bronchial carcinoma Flashcards
1
Q
which is the most common type of cancer for bronchial carcinoma?
A
non- small cell:
- squamous
- epidermoid carcinoma
2
Q
what are the risk factors for bronchial carcinoma?
A
- smoking is the main one
- occupational chemicals- asbestos, iron oxides, radiation, arsenic
3
Q
what are the symptoms of bronchial carcinoma?
A
- cough
- haemoptosis
- dyspnoea
- wheeze
- weight loss
- pneumonia
- chest pain
- bone pain if mets
4
Q
what are the signs of bronchial carcinoma?
A
- cachexic
- clubbing
- wrist pain- due to hypertrophic osteoarthropathy
- supraclavicular/ axillary nodes
5
Q
what are some of the complications of bronchial carcinoma?
A
- obstructed SVC
- horners due to pancoast tumour
- ectopic hormone production eg ACTH, aldosterone, calcium
- phrenic/ recurrent laryngeal nerve damage
6
Q
which 2 things out of: - plueral effusion - pneumothroax - PE -lobar collapse - emphysema can occur as a result of the carcinoma?
A
- pleural effusion
- lobar collapse
7
Q
which 4 places is mets likely?
A
BLAB
- bone
- liver
- adrenals
- brain
8
Q
what investigations are done when a bronchial carcinoma is suspected?
A
- CXR
- CT
- cytology of sputum and pleural fluid
- bronchoscopy
9
Q
does small cell/ non small cell have a better prognosis?
A
non small cells
10
Q
what treatment can be given in broncial carcinoma?
A
- excision/ pneumonectomy if non small cells without mets
- radiotherapy if SVC obstuction, bronchial ob, brain, bone mets
- small cel may respond to chemo
