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First Aid Step 3 Oncology 4
Lung Cancer
19
Medical
Professional
12/25/2013

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Cards

Term
Once a diagnosis of lung cancer is suspected, which imaging studies can aid in the completion of staging?
Definition
Chest and abdominal CT with contrast, bone scan, and CT or MRI of the head.
Term
What are the three C's of squamous cell carcinoma?
Definition
Central
Cavitary
HyperCalcemia
Term
What is Pancoast's syndrome?
Definition
Shoulder pain, Horner's syndrome (miosis, ptosis, anhidrosis), and lower brachial plexopathy.
Term
What are the characteristics of small cell lung cancer?
Definition
Highly related to cigarette exposure. Usually centrally located and ALWAYS presumed to be disseminated at the time of diagnosis.
Term
What is the treatment for small cell lung cancer?
Definition
Chemotherapy
Term
What are the characteristics of Non-small cell lung cancer?
Definition
Adenocarcinoma has peripheral location women>men.
Term
What are the characteristics of Non-small cell lung cancer?
Adenocarcinoma, bronchoalveolar subtype:
Definition
Associated wiht multiple nodues, bilateral lung infiltrates, and metastases late in the disease course.
Term
What are the characteristics of Non-small cell lung cancer?
Squamous cell carcinoma
Definition
Presents centrally and is usually cavitary
Term
What is the treatment for non-small cell lung cancer? Stage I and II.
Definition
Early-stage disease; candidate for surgical resection.
Term
What are the characteristics of Non-small cell lung cancer? Local or regionally advanced disease.
Definition
(supraclavicular or mediastinal lymphadenopathy or chest wall/pleural/pericardial invasion): Treated wiht combination chemotherapy and radiation ; surgery is not indicated.
Term
What are the characteristics of Non-small cell lung cancer? With distant Mets...
Definition
Chemotherapy or radiation for palliative care only.
Term
What is superior vena cava syndrome:
Definition
Swelling of the face and arm, most often on the RIGHT side, and elevated JVP. Treated with radiation therapy.
Term
How does hoarseness signal cancer?
Definition
Vocal cord paralysis from entrapment of the recurrent laryngeal nerve, most often on the LEFT
Term
What cancer is hypercalcemia most associated with and how do you treat?
Definition
Squamous cell carcinoma
Treat with bisphosphonates
Term
What cancer is hyponatremia/SIADH most associated with?
Definition
Small cell carcinoma
Term
What is Lambert-Eaton syndrome?
Definition
Similar to myasthenia gravis, except that muscle fatigue improves with repeated stimulation.
Term
What is the differential diagnosis of a lung mass?
Definition
TB, fungal disease, abscess, metastasis, benign tumors, and hamartoma
Term
How do you distinguish benign v. malignant lesions in the lung?
Definition
Serial CXR
If stable >2 yrs, they are generally not cancerous.
Term
What are the features of benign lesions in the lung?
Definition
young age, smooth margins, small size (<2cm), presence of satellite lesions.
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