Other Lung Conditions Flashcards
1
Q
What are typical presentation for patients with Pancoast tumours?
A
- Tumour of pulmonary apex
- Mostly NSCLC
- Often delayed diagnosis as symptoms are similar to bone and joint disease.
- Joint pain
- Horner’s syndrome
- compress of veins, areteries and nerves
2
Q
How are pancoast tumours treated?
A
- Surgery can be challenging due to location
- Different OARs for RT
- RT and chemo perhaps with surgery after disease is debulked
- surgical access could be through thoracotomy
3
Q
How are pancoast tumours treated using radiotherapy?
A
- 45Gy in 25# in 5 weeks
4
Q
What is mesothelioma?
A
- Rare and aggressive
- Develops in the lining of the lungs (pleural mesothelioma)
- Usually linked to asbestos exposure
- 2,600 cases each year in the UK (usually men)
5
Q
How is mesothelioma managed?
A
- Pt chemo is gold standard
- RT is often prophylactic to the port site
- Modern techniques e.g. protons and IMRT allow for more treatment options
6
Q
Radiotherapy for mesothelioma dose and fractionation?
A
- 20Gy in 5# in one week
- 36Gy in 6# twice per week
7
Q
What is SVCO?
A
- Superior Vena Cava Obstruction
- ## Result of lung cancer, median survival is 6 months
8
Q
How do patients with SVCO present?
A
- Oedema of face, neck and trunk
- Venous distension
- Facial plethora
9
Q
How is SVCO managed?
A
- Steroids
- Emergency RT, 20Gy in 5# in 1 week
- 30Gy/10#/2 weeks
- Chemo
- Stent insertion
