palliative radiotherapy,

20
Q

what is pdl1

A

a programmed death liganed that prevents the immune system attacking cells in the body, this is secreted by cancers

21
Q

what is nivolumab

A

it stops being of pd1 and pdl1 and stops cancers being masked and not being destroyed by immune cells

22
Q

what is the benifit of pallative radiotherpay

A

prevents bone metaais, cord compressoi, haemoptysis

23
Q

what is the benifit of high dose pallative

A

helps if the diseas is to large to encoupass raiclly, has a survacla advantage

24
Q

what is the doubling time for small lung cancer

A

29 days

25
Q

what do small lung cancer look like histolically

A

limeitd to one hemithroax,

26
Q

what is the treatment for small cell lung cancer in chemothepary

A

cisplaint and etoposide

27
Q

what is the mediam survial for smallcell lung cancer in locailsed without reatment

A

8 months

28
Q

what are the side effects of chemotherapy

A

marrow suppersion, (neutropanenic sepsis ), nausea, comiting, gi upset, mucositis, fatique, lethargy, neuropaty, incrased risk mi/ stroke, renal impairment

29
Q

what are the side effects of radiotherapy

A

lethargy, risk to surrounding organs, pneumonits, dysphagia, fibrous, stricutre, increased risk mi

30
Q

what is the side effects of immutotherapy

A

colitis(inflamtion of endo of gi), pneumonitis, dermatitis, endocrinopathies(endocrine disorders)

31
Q

what is teh type of sepsis in chemotherapy

A

neutropaneic sepsis

32
Q

what are tkis sutible for

A

those who can’t have chemotherapy

33
Q
A