Final Flashcards

(35 cards)

1
Q

Bronchogenic percentage breakdown

A

Epidermoid 30-35%
Adenocarcinoma 45-50%
Anaplastic 15-20%
Mixed 5%

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2
Q

Bronchogenic locate in ___ zone

A

Conduction

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3
Q

Adenocarcinoma demographics (2)

A

Female bias

Smokers and non-smokers

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4
Q

Adenocarcinoma location

A

Peripheral

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5
Q

Adenocarcinoma usually N_

A

N1+ (fast lymphatic spread)

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6
Q

Anaplastic location

A

Central

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7
Q

Anaplastic is always ___

A

Metastatic (M1)

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8
Q

Bronchioloar carcinoma locates in ___ zone

A

Respiratory

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9
Q

2 Patterns of bronchiolar carcinoma

A

Widespread alveolar nodular

Localized consolidation

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10
Q

Bronchial adenoma affects ___ cells

A

Kulchitski (epithelial cells lining mucous ducts)

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11
Q

MC type of bronchial adenoma

A

Carcinoid AKA neuroendocrine secretory

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12
Q

Carcinoid age

A

Young (teenagers)

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13
Q

Bronchial adenoma sign

A

Hemoptysis

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14
Q

Bronchial adenoma aggressiveness

A

Low

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15
Q

__% of lung tumors are asymptomatic at diagnosis

A

25%

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16
Q

Peripheral tumor S/S

A

Cough, wheezing, hemoptysis

17
Q

Central tumor S/S

A

Hoarseness, dysphagia, superior vena cava obstruction

18
Q

Mediastinal proximity tumor S/S

A

Chest pain, brachial plexus neuropathy, Horner’s

19
Q

Overal lung CA 5 year survival

20
Q

__% of tumors cavitate, MC ____

A

16%, squamous cell

21
Q

Tumors double in volume ever ___

22
Q

___% of tumors are central; ___% are peripheral

A

60% central, 40% peripheral

23
Q

__% of tumors are right sided

24
Q

Average size of tumor at diagnosis

25
T stages
T1- No evidence of tumor T2- <3cm T3- >3cm or visceral pleura invasion, lobar atelectasis, obstruction pneumonitis, >2cm from corina T4- Invasion of heart, great vessels, trachea, esophagus, vertebrae, carina, pleural effusion
26
N stages
N0- No mediastinal involvement on CT/ MRI N1- Ipsilateral hilar nodes N2- Ipsilateral mediastinal/ subcarinal nodes N3- All mediastinal nodes
27
M stages
MO- No distant metastasis | M1- Distant metastasis
28
1A=
T1N0
29
1B=
T2N0
30
2A=
T1N1
31
2B=
T2N1 | T3N0
32
3A=
TxN2 | T3N1
33
3B=
T4N0-2 | TxN3
34
4=
TxNxM1
35
Stage survival rates
1 85-90% 2 65% 3 35% 4 10%