Lung cancer - non surgical options Flashcards

(33 cards)

1
Q

what percent of lung cancer are non small lung cell cancer

A

85%

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2
Q

what percent of lung cancers are small cell lung cancre

A

15%

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3
Q

what happends during a mdt meeting

A

discuses teh stading of teh cancer, the type and the patient whihx, and the possible therapeutic options

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4
Q

what its the easter cooperative group perfousce measuremt

A

give a number on their breathlessness e.g. 3 = has to rest for more than 50% of the day and 4 equals bed bound

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5
Q

what is the rough doubling time for a non small cell lung cancer

A

130 days

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6
Q

what si teh 5 year survical using surgery

A

about 40%

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7
Q

what requirements are needed for surgury

A

fev1 and lymph node sampling

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8
Q

what ar teh post oppoerative threray after surgy

A

rt, chemo

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9
Q

what stages are chemotherpy and radiothepry normally used

A

1 and 2

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10
Q

what is neoadjuvant therapy

A

given before procedures

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11
Q

what stadge lung cancer benifited from neoaddjvant cehmotherapy

A

3 only

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12
Q

what radiotheearpy ragimes are availible

A

monday to friady for 4 weeks, or 3 times a day for 12 consecutive days

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13
Q

what is teh 5 year survical for radiotherapy

A

about 20%

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14
Q

what test is essental for radiotherapy

A

peak flow

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15
Q

what is a risk on concurent chemotheray with rt

A

increse toxicity effects

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16
Q

what is the 2 year survical rate for ougbe cheoheary

17
Q

what is immunotherapy

A

giving the body chemical to incrae imune system response, this mean that it is more likely to attack the cancer cells

18
Q

what is stereotactic ablative radiotherapy

A

very high doese of radiothery which can have similar outcomes to surgery

19
Q

what are the pallitive care options

A

chemotherapy, immunotherapy, tki, palliative radiotherapy,

20
Q

what is pdl1

A

a programmed death liganed that prevents the immune system attacking cells in the body, this is secreted by cancers

21
Q

what is nivolumab

A

it stops being of pd1 and pdl1 and stops cancers being masked and not being destroyed by immune cells

22
Q

what is the benifit of pallative radiotherpay

A

prevents bone metaais, cord compressoi, haemoptysis

23
Q

what is the benifit of high dose pallative

A

helps if the diseas is to large to encoupass raiclly, has a survacla advantage

24
Q

what is the doubling time for small lung cancer

25
what do small lung cancer look like histolically
limeitd to one hemithroax,
26
what is the treatment for small cell lung cancer in chemothepary
cisplaint and etoposide
27
what is the mediam survial for smallcell lung cancer in locailsed without reatment
8 months
28
what are the side effects of chemotherapy
marrow suppersion, (neutropanenic sepsis ), nausea, comiting, gi upset, mucositis, fatique, lethargy, neuropaty, incrased risk mi/ stroke, renal impairment
29
what are the side effects of radiotherapy
lethargy, risk to surrounding organs, pneumonits, dysphagia, fibrous, stricutre, increased risk mi
30
what is the side effects of immutotherapy
colitis(inflamtion of endo of gi), pneumonitis, dermatitis, endocrinopathies(endocrine disorders)
31
what is teh type of sepsis in chemotherapy
neutropaneic sepsis
32
what are tkis sutible for
those who can't have chemotherapy
33