Cancers

Question 1

Most common

Answer 1

Squamous cell
Adeno
Small cell(oat)
Large cell

Question 2

Squamous Cell Ca

Answer 2

Central located
Hypercalcaemia
Hyperthyroidism
Clubbing
Hypertrophic pulmonary osteoarthropathy

Question 3

Adenocarcinoma

Answer 3

Peripheral located
Non-smoker associated (majority developing adeno are smokers)
Normal bronchoscopy
Gynaecomastia

Question 4

Small cell Ca

Answer 4

Low sodium
SIADH
Lambert eaton (Mysthenic symptoms)
Hyperglycaemia

Question 5

Carcinoid

Answer 5

Skin flushing
Bronchospasm
Diarrhoea
Right valvular heart lesion
Slow growing
Centrally located
Collapse of lower lobe
Cherry red ball
Paradoxical diaphragm motion of affected side
Screening: plasma chromograffin A
Specific: 5HIAA 24hr urinary excretion
Secretes GnRH results in acromegaly

Question 6

Surgery

Answer 6

NSC lung Ca 20% suitable for surgery
Mediastinoscopy performed before surgery

Question 7

Contraindications to surgery

Answer 7

Metastasis 3b/4
FEV1<1.5L
Malignant pleural effusion
Tumor near hilum
Vocal cord paralysis
SVCO

Question 8

Radiotherapy

Answer 8

NSCLC

Question 9

Chemotherapy

Answer 9

SCLC