Pulm-Lung Cancer Flashcards
(5 cards)
1
Q
Lung Cancer
A
Path: Smoking, Toxic exposure
Pt: Weight loss, hemoptysis, dyspnea, Pleural effusion (tap effusion first)
Dx: 1st CXR Then CT Scan Best is biopsy - Percutaneous if peripheral - Endoscopic ultrasound if proximal - VATS if in the middle - Lobectomy ok too
Tx: Diagnose, Stage
PFTs (can they tolerate surgery?)
Surgery v Chemo
F/u: Annual low-dose CT scan….cancer screen
- Smoker within 15 years
- 55-80 years old
- greater than 30 pack year history
2
Q
Small Cell Lung Cancer
A
Path: smoking Pt: Sentral Mass Paraneoplastic Syndromes - SIADH = HypoNa - ACTH = Cushing's
Dx: Bronch/EUS
Tx: Chemo
3
Q
Squamous Cell Lung Cancer
A
Path: Smoking
Pt: Sentral Mass
Paraneoplastic Syndromes
- PTH-rp = HyperCa
Dx: Bronch/EUS
Tx: Resection
Chemo, Radiation
4
Q
Adenocarcinoma
A
Path: Asbestosis
cancer NON smokers get
Pt: peripheral mass
pleural plaques
Dx: Percutaneous Biopsy
Tx: Chemo/Rads
5
Q
Carcinoid Tumor
A
Path: Serotonin
Pt: Wheezing, Flushing, Diarrhea
Dx: 5-HIAA in the urine
Tx: Resection
