CT Flashcards
(58 cards)
Esophageal Adenocarcinoma
What clinical stage?
T1 N0
T1N0 = Stage I
Esophageal Adenocarcinoma
What clinical stage?
T1 N1
T1N1 - Stage IIA
Esophageal Adenocarcinoma
What clinical stage?
T2 N0
T2N0 = Stage IIB
(low risk T2: no LVI, <3cm, well-diff)
Esophageal Adenocarcinoma
What clinical stage?
T2N1
T2N1 = Stage III
Esophageal Adenocarcinoma
What clinical stage?
T3 N0-1
T3N0-1 = Stage III
Esophageal Adenocarcinoma
What clinical stage?
T4a N0-1
T4a N0-1 = Stage III
Esophageal Adenocarcinoma
What clinical stage?
T1-4a N2
T1-4a N2 = Stage IVA
Esophageal Adenocarcinoma
What clinical stage?
T4b N0-2
T4b N0-2 = Stage IVA
Can’t resect T4b
Esophageal Adenocarcinoma
What clinical stage?
AnyT N3
AnyT N3 = Stage IVA
Esophageal Adenocarcinoma
What clinical stage?
anyT anyN M1
M1 = Stage IVB
Esophageal Adenocarcinoma
What post-neoadj stage?
T0-2N0
ypT0-2N0 = Stage I
Esophageal Adenocarcinoma
What post-neoadj stage?
ypT3N0
ypT3N0 = Stage II
Esophageal Adenocarcinoma
What post-neoadj stage?
ypT0-2 N1
ypT0-2N1 = Stage IIIA
Esophageal Adenocarcinoma
What post-neoadj stage?
ypT3N1
ypT3N1 = Stage IIIB
What chest wall tumor has a Cartilage cap, an intact cortex, stipple calcification, and is generally near the sternum
Osteochondroma (50% of all benign rib tumors)
young pts (20s)
What chest wall tumor is assoc with hypercalcemia and Bence Jones proteins
Plasmacytoma (tx with chemo, and RT if needed)
What chest wall tumor is assoc with prior trauma, often costochondral angle/sternum; ill-defined margin with destruction of cortex
Chondrosarcoma (excise rib above and below)
RT for positive margin
What chest wall tumor is assoc with bony destruction and new periostial formation (onion peel)
Ewing Sarcoma
core needle -> neoadj chemo -> WLE -> RT
What chest wall tumor expands rapidly causing pain, has a sunburst pattern on CT?
Assoc with prior radiation, Pagets, and bone necrosis
Osteogenic sarcom
Neoadj + WLE
What chest wall tumor is assoc with Garner syndrome and/or trauma?
Desmoid
4cm margins + RT
What chest wall tumor is painless, grows along tissue planes between muscle fibers. OCcurs in older pts.
Malignant Fibrous Histiocytoma
WLE +/- adj RT
Indications for AVR for AS
Severe + symptoms
Low gradient AS with LV dysfunction (<50%)
Critical AS
Severe LVH (LV thickness >1.6cm)
Fast progression
Severe calcification
What define severe AS?
AVA </=1cm2
Peak velocity >/= 4m/s
Mean AV gradient > 40mmHg
Indications for AVR for AR
Sev + Symptomatic
Sev + EF <55%
Mod/Sev + other surg
LV dilation (ESD >50mm)