Lung cancer - non surgical options

Question 1

what percent of lung cancer are non small lung cell cancer

Answer 1

85%

Question 2

what percent of lung cancers are small cell lung cancre

Answer 2

15%

Question 3

what happends during a mdt meeting

Answer 3

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

Question 4

what its the easter cooperative group perfousce measuremt

Answer 4

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

Question 5

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

Answer 5

130 days

Question 6

what si teh 5 year survical using surgery

Answer 6

about 40%

Question 7

what requirements are needed for surgury

Answer 7

fev1 and lymph node sampling

Question 8

what ar teh post oppoerative threray after surgy

Answer 8

rt, chemo

Question 9

what stages are chemotherpy and radiothepry normally used

Answer 9

1 and 2

Question 10

what is neoadjuvant therapy

Answer 10

given before procedures

Question 11

what stadge lung cancer benifited from neoaddjvant cehmotherapy

Answer 11

3 only

Question 12

what radiotheearpy ragimes are availible

Answer 12

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

Question 13

what is teh 5 year survical for radiotherapy

Answer 13

about 20%

Question 14

what test is essental for radiotherapy

Answer 14

peak flow

Question 15

what is a risk on concurent chemotheray with rt

Answer 15

increse toxicity effects

Question 16

what is the 2 year survical rate for ougbe cheoheary

Answer 16

27%

Question 17

what is immunotherapy

Answer 17

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

Question 18

what is stereotactic ablative radiotherapy

Answer 18

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

Question 19

what are the pallitive care options

Answer 19

chemotherapy, immunotherapy, tki, palliative radiotherapy,

Question 20

what is pdl1

Answer 20

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

Question 21

what is nivolumab

Answer 21

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

Question 22

what is the benifit of pallative radiotherpay

Answer 22

prevents bone metaais, cord compressoi, haemoptysis

Question 23

what is the benifit of high dose pallative

Answer 23

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

Question 24

what is the doubling time for small lung cancer

Answer 24

29 days

Question 25

what do small lung cancer look like histolically

Answer 25

limeitd to one hemithroax,

Question 26

what is the treatment for small cell lung cancer in chemothepary

Answer 26

cisplaint and etoposide

Question 27

what is the mediam survial for smallcell lung cancer in locailsed without reatment

Answer 27

8 months

Question 28

what are the side effects of chemotherapy

Answer 28

marrow suppersion, (neutropanenic sepsis ), nausea, comiting, gi upset, mucositis, fatique, lethargy, neuropaty, incrased risk mi/ stroke, renal impairment

Question 29

what are the side effects of radiotherapy

Answer 29

lethargy, risk to surrounding organs, pneumonits, dysphagia, fibrous, stricutre, increased risk mi

Question 30

what is the side effects of immutotherapy

Answer 30

colitis(inflamtion of endo of gi), pneumonitis, dermatitis, endocrinopathies(endocrine disorders)

Question 31

what is teh type of sepsis in chemotherapy

Answer 31

neutropaneic sepsis

Question 32

what are tkis sutible for

Answer 32

those who can’t have chemotherapy