Cancer staging and every random thing i can think of Flashcards
esophageal 1 - 4
critical = 3 vs 4
1 vs 2 endoscopic dx
T3 = adventitia
T 4 = invasion in to adjacent structures
T4a resectable (pleura, pericardium diphragm)
T4b NOT (trachea, aorta)
Rectal
Only really need T2
T3 into perirectal fat
T3 = pre-op chemo and RT
Renal
1 < 7cm
2 > 7cm
3 a Renal vein
3 b IVC below
3 c IVC above diaphragm
4 outside gerota or ipsi adrenal
Bladder
T2 muscularis propia
T3 perivesicular (outside bladder)
T4 a prostate uterus vagina
T4 b pelvic sidewall or abdominal wall
Endometrial
Stage 1 vs 2
cervical stroma invasion (don’t see normal cervical mucosal enhancement)
pre op RT and radiacal hyst
cervical cancer
IIa vs IIb
IIa beyond cervix, no parametrial
IIb = parametrial invasion (or lower 1/3 vagine) = chemo/RT
Prostate
2 vs 3
extracapsular extension
lung
unresectable =
unresesctable = Stage 3B (N3 or T4)
3B = supraclavicular, scalene, contra med/hilar (N3)
Same lung, diff lobe = T4
Malig pleural effusion = 3B
3B = unresectable
Diff lung = M1a
Skin doses
Early transient erythema
2Gy
Skin doses
Temporary epilation
3Gy
Skin doses
Main erythema (chronic)
6Gy
Skin doses
permanent hair loss
7Gy
Skin doses
Telangiectasia
10gy
Skin doses
Dry desquamation
13 Gy
Skin doses
Moist
18Gy
Skin doses
Secondary ulceration
24 Gy
Major spill
Tc99
100 mCi
Major spill
Tl 201
100
Major spill
In 111
10 mCi
Major spill
Ga 67
10 mCi
I 131
1 mCi
General public
annual limit
100 mrem
Unrestricted area
2mrem (.02mSv per hour) < 1mSv/7 days
Restricted area
anywhere receiving greater than 2 mrem per hour
