Lung CA

Question 1

What is the screening recommendation for lung CA?

Answer 1

Pts age 55-74 that has 30+ pack-year history and quit < 15 years ago.

Get a low-dose CT scan

Question 2

What is the treatment for stage 1a NON-small cell Lung CA?

Answer 2

Lobectomy with mediastinal lymph node dissection

Question 3

How is Small-Cell Lung CA staged? How is this characterized?

Answer 3

Limited Vs Extensive Disease

Limited Disease is limited to a single hemithorax, and the tumor location is within a single radiation therapy grid

Extensive Disease is outside of 1 ipsilateral hemithorax

Question 4

What is treatment of choice for Small Cell Lung CA?

Answer 4

Combination Chemo + Radiation Therapy

The chemo is typically Cisplatin + Etoposide.

Question 5

In what time frame do pts with small cell lung CA require prophylactic brain irradiation (PCI)?

Answer 5

This should be done AFTER chemo+radiation therapy, to be completed 4-8 weeks after chemo+radiation therapy.