Lecture 10 Pulmonary Neoplasms Flashcards Preview

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Flashcards in Lecture 10 Pulmonary Neoplasms Deck (45)
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31

a right apical lung mass or thrombosis from indwelling catheter is usually the cause of _____

SVC syndrome

32

Symptoms of SVC: ___ discoloration and edema of the ____ and ____, JVD.

blue; upper extremity, face

33

Pancoast tumors involve the ___ dermatomes with invasion of the brachial plexus, resulting in ____ and ___ pain along with weakness and atrophy of ___ muscles. can also cause ____ syndrome

C8-T2; shoulder, arm;
hand;
horner's

34

horner's syndrome causes what 3 symptoms? (better know this or you will be haunted by Dr. Walker);

due to involvement of the sympathetic chain and _____ ganglion. does it cause ipsi or contralateral symptoms?

ptosis, miosis, anhidrosis;
inferior cervical (stellate);
ipsi

35

acanthosis nigricans is brownish hyperpigmentation and is common with _____

bronchial adenocarcinoma

36

what is the most useful diagnostic test in screening for cancer? What is the most useful radiologic test?

sputum cytology; CT

37

look for ____ lesion on CXR or a _____ nodule on CT

"coin"; noncalcified

38

____ determines the diagnosis of lung cancer and determines the cell type

bronchoscopy

39

non-small cell lung cancer: for stage 1 and 2, use ____;
for stage 3, use ____; stage 4 use ____

surgery + adjuvant chemo RT;
chemo + RT; chemo

40

limited disease small cell lung cancer is very responsive to _____; although still low survival :(

chemotherapy + RT

41

extensive stage small cell lung cancer:
_____ irradiation is used to improve quality of life and decrease mets

brain

42

asbestos usually causes _____ and can cause _____

lung cancer; mesothelioma

43

mesothelioma is characterized by pleural _____ or ___

thickening, effusion

44

mesothelioma stains positive for ____ and _____

cytokeratin, calretinin

45

characteristic ____ bodies are seen on histology with mesothelioma

psammoma