3. Bronchial carcinoma Flashcards
1
Q
How common is it?
A
13% of all cancers
27% of cancer deaths
2
Q
Who does it affect?
A
Increasing incidence in women so likely M=F
Incidence increases with age
3
Q
What causes it?
A
Dysplasia of lung epithelium occurs as a result of exposure to carcinogens –> mutations
4
Q
What signs may the patient have on examination?
A
Cachexia Anaemia Clubbing Supraclavicular / axillary lymph nodes Unilateral pleural effusion Mets: bone tenderness, hepatomegaly, confusion
5
Q
What other conditions might present similarly?
A
Abscess
TB
COPD
6
Q
How would you investigate?
A
CXR Sputum and pleural effusion sample cytology Bronchoscopy Lung function test PET scan
7
Q
What other conditions might present similarly?
A
Abscess Granuloma Carcinoid tumour Pneumonia Bronchitis
8
Q
What treatments are there?
A
Dependent on TNM staging
Lobectomy (+ radio/chemotherapy if advanced and well enough)
