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cancers of thorax
cancers of thorax
16
Medical
Graduate
01/07/2012

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Cards

Term
squamosu cell
Definition
keratanziied, asosciatd with smoking, centarlly locted, cavitating, associated iwth apncoast tumors and hypercalcemia
Term
adenocarcnioma
Definition
mroe common in owmen/nonsmokers, peripehrally lcoated, metastatic spread is common
Term
bronchoalveolar cel
Definition
subtype of adenocarcinoma, columanr cells linignalveolar ceptal. may appear liek ifnitlrate- sproblematic diagnosis
Term
large cells
Definition
poorly diff adeno or squamous cel carcinoma.

peripehrally located with caviation, celsl with lots of cytoplasm. early mastiaspread, gynomastia assocaited with it
Term
small ce lcaricnoma
Definition
larger than lymphs with scant cytoplasm. Hilar mass. ltos of paraneoplastic syndromes.
Term
thorax cancer lcincial presentation
Definition
cough weight loss heymoptsysis

regional symtposm ar more specific : ocal cord paralysis , diaphrgm paralysis, pnacoast, pleural e ffusion ,sueprrior ven cave

m
Term
lung cancer common metastes
Definition
lymph node follweod by liver nad brain.
Term
paraneoplastic sydnroems of lung cancer
Definition
can affect any organ. clubbing
Term
pancoast tumor
Definition
when lcoated at apex o the lung can lead to destruciton of cervical gamglion leading to horners synndrome
Term
fiberoptic bonrchsopy
Definition
good for larger lesions, cancers in central airways and staging the airays
Term
perucatnoeus neeld bx
Definition
better than FOB for small peripehral nodules. with high risk fo pneumothorax and cosndierable falsen egatives.
Term
sputu mcyotlogy
Definition
useful for squamous cel and central elsions
Term
nonsmall cell carcinoma staging
Definition
TNM- whats get metastes not resecrbile stages 1-3a are resectable
Term
staging in smal lcel lca
Definition
rapid dissemination, surgery generally nto an option
Term
operability
Definition
look for anything suggteing cardiopulmoanry isntability- heart needs to wisthsatnd surgeyr ,also check pulmoanry reserve
Term
contraindications pulmonary for operability
Definition
hyeprcapnea, fev<35 percent predicted.
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