Lec 9 lung tumors II

Question 1

Nasopharyngeal benign lesions:

Answer 1

-occurs in CF and aspirin intolerant asthma

can be 1)ethmoidal
2)antrochoanal- maxillary sinuses

signs and symptoms:
fever, headache, nose congestion, sinusitis, loss of smell, sleep apnea

Question 2

associated with EBV

Answer 2

Nasopharyngeal carcinoma

Question 3

Biopsy of nasopharyngeal carcinoma:

Answer 3

-pleomorphic keratin positive epithelial cells
-poorly differentiated squamous cell carcinoma

Question 4

excessive irritation or use of vocal cords lead to:

Answer 4

Vocal cord nodule

bilateral

Question 5

Vocal cord nodule patients present with

Answer 5

hoarsness; resolves with resting voice or stopping smoking

Question 6

Laryngeal papilloma occurs due to:

Answer 6

HPV 6 and 11

Question 7

Laryngeal papilloma clinically

Answer 7

-singular in adults and multiple in children
-presents with hoarsness

Question 8

Laryngeal carcinoma arises as:

Answer 8

-squamous cell carcinoma arising from epithelial lining of vocal cord

Question 9

Risk factors of: laryngeal carcinoma

Answer 9

Can rarely arise from laryngeal papilloma

risk factors: tobacco, alcohol

Question 10

laryngeal carcinoma presents with:

Answer 10

cough, stridor, hoarsness

middle age M>F

Question 11

laryngeal carcinoma: if is carcinoma in situ or carcinoma

Answer 11

Carcinoma in situ: invasive squamous cell carcinoma

carcinoma: lymph nodes and neck

Question 12

most common area the L-CA tumor can develop is on:

Answer 12

directly on vocal cords, glottic tumors 60-75%

has the best prognosis

Question 13

how do squamous cell carcinomas of the larynx begin and end:

Answer 13

they begin as in situ lesions, that later appear pearly grey, ulcerating and funganating on mucosal surface

Question 14

General clinical manifestations of lung tumors include:

Answer 14

Cough
weight loss
hemoptysis
loss of appetite
SVC compression