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1
Q

Esophageal Adenocarcinoma
What clinical stage?
T1 N0

A

T1N0 = Stage I

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2
Q

Esophageal Adenocarcinoma
What clinical stage?
T1 N1

A

T1N1 - Stage IIA

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3
Q

Esophageal Adenocarcinoma
What clinical stage?
T2 N0

A

T2N0 = Stage IIB
(low risk T2: no LVI, <3cm, well-diff)

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4
Q

Esophageal Adenocarcinoma
What clinical stage?
T2N1

A

T2N1 = Stage III

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5
Q

Esophageal Adenocarcinoma
What clinical stage?
T3 N0-1

A

T3N0-1 = Stage III

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6
Q

Esophageal Adenocarcinoma
What clinical stage?
T4a N0-1

A

T4a N0-1 = Stage III

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7
Q

Esophageal Adenocarcinoma
What clinical stage?
T1-4a N2

A

T1-4a N2 = Stage IVA

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8
Q

Esophageal Adenocarcinoma
What clinical stage?
T4b N0-2

A

T4b N0-2 = Stage IVA
Can’t resect T4b

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9
Q

Esophageal Adenocarcinoma
What clinical stage?
AnyT N3

A

AnyT N3 = Stage IVA

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10
Q

Esophageal Adenocarcinoma
What clinical stage?
anyT anyN M1

A

M1 = Stage IVB

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11
Q

Esophageal Adenocarcinoma
What post-neoadj stage?
T0-2N0

A

ypT0-2N0 = Stage I

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12
Q

Esophageal Adenocarcinoma
What post-neoadj stage?
ypT3N0

A

ypT3N0 = Stage II

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13
Q

Esophageal Adenocarcinoma
What post-neoadj stage?
ypT0-2 N1

A

ypT0-2N1 = Stage IIIA

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14
Q

Esophageal Adenocarcinoma
What post-neoadj stage?
ypT3N1

A

ypT3N1 = Stage IIIB

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15
Q

What chest wall tumor has a Cartilage cap, an intact cortex, stipple calcification, and is generally near the sternum

A

Osteochondroma (50% of all benign rib tumors)
young pts (20s)

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16
Q

What chest wall tumor is assoc with hypercalcemia and Bence Jones proteins

A

Plasmacytoma (tx with chemo, and RT if needed)

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17
Q

What chest wall tumor is assoc with prior trauma, often costochondral angle/sternum; ill-defined margin with destruction of cortex

A

Chondrosarcoma (excise rib above and below)
RT for positive margin

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18
Q

What chest wall tumor is assoc with bony destruction and new periostial formation (onion peel)

A

Ewing Sarcoma
core needle -> neoadj chemo -> WLE -> RT

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19
Q

What chest wall tumor expands rapidly causing pain, has a sunburst pattern on CT?
Assoc with prior radiation, Pagets, and bone necrosis

A

Osteogenic sarcom
Neoadj + WLE

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20
Q

What chest wall tumor is assoc with Garner syndrome and/or trauma?

A

Desmoid
4cm margins + RT

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21
Q

What chest wall tumor is painless, grows along tissue planes between muscle fibers. OCcurs in older pts.

A

Malignant Fibrous Histiocytoma
WLE +/- adj RT

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22
Q

Indications for AVR for AS

A

Severe + symptoms
Low gradient AS with LV dysfunction (<50%)
Critical AS
Severe LVH (LV thickness >1.6cm)
Fast progression
Severe calcification

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23
Q

What define severe AS?

A

AVA </=1cm2
Peak velocity >/= 4m/s
Mean AV gradient > 40mmHg

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24
Q

Indications for AVR for AR

Study These Flashcards
A

Sev + Symptomatic
Sev + EF <55%
Mod/Sev + other surg
LV dilation (ESD >50mm)

25
What defines severe AI?
Holodiastolic flow reversal Vena contracta >0.6cm Regurg Vol >60mL Regurg fraction >50% ERO >0.3cm2
26
What stage thymoma is completely encapsulated
Stage Ia – completely encapsulated (no evidence of invasion) – surgery alone – 95% 5YS
27
What stage thymoma has microscopic invasion into mediastinal fat or pleura?
Stage Ib – microscopic invasion into mediastinal fat or pleura – surgery/?adj RT 85% 5Y
28
What stage thymoma invades the pericardium?
Stage II – pericardial invasion – surgery/?adj RT – 85% 5YS
29
What stage thymoma invades into structures such as the phrenic, lungs, veins, esoph, myocardium?
Stage III T3 phrenic, veins, lungs; T4 PA, Ao, heart, trachea, esoph) – 70% 5YS o neoadj chemo, post op radiation after complete resection
30
What stage thymoma has mets to the pleura or separate pericardial nodules?
Stage IVa – mets to pleura or pericardium – 50% 5YS
31
What aortic root enlarging procedure extends down the non-coronary cusp?
Nicks
32
What root enlarging procedure extends between the Left and Non- coronary cusps?
Manougian
33
What is zone 0 o the aorta?
ascending to innominate artery (including the artery)
34
What is zone 1 of the aorta?
innom to LCC (incl LCC)
35
What is zone 2 of the aorta?
LCC to L SCA
36
what is zone 3 of the aorta?
first 2cm distal to L SCA
37
What is zone 5 of the aorta?
Mid descending down to Celiac
38
NSCLC What stage? T1a-c N1
T1N1 = Stage IIA
39
NSCLC What stage? T1a-c N2a
IIB
40
NSCLC What stage? T1a-c N2b
IIIA
41
NSCLC What stage? T2a N0
IB
42
NSCLC What stage? T2b N0
IIA
43
NSCLC What stage? T2aN1
IIB
44
NSCLC What stage? T2aN2a
IIIA
45
NSCLC What stage? T2aN2b
IIIB
46
NSCLC What stage? T2bN1
IIB
47
NSCLC What stage? T2bN2a
IIIA (so T2N2a =IIIA) (T2N2b = IIIB)
48
NSCLC What stage? T3N0
IIB
49
NSCLC What stage? T4N0
IIIA
50
NSCLC What stage? T3N1
IIIA
51
NSCLC What stage? T3N2a
IIIA
52
NSCLC What stage? T3N2b
IIIB
53
NSCLC What stage? T4N1
IIIA
54
NSCLC What stage? T4N2
IIIB
55
What T stage is bronchial invasion?
T2a
56
What T stage is visceral pleural invasion?
T2a
57
What T stage is invasion of the adjacent lobe?
T2a
58
What T stage is a tumor causing atelectasis?
T2a

CT (2 decks)

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