Lung Cancer Flashcards Preview

Clin Med I - Pulmonary > Lung Cancer > Flashcards

Flashcards in Lung Cancer Deck (40):
1

_____ ______ is etiologic in ~85% of cases

- cigarette smoking

2

What is lung CA risk related to?

- pack years

3

What is the best treatment for lung CA?

- prevention

4

Nicotine produces _______, stopping produces ______.

- tolerance
- withdrawal

5

T/F: The majority of patients dx'd w/ lung CA, die of their disease.

- True

6

What are the most frequent presenting symptoms of lung CA?

- cough
- wt loss
- dyspnea
- chest pain
- hemoptysis

7

What will be found on physical exam in lung CA?

- asymmetric breath sounds
- basilar dullness
- lymphadenopathy
- organomegaly
- bone tenderness
- unexplained neuro sx

8

What lab tests should be ordered in lung CA?

- CBC
- chem profile
- PT & APTT

9

What images should be ordered in lung CA?

- CXR
- chest w/ or w/o abdomen CT
- brain MRI as indicated by S&S

10

T/F: Treatment should be started before biopsy.

- False!
- no meat, no treat

11

What are the two categories of epithelial lung CA?

- small cell (SCLCa)
- non small cell (NSCLCa)

12

Define limited stage lung CA

- limited to 1 side of the chest

13

Define extensive stage lung CA

- beyond 1 side of the chest

14

Define Stage 1A lung CA

- ≤ 3cm, N0

15

Define Stage 1B lung CA

- > 3cm ≤ 5cm, N0

16

Define Stage 2A lung CA

- ≤ 5cm, N1
- < 5cm ≤ 7cm, N0

17

Define Stage 2B lung CA

- > 5cm ≤ 7cm, N1
- proximal tumor
- invades thorax, N0

18

Define Stage 3A lung CA

- mediastinal LNs (+)

19

Define Stage 3B lung CA

- non-resecatble

20

Define Stage 4 lung CA

- metastatic

21

What is the tx for Stage 1A lung CA?

- surgery alone

22

What is the tx for Stage 1B lung CA?

- surgery +/- chemo

23

What is the tx for Stage 2A&B lung CA?

- surgery +/- chemo

24

What is the tx for Stage 3, T3N1 lung CA?

- surgery +/- chemo

25

What is the tx for Stage 3, N2 or N3, and 3A lung CA?

- combo chemo & radiation

26

What is the tx for Stage 3B or 4 lung CA?

- palliative chemo
- symptomatic radiation

27

What is the tx for limited Stage lung CA?

- combo chemo & radiation

28

What is the tx for extensive Stage lung CA?

- palliative chemo
- symptomatic radiation

29

What other condition is not uncommon in patients with bone metastases or paraneoplastic syndrome?

- hypercalcemia

30

What other disease is occasionally associated with SCLCa?

- Cushing's Syndrome
- Lambert-Eaton Syndrome

31

What other condition is not uncommon in SCLCa or NSCLCa?

- SIADH (syndrome of inappropriate ADH secretion)

32

What is common in SCLCa and adenoCA of lung?

- brain metastases

33

What is a disease almost exclusively a result of asbestos exposure?

- mesothelioma

34

What is the mainstay of curative tx for NSCLCa?

- surgery

35

What is the only tx for SCLCa?

- chemo +/- radiation

36

What is a NCOG Performance Status of 0?

- no disability
- normal ADLs

37

What is a NCOG Performance Status of 1?

- minor disability
- light work
- no strenuous work

38

What is a NCOG Performance Status of 2?

- moderate disability
- no work
- can care for self
- in bed some part of waking day

39

What is a NCOG Performance Status of 3?

- in bed most of day
- some self care

40

What is a NCOG Performance Status of 4?

- in bed all the time
- no self care