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Med/Surg 1 Exam 2 > Lung Cancer > Flashcards

Flashcards in Lung Cancer Deck (20):
1

Lung cancer: What is small cell?

Few cases, very aggressive, metastasis often on presentation, paraneoplastic

2

What are some examples of small cell?

- SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion)
- Cushings

3

Examples of non-small cell lung cancer?

- Adenocarcinoma
- Squamos Cell Carcinoma
- Large Cell Carcinoma

4

Most cases (85%) is what type of cancer?

Non-small cell

5

Characteristics of non-small cell lung carcinomas?

- Typically grouped together
- Responsible for most instances of lung cancer
- All respond similarly to treatments

6

What happens to the epithelial cells of the bronchi and bronchioles?

They mutate and over time become neoplastic

7

What are some risk factors of lung cancer?

- Age >50
- Genetics
- Exposure to Radon, asbestos
- Smoking
- non-smokers have decreased incidence when compared to those who once smoked but stopped
- Cessation does still lower the risk

8

When describing a patient's history of tobacco use we use a number called what?

Pack years

9

What does pack years mean?

The number of years the patient has been smoking multiplied by the number of packs a day they smoke(d) on average

10

What are the clinical manifestations of lung cancer?

- Respiratory (coughing, wheezing)
- Hemoptysis
- Chest pain
- Paraneoplastic symptoms
- Systemic effects after metastasis (dysphagia, mediastinal pain)

11

What diagnostic tests can be performed to diagnose lung cancer?

Chest X-Ray
Bronchoscopy
CT Scan
Biopsy
Pulmonary function and ABGs
Rule out TB
Sputum specimen (if negative, doesn't necessarily rule out cancer)

12

What medical treatments are available for lung cancer?

Surgery (resection, lobectomy, wedge/sleeve resection)
Pharmacological (bronchodilators, analegesics, chemo)
Radiation (EBR with chemo, brachytherapy)

13

What is the goal of surgery concerning lung cancer?

To leave as much healthy tissue as possible

14

Patients with lung cancer are often the primary recipients of what?

Lung transplants

15

How is brachytherapy usually delivered?

Pellets

16

What is Tacrolimus?

- Immunosuppressant given after transplantation

17

How is Tracolimus given?

PO through capsule

18

What is trade name of Tracolimus?

Prograf

19

What should be avoided with Tracolimus?

Grapefruit

20

What are some drugs that are given to prevent rejection?

Cyclosporines (Neoral, Gengraf)